US · guidance
CMS Pub. 100-02, ch. 13, § 190.5
Treatment Plans for Visiting Nursing Services
For services and supplies that require a treatment plan, the treatment plan must be written
and reviewed by a supervising physician, NP, PA, CNM, CP, CSW, MFT, or MHC as
appropriate, at least once every 60 days; and meet other documentation requirements. If
the patient does not receive at least one covered nursing visit in a 60-day period, the plan
is considered terminated for the purpose of Medicare coverage unless:
• The supervising physician has reviewed the plan of treatment and made a
recertification within the 60-day period which indicates that the lapse of visits is a
part of the physician’s regimen for the patient, or
• Nursing visits are required at intervals less frequently than once every 60 days,
but the intervals are predictable (e.g., it is predictable that a visit is required only
every 90 days for the purpose of changing a silicone catheter, etc.).
Home nursing visits furnished before the plan is put into writing are covered if authorized
in writing by the supervising physician.
History
(Rev. 12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ecc81bde9332fcad68612ee73c2e022bf8f8eea20eb49a4431a0f7d817806eed
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