US · guidance
CMS SOM App. B, Tag G808
§484.80(h) Standard: Supervision of home health aides
(1)(i) If home health aide services are provided to a patient who is receiving skilled
nursing, physical or occupational therapy, or speech language pathology services—
(A) A registered nurse or other appropriate skilled professional who is familiar
with the patient, the patient's plan of care, and the written patient care
instructions described in paragraph (g) of this section, must complete a
supervisory assessment of the aide services being provided no less frequently
than every 14 days; and
(B) The home health aide does not need to be present during the supervisory
assessment described in paragraph (h)(1)(i)(A) of this section.
Interpretive Guidelines §484.80(h)(1)(i)
An occupational therapist may conduct a home health initial assessment visit and
complete a comprehensive assessment under the Medicare program, but only when
occupational therapy is on the home health plan of care, with either physical therapy or
speech therapy, and when skilled nursing services are not initially in the plan of care (86
FR 62242).
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
5e475116dfb20b28a187fc7cef77c54ff0c32c16ea9df2008e68633b5a906caa
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