CMS-360 crosswalk

Revisions to CMS-360 -- Comprehensive Outpatient Rehabilitation Facility Survey Report
Issue #

Page #

Section

Action to be performed

Changes to the Application

2

I-504

Remove tag I-504 from
the CMS-360 form

The tag I-504 has been removed from the
CMS-360 form

Tag I-504 is no longer in use for survey of
CORFs.

2

6

I-532

Edit the text of this
section

Delete the reference contained in the text of
this section to “484.4” and replace it with
“§484.115”

This change is being made to provide an
updated statutory reference.

3

10

I-549

Edit the text of this
section

Delete the words “§484.4 and”
Also, delete the words “and §484.4”

Deleting an outdated statutory reference that
is no longer applicable.

11

I-553

Edit text of this section

Delete “furnished away from the premises of
the CORF may be covered as CORF services if
Medicare payment is not otherwise made for
these services. In addition, a single home visit
is covered if there is need to evaluate the
potential impact of the home environment on
the rehabilitation goals.”

This change is updating specific language in
reference to Burden Reduction III

And add ”may be furnished away from the
premises of the CORF including the
individual's home when payment is not
otherwise made under Title XVIII of the Act. In
addition, a single home environment
evaluation is covered if there is a need to
evaluate the potential impact of the home
environment on the rehabilitation goals. The
single home environment evaluation requires
the presence of the patient and the physical
therapist, occupational therapist, or speechlanguage pathologist, as appropriate. The
single home environment evaluation requires
1

Reasons for the Change

Issue #

Page #

Section

Action to be performed

Changes to the Application

Reasons for the Change

the presence of the patient and the physical
therapist, occupational therapist, or speechlanguage pathologist as appropriate.”
4

I-593

Delete this section.

Delete this section in its entirety.

This CoP and related standards are removed
from CORF regulations and included under
Emergency Preparedness for CORF at §485.68
in Appendix Z as per the Burden Reduction
rule (FR – CMS 3346). These regulations are
no longer valid. The revised EP regulations
have been added to the CMS-360 form as E0001 to E0043.

I-594

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

13

I-595

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

13

I-596

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

13
(on
previous
version of
form)

5

13
(on
previous
version of
form)

6

(on
previous
version of
form)

7

(on
previous
version of
form)

2

Issue #
8

Page #

Section

Action to be performed

Changes to the Application

13

I-597

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

I-598

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

I-599

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

I-600

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

I-601

Delete this section.

Delete this section in its entirety.

This standard under §485.64 is removed and
included under Emergency Preparedness for
CORF at §485.68 in Appendix Z. These
regulations are no longer valid. The revised EP
regulations have been added to the CMS-360
form as E-0001 to E0043.

(on
previous
version of
form)

9

13
(on
previous
version of
form)

10

13
(on

previous
version of
form)

11

13
(on
previous
version of
form)

12

13
(on
previous
version of
form)

3

Reasons for the Change

Issue #

Page #

Section

13

18

I-602

14

19

I-610

15

16

17

18

19

20

21

19

19

19

19

20

20

20

I-611

I-612

I-613

I-614

I-615

I-616

I-617

Action to be performed

Changes to the Application

Reasons for the Change

Edit the text of this
section

Delete the words “at least each quarter” and
replace it with the word “annually”

Change as per Burden Reduction III Final Rule.

Add a new section for

Add a new section under Tag # I-610 for

§485.70 - Personnel
qualifications.

§485.70 - Personnel qualifications.

The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.

Add a new section for

Add a new section under Tag # I-611 for

§485.70(a)(1)).

§485.70(a).

Add a new section for

Add a new section under Tag # I-612 for

§485.70(a)(2) and (a)(3).

§485.70(a)(2) and (a)(3).

Add a new section for

Add a new section under Tag # I-613 for

§485.70(b).

§485.70(b).

Add a new section for

Add a new section under Tag # I-614 for

§485.70(c).

§485.70(c).

Add a new section for

Add a new section under Tag # I-615 for

§485.70(d)(1),(2), (3).

§485.70(d)(1),(2) & (3).

Add a new section for

Add a new section under Tag # I-616 for

§485.70(e).

§485.70(e).

Add a new section for

Add a new section under Tag # I-617 for

§485.70(f)(1), (2) & (3).

§485.70(f)(1), (2) & (3).

4

The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.

Issue #

Page #

Section

22

20

I-618

23

24

25

26

27

28

29

30

20

20

20

21

21

21

21

22

I-619

I-620

I-621

I-622

I-623

I-624

I-625

I-626

Action to be performed

Changes to the Application

Add a new section for

Add a new section under Tag # I-618 for

§485.70(g).

§485.70(g).

Add a new section for

Add a new section under Tag # I-619 for

§485.70(h).

§485.70(h).

Add a new section for

Add a new section under Tag # I-620 for

§485.70(i)(1), (2) & (3).

§485.70(i)(1), (2) & (3).

Add a new section for

Add a new section under Tag # I-621 for

§485.70(j), (j)(1),(j)(1)(i),
(j)(1)(ii) & (j)(1)(iii).

§485.70(j), (j)(1),(j)(1)(i), (j)(1)(ii) & (j)(1)(iii)..

Add a new section for

Add a new section under Tag # I-622 for

§485.70(j)(2), (j)(2)(i) &
(j)(2)(ii).

§485.70(j)(2), (j)(2)(i) & (j)(2)(ii).

Add a new section for

Add a new section under Tag # I-623 for

§485.70(k), (k)(1) & (k)(2).

§485.70(k), (k)(1) & (k)(2).

Add a new section for

Add a new section under Tag # I-624 for

§485.70(k)(3), (k)(3)(i) &
(k)(3)(ii).

§485.70(k)(3), (k)(3)(i) & (k)(3)(ii).

Add a new section for

Add a new section under Tag # I-625 for

§485.70(l), (l)(1), (l)(2) &
(l3).

§485.70(l), (l)(1), (l)(2) & (l3).

Add a new section for

Add a new section under Tag # I-626 for

§485.70(m), (m)(1)).

§485.70(m), (m)(1).

5

Reasons for the Change
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.
The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.

Issue #

Page #

Section

31

23

I-627

37

22

E-0001

Action to be performed

22

E-0004

Reasons for the Change

Add a new section for

Add a new section under Tag # I-627 for

§485.70(m)(2), (m)(2)(i),
(m)(2)(ii) & (m)(2)(iii).

§485.70(m)(2), (m)(2)(i), (m)(2)(ii) & (m)(2)(iii).

The regulations for §485.70 had been listed at
the top of the CMS-360 form instead of in the
body of the CMS-360 form itself.

Add a new section for
§485.68 - Emergency

Add a new section under Tag # E-0001 for
§485.68 - Condition of Participation:
Emergency Preparedness, which was moved
to Appendix Z of the State Operations Manual
(SOM)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

Add a new section under Tag # E-0004 for
§485.68(a) - §485.68(a) - Emergency Plan.,
which was moved to Appendix Z of the State
Operations Manual (SOM)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

Add a new section for
§485.68(a)(1)-(2)

Add a new section under Tag # E-0006 for
§485.68(a)(1)-(2)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

Add a new section for
§485.68(a)(3)

Add a new section under Tag # E-0007
for §485.68(a)(3)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

Plan.

38

Changes to the Application

Add a new section for
§485.68(a) - Emergency
Plan.

39

23

E-0006

40

23

E-0007

41

23

E-0009

Add a new section for
§485.68(a)(4)

Add a new section under Tag # E-0009 for
§485.68(a)(4)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

42

23

E-0011

Add a new section for
§485.68(a)(5)

Add a new section under Tag # E-0011 for
§485.68(a)(5)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

6

Issue #

Page #

Section

43

24

E-0013

Add a new section for
§485.68(b) - Policies and
procedures.

Add a new section under Tag # E-0013 for
§485.68(b) - Policies and procedures.

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

44

24

E-0020

Add a new section for
§485.68(b)(1)

Add a new section under Tag # E-0020 for
§485.68(b)(1)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

45

24

E-0022

Add a new section for
§485.68(b)(2)

Add a new section under Tag # E-0022 for
§485.68(b)(2)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

46

24

E-0023

Add a new section for
§485.68(b)(3)

Add a new section under Tag # E-0023 for
§485.68(b)(3)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

47

24

E-0024

Add a new section for
§485.68(b)(4)

Add a new section under Tag # E-0024 for
§485.68(b)(4)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

48

25

E-0029

Add a new section for
§485.68(c)

Add a new section under Tag # E-0029 for
§485.68(c)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

49

25

E-0030

Add a new section for
§485.68(c)(1)

Add a new section under Tag # E-0030 for
§485.68(c)(1)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

Action to be performed

Changes to the Application

7

Reasons for the Change

Issue #

Page #

Section

Action to be performed

Changes to the Application

50

25

E-0031

Add a new section for
§485.68(c)(2)

Add a new section under Tag # E-0031 for
§485.68(c)(2)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

51

25

E-0032

Add a new section for
§485.68(c)(3)

Add a new section under Tag # E-0032 for
§485.68(c)(3)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

52

25

E-0033

Add a new section for
§485.68(c)(4)

Add a new section under Tag # E-0033 for
§485.68(c)(4)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

53

26

E-0034

Add a new section for
§485.68(c)(5)

Add a new section under Tag # E-0034 for
§485.68(c)(5)

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

54

26

E-0036

Add a new section for
§485.68(d) - Training and
testing.

Add a new section under Tag # E-0036 for
§485.68(d) - Training and testing.

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

55

26

E-0037

Add a new section for
§485.68(d)(1) - Training
program

Add a new section under Tag # E-0037 for
§485.68(d)(1) - Training program

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

56

27

E-0039

Add a new section for
§485.68(d)(2) - Testing

Add a new section under Tag # E-0039 for
§485.68(d)(2) - Testing

The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.

8

Reasons for the Change

Issue #

Page #

Section

57

28

E-0042

Action to be performed
Add a new section for
§485.68(e) - Integrated
healthcare systems

Changes to the Application
Add a new section under Tag # E-0042 for
§485.68(e) - Integrated healthcare systems

9

Reasons for the Change
The EP regulations were revised and moved to
appendix Z of the State Operations Manual
(SOM), so the revised EP regulations had to be
added to the CMS-360 form.