US · guidance
CMS SOM App. J, Tag W199
§483.440(b)(2) Admission decisions must be based on a preliminary evaluation of the client
that is conducted or updated by the facility or by outside sources.
Guidance §483.440(b)(2)
Preliminary evaluations should support the need for an admission to an ICF/IID (e.g., deficits in
functional skills or adaptive behaviors). The information from the preliminary evaluation must
be used by the facility to make an admission decision.
Occasionally, emergency admissions of clients may occur without benefit of a preliminary
evaluation having been conducted prior to admission. When situational emergencies
necessitate admission before a preliminary evaluation can be conducted, or when pre-admission
information is incomplete, the completion of the preliminary admission evaluation within seven
(7) calendar days after admission will satisfy compliance with this requirement.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
aeead5b925a7f41672e670c91af61adfae36a825078e5dfdef500157285719bf
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