US · guidance
CMS SOM App. A, Tag A-1636
§482.61(b)(6) [Each patient must receive a psychiatric evaluation that must--] Estimate
intellectual functioning, memory functioning and orientation; and
Interpretive Guidelines §482.61(b)(6)
Mental status exam should include an estimate of the patient’s intellectual functioning,
the memory functioning and the patient’s orientation. Refer to §482.61(b)(3) Tag A1633
for more comprehensive details for this requirement.
Survey Procedures §482.61(b)(6)
• Review the sample of medical records to verify specifics of the patient’s mental
status exam are recorded; such as, the patient’s appearance and behavior,
emotional response to interventions and other situations, verbalization ability,
cognition, etc.
History
Rev. 238; Issued: 03-20-26; Effective: 09-05-25; Implantation: 09-05-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
70116f04a90e1c0e42e8fe0978feb38c17123de508ec6fbbd1f34b4474f2368d
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