US · guidance
CMS SOM App. B, Tag G640
§484.65 Condition of participation: Quality assessment and performance improvement
(QAPI).
The HHA must develop, implement, evaluate, and maintain an effective, ongoing,
HHA-wide, data-driven QAPI program. The HHA’s governing body must ensure
that the program reflects the complexity of its organization and services; involves all
HHA services (including those services provided under contract or arrangement);
focuses on indicators related to improved outcomes, including the use of emergent
care services, hospital admissions and re-admissions; and takes actions that address
the HHA’s performance across the spectrum of care, including the prevention and
reduction of medical errors. The HHA must maintain documentary evidence of its
QAPI program and be able to demonstrate its operation to CMS.
Interpretive Guidelines § 484.65
The manner and degree of noncompliance identified in relation to the standard level tags
for §484.65 may result in substantial noncompliance with this CoP, requiring citation at
the condition level.
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
e34f8eebb334848c7acf96bc9431cc4cfa866f8cb297a66c22af98c16990daba
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.