US · guidance
CMS SOM App. H, Tag V542
§ 494.90(a) Standard: Development of patient plan of care
The interdisciplinary team must
develop a plan of care for each patient…
Interpretive Guidance § 494.90(a)
An interdisciplinary plan of care must be developed for each patient. Facilities must have a
system for developing patients’ plans of care. The IDT members are expected to interact and
share information from the comprehensive assessment to facilitate the development of the plan of
care.
To ensure the development of a congruent and integrated patient plan of care, the facility may
conduct IDT conferences or utilize another mechanism that ensures the development of an
integrated plan. A substitute mechanism for a team conference needs to facilitate discussion
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among team members about the information gathered from the comprehensive patient
assessment and provide opportunities for team coordination and development of an effective,
individualized plan of care for the patient, ensuring the desired outcomes are achieved. To
facilitate full team participation in conferences, any member, including patients, may participate
via telecommunication.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
b213fb4497b5699c11acd75c7b7b024c4f886b6ddf91d87f109727cca3ed83c8
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