US · guidance
CMS SOM App. J, Tag W228
§483.440(c)(4) and the planned sequence for dealing with those objectives
Guidance §483.440(c)(4)
The objectives identified in W227 are organized in a logical sequence, determined by the team
that will assist the client toward the attainment of skills resulting in greater self-choice,
independence, and community integration. The logical sequencing of objectives means there is
a completion of one objective that serves as the building block for the next with relevance to the
client’s functional status. Where objectives are logically ordered but do not have relevance to
the client’s functional status, refer to 483.440(c)(4).
If the IPP is organized in a logical sequence, this requirement is met. For example, if the long
term goal is to travel independently in the community, the objective sequencing may involve
training the client to recognize traffic signs, cross the street safely, and to obtain help when
needed if lost or an emergency arises.
These objectives must –
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
4076b5ad0bd4a3553c0e6a55cbd96d83a84d0cb5597dc60c28c5bea788a4b952
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.