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Revised OASIS-D/OASIS-D1 Instruments Posted

Wednesday, April 10, 2019   (0 Comments)
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April 9, 2019, NAHC Report 


The Centers for Medicare & Medicaid Services (CMS) has posted revised OASIS-D instruments, which become effective January 1, 2020. Revisions were necessary due to changes in the Calendar Year (CY) 2019 Home Health (HH) Final Rule, CMS 1689-FC.

Changes include the addition of two existing items to the Follow-Up assessment instrument (with corresponding revisions to the All Items instrument) and change from required to optional data collection at certain time points for 23 items. No changes to the other time point versions of the instrument are required (Start of Care, Resumption of Care, Transfer, Discharge, Death at Home). These changes are described in detail in an OASIS D-1 Update Memorandum and summarized below. There is no revised version of the OASIS-D Guidance Manual for 2020, but these revised OASIS-D1 versions supersede the versions in the OASIS-D Guidance Manual, Chapter 2.

Two existing items are added to the Follow-Up time point for data collection. HHAs must collect data on these items at Follow-Up, in addition to all other required time points. Any OASIS Follow-Up assessment with an M0090 Date Assessment Completed of January 1, 2020 or later should use the revised OASIS-D1 Follow-Up assessment.

• M1033 Risk for Hospitalization
• M1800 Grooming

Data collection at certain time points for 23 existing OASIS items is optional. For OASIS assessments with an M0090 Date Assessment Completed of January 1, 2020 or later, HHAs may enter an equal sign (=) for these items, at the specified time points only. This is a new valid response for these items, at these time points; the items themselves are unchanged.

For users’ convenience, CMS is posting the revised OASIS-D1 All Items and Follow-Up instruments, with the other, unchanged time points versions of the instrument, in a zip file on the OASIS Data Sets webpage.

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