US · guidance
CMS SOM App. B, Tag G980
§484.105(e)(3) The primary HHA is responsible for patient care, and must conduct
and provide, either directly or under arrangements, all services rendered to
patients.
Interpretive Guidelines §484.105(e)
The HHA retains overall responsibility for all services provided, whether provided
directly by the HHA or through arrangements (i.e., under contract). For example, in
contracting for a service such as physical therapy, an HHA may require the contracted
party to do the day-to-day professional evaluation component of the therapy service. The
HHA may not, however, delegate its overall administrative and supervisory
responsibilities (see also §484.105(d)). All HHA contracts for services should specify
how HHA supervision will occur.
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
8a288aab114a3ec2c17fe0d268d9164bb661ce73a5094b90686ff60a51f8eb33
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.