US · guidance
CMS SOM App. B, Tag G798
§484.80(g) Standard: Home health aide assignments and duties
(1) Home health aides are assigned to a specific patient by a registered nurse or
other appropriate skilled professional, with written patient care instructions for a
home health aide prepared by that registered nurse or other appropriate skilled
professional (that is, physical therapist, speech-language pathologist, or
occupational therapist).
Interpretive Guidelines §484.80(g)(1)
The act of assigning a “specific patient” to a HH aide should be an intentional and
deliberate decision that takes into consideration the skills of the aide, the availability of
the aide for patient care continuity, patient preference (when possible), and other
considerations as determined by the patient’s care needs.
Most generally, HH aide services are provided in conjunction with, and as an adjunct to,
a skilled nursing service. When both nursing and therapy services are involved, either
skilled professional may assign home health aides and develop written patient care
instructions.
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
aaa9c566b39b66d13976056ce5eb7c3451c2db41a893824181f75637d0d48dfa
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