Home Health Agencies: Information on the Outcome and Assessment Information Set (OASIS)

The Division of Quality Assurance (DQA) sponsors a quarterly forum to educate HHAs. Staff can ask questions and stay up to date on OASIS. DQA's OASIS education and automation coordinators jointly host the forum.

To attend:

• Join Zoom forum (select this link to go straight to the room without needing to enter the meeting ID and password)
  • Meeting ID: 160 874 8976
  • Passcode: 701967
• Join by Phone: 551-285-1373
  • Enter 1608748976 # when asked for the meeting ID
  • Enter 701967 # if asked for passcode
  • Enter # if asked for participant ID

Find recordings, agendas, and slide presentations from previous forums:

• December 14, 2022—Agenda (PDF) and Slide Presentation (PDF)
• September 28, 2022—Agenda (PDF) and Slide Presentation (PDF)
• June 16, 2022—Agenda (PDF) and Slide Presentation (PDF)
• March 9, 2022—Agenda (PDF) and Slide Presentation (PDF)
• December 9, 2021—Agenda (PDF) and Slide Presentation (PDF)
• October 20, 2021—Agenda (PDF) and Slide Presentation (PDF)

Learn more about OASIS with CMS (Centers for Medicare & Medicaid Services) training resources:

• 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.

April 2023

• Essentials Module Refresh: Patient and Family/Caregiver Engagement: Assessment and Goal Setting
• Essentials Module Refresh: Care Transitions: Provider Communication
• Home Health Care (HHC) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey
• Home Health Quality Reporting Data Submission Deadlines, July refresh will include Potentially Preventable Hospitalizations (PPH) measure

March 2023

• 2023 Pain Interview Cue Cards (PDF)
• 2023 PHQ-2 to 9 Cue Cards (PDF)
• 2023 BIMS Cue Cards (PDF)
• Transfer of Health Items Explainer Video
• GG0170C Lying to Sitting on the Side of Bed
• GG0170L Walking 10 Feet on Uneven Surfaces
• GG0170P Picking Up Object
• Medicare Advantage Value-Based Insurance Design Model
• Expanded HH VBP Model

February 2023

• Medicare Payment System
• Emergency Waivers (PDF)
• OASIS Error Message Codes (PDF)
• HH PPS Behavior Change Recap, 60-day Episode, and Payment Rate Development Webinar
• MAC Contact Info (Excel)
• Payment Rate Development Webinar March 29, 2023 - Register

January 2023

• HH QRP COVID-19 Public Reporting Tip Sheet 3rd Edition (PDF)
• HH PPS CY 2023 Update (PDF)
• January 2023 CMS Quarterly OASIS Q&A's (PDF)
• HH Changes for Disaster Claims and Certain Adjustments (PDF)
• Quality in Focus - Resources for Addressing HHA Incomplete Individualized Plan of Care Citations
• Expanded Coverage for Permanent Telehealth Policy (PDF)
• HH Value Based Purchasing Newsletter, Access to Pre-Implementation Performance Report (PIPR) and Webinar

Find helpful resources to support submissions, corrections, and account information under OASIS.

OASIS submission

The OASIS data transmission requirement applies to Medicare and Medicaid patients receiving skilled care only. HHAs may continue to collect OASIS data for non-Medicare and non-Medicaid patients for their own use, but they may not submit this data to the state.

The system used by HHAs to submit OASIS data no longer supports the use of test data. Review Federal Register Volume 85, No. 214 (PDF) for more information.

Review these sources to find more information:

• State Operations Manual Chapter 2, 2202.3C – Non-Medicare/Non-Medicaid Patients (PDF)
• CMS OASIS Q&As: Category 1 – Applicability (PDF)
• Title 42 CFR § 484.45 Condition of Participation: Reporting OASIS Information
• Title 42 CFR § 484.55 Condition of Participation: Comprehensive Assessment of Patients

OASIS correction policy

The Home Health OASIS Submission/Correction Policy (PDF) fact sheet contains information about policy changes.

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 (QTSO) website. See the QTSO HHA Providers page or iQIES Software page for more details.

• Latest Software
• jHAVEN
• References and Manuals:
  • Survey and Certification User Manual
  • OASIS Quarterly Q & A's
  • OASIS Submissions Section 5 Error Messages (PDF)
• Training
• Access Forms
• FAQ
• Important Links

CMS user account registration

Use these resources for help registering your account.

• Register for an iQIES Account – Action Required
• HARP Registration YouTube Videos
• iQIES Training YouTube Videos

Find information and resources from CMS on quality improvement.

• CMS Home Health Spotlight and Announcements
• Home Health Compare
• Home Health OASIS Quality Reporting Program
• Home Health Quality Measures
• Home Health Quality Reporting Data Submission Deadlines
• Home Health Quality Reporting Requirements
• Home Health Star Ratings
• OASIS Quality Improvement Reports (PDF)

Find more resources on Medicare payments.

• Advance Beneficiary Notice of Noncoverage (ABN)
• Beneficiary Notices Initiative (BNI)
• CMS Medicare Learning Network – Denial of Home Health Payments (CR 9585, MLN SE 17009) (PDF)
• Home Health Patient-Driven Groupings Model (PDGM)
• Home Health Prospective Payment System (PPS)
• International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
• Medicare Benefit Policy Manual Chapter 7 – Home Health Services (PDF)
• Medicare Benefit Policy Manual Chapter 10 – Ambulance Services (PDF)
• National Government Services (NGS) – Medicare claims and rules