US · guidance
CMS SOM App. H, Tag V558
§ 494.90(b) Standard: Implementation of the patient plan of care
(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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