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US · guidance

CMS SOM App. H, Tag V558

§ 494.90(b) Standard: Implementation of the patient plan of care

activein force · 2026-07-22 – presentas-observed

(2) … Implementation of

monthly or annual updates of the plan of care must be performed within 15 days of the

completion of the additional patient assessments specified in § 494.80(d).

Interpretive Guidance § 494.90(b)(2):

Page 222 of 420

Note: this guidance is a continuation of the regulatory requirement at § 494.90(b)(2).

As specified in the Condition for patient assessment at V519 and V520, when there is an

interdisciplinary comprehensive reassessment of the patient, the plan of care must be updated

accordingly and implementation initiated within this timeline.

Monthly updates of the plan of care are required for unstable patients, while annual updates are

acceptable for stable patients. Refer to V520 for the minimum criteria for stable vs. unstable

status.

The implementation of updates to the patient plan of care must be completed within 15 days of

the reassessment.

History

Rev.

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
6aafa9b0b0f0bbd2128a30d8144f5cc7a800070696152d9df9b46f499e1ae774
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