Home Health Agencies: Information on the Outcome and Assessment Information Set (OASIS)
Effective January 1, 2025
As required by the home health (HH) Conditions of Participation (COP), an OASIS privacy notice must be provided to all patients for whom the OASIS data is collected, regardless of payer. Home health agencies (HHAs) should provide patients with the CMS Privacy Act Statement and Attachment A Statement of Patient Privacy Rights. These forms are located on the HHA Center Webpage, OASIS section
Effective July 1, 2025
HHA will be required to collect and submit OASIS data for all patients with any pay source except for those that are exempt from OASIS data collection and who begin receiving HH care services with an OASIS SOC M0090 date on or after July 1, 2025.
Exemptions: Patients under the age of 18, those receiving maternity services, and those receiving only personal care, housekeeping, and/or chore services.
See Transition to All-Payer OASIS Data Collection and Submission fact sheet
Find resources and details on the Outcome and Assessment Information Set (OASIS). This information must be collected for adult Medicare and Medicaid patients receiving skilled services. It doesn't apply to patients receiving services for pre- or postnatal conditions.
Note: Patients receiving only personal care, homemaker, and chore services are excluded since those are not skilled services.
Learn about OASIS from CMS (Centers for Medicare & Medicaid Services):
Learn more about OASIS with CMS (Centers for Medicare & Medicaid Services) training resources:
- CMS Home Health Quality Reporting
Training topics, such as:- Achieving a Full Annual Payment Update.
- Section M: Skin Conditions-Assessment and Coding of Pressure Ulcers/Injuries.
- Section N: Medications-Drug Regimen Review.
- Section GG.
Check out the CMS YouTube Channel.
View information from CMS with timely updates on OASIS and related topics.
- February 2025
- January 2025
- December 2024
- November 2024
- October 2024
- Screen Positive HRSN - Webinar Transcript
(PDF) - Screen Positive HSRN - Webinar Slides
(PDF) - Screen Positive HSRN - Fact Sheet
(PDF) - Course 1: Section GG Data Accuracy and Quality
Measures - Course 2: Prior Functioning and Prior Device
Use - Course 3: Accurate Coding for GG0130 and GG0170
Items - Course 4: Understanding Admission and Discharge Performance for GG0130: Self-Care
Items - Course 5: Understanding Admission and Discharge Performance for GG0170: Mobility
Items
- Screen Positive HRSN - Webinar Transcript
- September 2024
- No updates to report
- August 2024
- Oct 2024 HH PPS Grouper Software PDGM v05.1.24
(ZIP) - HH PC Grouper FAQs
(PDF) - Influenza and RSV Vaccination Recommendations
(PDF) - Course 1: Section GG Data Accuracy and Quality
Measures - Course 2: Prior Functioning and Prior Device Use
Items - Course 3: Accurate Coding for GG0130 and GG0170
Items - Course 4: Understanding Admission and Discharge Performance for GG0130: Self-Care
Items - Course 5: Understanding Admission and Discharge Performance for GG0170: Mobility
Items
- Oct 2024 HH PPS Grouper Software PDGM v05.1.24
Find helpful CMS resources to support submissions, corrections, and account information under OASIS.
OASIS submission
Effective January 1, 2025, through June 30, 2025
Continue OASIS data collection and submission for all skilled Medicare and/or Medicaid patients.
OASIS data collection and submission are voluntary for: Non-Medicare/non-Medicaid patients who are not exempt from OASIS data collection, and who begin receiving home health care services with an OASIS start of care (SOC) M0090 date from January 1, 2025 through June 30, 2025.
When OASIS data collection and submission is started for a non-Medicare/non-Medicaid patient with the SOC OASIS assessment HHAs may, but are not required, to complete all subsequent OASIS time point assessments related to the patient’s home health stay (that is, resumption of care, recertification, other follow-up, transfer, discharge, and death at home). This includes assessments completed on or after July 1, 2025.
Effective July 1, 2025
OASIS data collection and submission are required for patients with any pay source who are not exempt from OASIS data collection, and who begin receiving home health care services with an OASIS SOC M0090 data on or after July 1, 2025. The requirement includes the SOC OASIS and any subsequent OASIS time point assessments relevant to the patient’s home health stay (that is, resumption of care, recertification, other follow-up, transfer, discharge, and death at home). Patients under the age of 18, patients receiving maternity services, and patients receiving only personal care, housekeeping and/or chore services continue to be excluded from OASIS data collection and submission requirements.
Review these sources to find more information:
- State Operations Manual Chapter 2, 2202.3C - Non-Medicare/Non-Medicaid Patients
(PDF) - Code of Federal Regulations 42 CFR 484.45 Condition of participation: Reporting OASIS
information - Code of Federal Regulations 42 CFR 484.55 Condition of participation: Comprehensive assessment of
patients
OASIS correction policy
Refer to chapter 2 of the OASIS manual for OASIS corrections.
Quality Improvement and Evaluation System (QIES) technical support
Find technical guidance such as references and manuals, software tools, and training materials on the QIES Technical Support Office
- References and
Manuals :- OASIS Quarterly Q &
A's - See OASIS Error Messages User Guide section for the latest user guide
- OASIS Quarterly Q &
- Access
Forms FAQ - Important
Links
CMS user account registration
Use these resources for help registering your account.
Find information and resources from CMS on quality improvement.
Find more resources on Medicare payments.
- Advance Beneficiary Notice of Noncoverage
(ABN) - Beneficiary Notices Initiative
(BNI) - Home Health Patient-Driven Groupings Model
(PDGM) - Home Health Prospective Payment System
(PPS) - Medicare Benefit Policy Manual Chapter 7 - Home Health Services
(PDF) - Medicare Benefit Policy Manual Chapter 10 - Ambulance Services
(PDF) - Medicare Coding & billing ICD-10
codes - National Government Services (NGS) - Medicare claims and
rules
Additional resources
Find more information on OASIS from CMS and elsewhere, including answers to FAQs (frequently asked questions).
- DQA Email Subscription Service (Listserv)
- Home Health Agency
Center - Home Health Care Survey on Consumer Assessment of Healthcare Providers and Systems
(CAHPS) - Interpretive guidance on State Operations Manual, Appendix B
(PDF) MetaStar -Wisconsin's Quality Improvement OrganizationLeadingAge - Policy & Memos to States and Regions (Survey & Certification
Memos) - State Operations Manual, Chapter 2: The Certification Process
(PDF) - Resources and links from OASIS
Answers
Contact us
Questions? Email dhsdqamdsoasis@
- Heather Newton, OASIS education coordinator, can answer questions about interpretation or intended use.
- Emily Virnig, OASIS automation coordinator, can answer technical or automation questions.
Patient names and other protected health information (PHI) should only be sent to individuals authorized to receive that information, so care must be taken to ensure the email is addressed correctly. Sending an email containing PHI to an incorrect recipient would be an unauthorized disclosure and a violation of HIPAA. We strongly recommend that you do not include PHI in an email. You may include the resident or assessment identification number.
Note: Patients receiving only personal care, homemaker, and chore services are excluded since those are not skilled services.