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CMS SOM App. J, Tag W281

§483.450(b)(1)(iv)(C) The use of drugs to manage inappropriate behavior;

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

Guidance §483.450(b)(1)(iv)(C)

Applicable policies may include a discussion of:

When a drug can be used to manage inappropriate behavior;

Consistency with diagnosis;

Alternatives tried before a drug is used;

Precautions that must be followed prior to and during the use (lab values, monitoring of

side effects);

Implementation of a plan to address the behaviors for which the drug was prescribed;

and

Plan to reduce the medication as appropriate.

Drugs to manage inappropriate behavior are defined as any medication prescribed and

administered for purposes of modifying the maladaptive behavior of a client.

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
3959381476bd3e392b18a1b512a4bcf57f2b503f727546027ce7ee32494d34d5
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