US · guidance
CMS SOM App. B, Tag G598
§484.60(c)(3)(ii) Any revisions related to plans for the patient’s discharge must be
communicated to the patient, representative, caregiver, all physicians or allowed
practitioners issuing orders for the HHA plan of care, and the patient’s primary care
practitioner or other health care professional who will be responsible for providing
care and services to the patient after discharge from the HHA (if any).
Interpretive Guidelines §484.60(c)(3)(ii)
Discharge planning begins early in the provision of care and must be revised as the
patient’s condition or life circumstances change. There must be evidence in the clinical
record that the HHA discussed any such changes with the patient, his or her
representative (if any) and the responsible physician or allowed practitioner. Other
physicians or allowed practitioner(s) who contributed orders to the patient’s plan of care
must also be notified of changes to the patient’s discharge plan
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
bc17fa61e3582eb61acaf941e8d8fc73c621c69466a8ce69c0525a4219714e35
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