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US · guidance

CMS SOM App. B, Tag G640

§484.65 Condition of participation: Quality assessment and performance improvement

activein force · 2026-07-22 – presentas-observed

(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
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