US · guidance
CMS SOM App. H, Tag V517
§ 494.80(b) Standard: Frequency of assessment for patients admitted to the dialysis facility
(2) A follow up comprehensive reassessment must occur within 3 months after the
completion of the initial assessment to provide information to adjust the patient’s plan of
care specified in § 494.90.
Interpretive Guidance §494.80(b)(2)
Patients new to dialysis and/or in a new dialysis setting frequently need time to adjust and adapt
to the dialysis treatment. The 3-month comprehensive reassessment enables the IDT to re-evaluate:
• how well patients follow their treatment plan,
• their educational, psychosocial, rehabilitation, and nutritional needs,
• their current adjustment to the dialysis regimen,
• how well the patient is coping with kidney disease, and,
• the accuracy and appropriateness of patients’ plans of care.
The medical director's responsibilities include ensuring that all policies for patient admissions
and care are adhered to, which includes policies for patient assessment and reassessment. In
order for the medical director to make this determination, the policies must include a system in
place to ensure completion of the 3-month comprehensive patient reassessments.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
361b48dec63685c0102f5bde10eddc17639e568b30a160155606a8e365807a08
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