US · guidance
CMS SOM App. B, Tag G644
§484.65(b) Standard: Program data
(1) The program must utilize quality indicator data, including measures derived
from OASIS, where applicable, and other relevant data, in the design of its
program.
(2) The HHA must use the data collected to-
(i) Monitor the effectiveness and safety of services and quality of care; and
(ii) Identify opportunities for improvement.
(3) The frequency and detail of the data collection must be approved by the HHA’s
governing body.
Interpretive Guidelines §484.65(b)(1)-(3)
HHAs seeking initial enrollment in the Medicare program are unlikely to have collected
extensive data for their QAPI program indicators, since they likely have been in
operation for a relatively brief time. Nevertheless, these initial applicants must have a
QAPI program in place, and must be able to describe how the program functions,
including which indicators/measures are being tracked, at what intervals, and how the
information will be used by the HHA to improve quality and safety.
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
db087c13a6b4c9449b4be3bf312532aaefb1398eb19f316cf0d1a1fb100578b7
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