Change table

Home Health – OASIS-E Change Table effective 01/01/2023
List of Abbreviations

#
1

DAH

Death at home

IRF-PAI

Inpatient Rehabilitation
Facility-Patient Assessment
Instrument

OMH

Office of Minority
Health

SDOH

Social
Determinants of
Health

DC

Discharge from
Agency

LCDS

Long-term Care Data Set

QM

Quality Measure

TRN

Transfer to an
Inpatient Facility

FU

Follow-up

MDS

Minimum Data Set

ROC

(v)

Voluntary

HH

Home Health

OASIS

Outcome and Assessment
Information Set

SOC

Resumption of
Care
Start of Care

Dash
(Y/N)

OASIS-D1 Effective January 1, 2020

Time
points
SOC

Item
M0140
Race/Ethnicity

N

A1005 Ethnicity

2

SOC

A1010 Race

N

M0140 Race/Ethnicity
1. American Indian or Alaska Native
2. Asian
3. Black or African American
4. Hispanic or Latino
5. Native Hawaiian or Pacific Islander
6. White

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
Are you of Hispanic, Latino/a, or Spanish origin?
↓ Check all that apply
A.
B.
C.
D.
E.
X.
Y.

No, not of Hispanic, Latino/a, or Spanish origin
Yes, Mexican, Mexican American, Chicano/a
Yes, Puerto Rican
Yes, Cuban
Yes, Another Hispanic, Latino or Spanish origin
Patient unable to respond
Patient declines to respond

What is you race?

↓ Check all that apply
A.
B.
C.
D.
E.
F.
G.

White
Black or African American
American Indian or Alaska Native
Asian Indian
Chinese
Filipino
Japanese

Comment - Rationale
OMH SDOH Ethnicity and Race (see
next row) items replace legacy OASIS
M0140 Race/Ethnicity
1/14/22 New change: Add response
option Patient declines to respond.

1/14/22 New change: Add two
response options, Patient declines to
respond and None of the above

Page 1 of 25

Attachment A
1/31/2022

#

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

OASIS-D1 Effective January 1, 2020

3

SOC

A1110A
A1110B
Language

Y

N/A - New item

4

SOC,
ROC,
FU,
TRN,
DC,
DAH

M0100 Reason
for Assessment

N

This Assessment is Currently Being Completed
for the Following Reason:
Start/Resumption of Care
1
Start of care – further visits planned
3
Resumption of care (after inpatient stay)
Follow-Up
4
Recertification (follow-up) reassessment
[Go to M0110]
5
Other follow-up [Go to M0110]
Transfer to an Inpatient Facility
6
Transferred to an inpatient facility – patient
not discharged from agency [Go to M1041]
7
Transferred to an inpatient facility – patient
discharged from agency [Go to M1041]
Discharge from Agency – Not to an Inpatient
Facility
8 Death at home [Go to M2005]
9 Discharge from agency [Go to M1041]

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

H. Korean
I. Vietnamese
J. Other Asian
K. Native Hawaiian
L. Guamanian or Chamorro
M. Samoan
N. Other Pacific Islander
X. Patient unable to respond
Y. Patient declines to respond
Z. None of the above
A. What is your preferred language?
B. Do you need or want an interpreter to
communicate with a doctor or health care staff?
0. No
1. Yes
9. Unable to determine
This Assessment is Currently Being Completed for the
Following Reason:
Start/Resumption of Care
1.
Start of care – further visits planned
3.
Resumption of care (after inpatient stay)
Follow-Up
4.
Recertification (follow-up) reassessment
5.
Other follow-up
Transfer to an Inpatient Facility
6.
Transferred to an inpatient facility – patient not
discharged from agency
7.
Transferred to an inpatient facility – patient
discharged from agency
Discharge from Agency – Not to an Inpatient Facility
8.
Death at home
9.
Discharge from agency

Comment - Rationale

New OMH SDOH item

Skip pattern edit - Remove skip
directions from these responses.
The instructions directed users to the
next item in the instrument - there
were no intervening items. Thus, the
directions are not needed.

Page 2 of 25

Attachment A
1/31/2022

#
5

6

Time
points
SOC
ROC

SOC,
ROC,
DC

Item
M0102 Date of
Physicianordered Start of
Care
(Resumption of
Care)

A1250
Transportation

Dash
(Y/N)
N

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

If the physician indicated a specific start of care
(resumption of care) date when the patient was
referred for home health services, record the date
specified.
month

N

/
day

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

If the physician indicated a specific start of care
(resumption of care) date when the patient was
referred for home health services, record the date
specified.

/
year

month

/
day

/
year

[Go to M0110, if date entered]

Skip to M0110, Episode Timing, if date entered

NA

NA

-No specific SOC date ordered by physician

N/A - New item

-No specific SOC/ROC date ordered by
physician

Has lack of transportation kept you from medical
appointments, meetings, work, or from getting things
needed for daily living?
↓ Check all that apply
A. Yes, it has kept me from medical appointments
or getting my medications
B. Yes, it has kept me from non-medical meetings,
appointments, work, or from getting things that I
need
C. No
X. Patient unable to respond
Y. Patient declines to respond
© 2019. Adapted from National Association
of Community Health Centers, Inc.,
Association of Asian Pacific Community
Health Organizations, Oregon Primary Care
Association. PRAPARE and its resources are
proprietary information of NACHC and its
partners, intended for use by NACHC, its
partners, and authorized recipients. Do not
publish, copy, or distribute this information
in part or whole without written consent
from NACHC.

Comment - Rationale
This item was modified in OASIS-D to
include both Start of Care and
Resumption of Care. (The CoPs
indicate physician may specify a SOC
date and may specify a resumption
date). The NA response, however,
was not updated at that time to
include ROC.
The edit is made in this version for
consistency and accuracy.
New OMH SDOH item
1/14/22 New change: Add response
option Patient declines to respond
and clarify copyright information.

Page 3 of 25

Attachment A
1/31/2022

#
7

8

Time
points
SOC
ROC

TRN
DC

Item
M1000 From
which of the
following
Inpatient
Facilities was the
patient
discharged
within the past
14 days?
M2301 Emergent
Care

Dash
(Y/N)
N

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

NA - Patient was not discharged from an inpatient
facility [Go to M1021]

0
1
2
UK

9

DC

M2420 Discharge
Disposition

No [Go to M2401]
Yes, used hospital emergency department
WITHOUT hospital admission
Yes, used hospital emergency department
WITH hospital admission
Unknown [Go to M2401]

Where is the patient after discharge from your
agency? (Choose only one answer.)
1
Patient remained in the community
(without formal assistive services)
2
Patient remained in the community (with
formal assistive services)
3
Patient transferred to a non-institutional
hospice
4
Unknown because patient moved to a
geographic location not served by this
agency
UK Other unknown

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

NA - Patient was not discharged from an inpatient
facility →Skip to B1300 Health Literacy

0.

No ® Skip to M2410, Inpatient Facility

1.

Yes, used hospital emergency department
WITHOUT hospital admission
Yes, used hospital emergency department WITH
hospital admission
Unknown ® Skip to M2410, Inpatient Facility

2.
UK

Where is the patient after discharge from your
agency? (Choose only one answer.)
1.
Patient remained in the community (without
formal assistive services)→Skip to A2123,
Provision of Current Reconciled Medication List
to Patient at Discharge
2.
Patient remained in the community (with
formal assistive services) →Continue to A2121,
Provision of Current Reconciled Medication List
to Subsequent Provider at Discharge
3.
Patient transferred to a non-institutional
hospice→ Continue to A2121, Provision of
Current Reconciled Medication List to
Subsequent Provider at Discharge
4.
Unknown because patient moved to a
geographic location not served by this agency→
Skip to A2123, Provision of Current Reconciled
Medication List to Patient at Discharge
UK Other unknown→ Skip to A2123, Provision of
Current Reconciled Medication List
to Patient at Discharge

Comment - Rationale
Skip pattern edit - Changed due to
new items and reorganization

Skip pattern edit - Changed due to
new items and reorganization

Skip patterns added to account for
TOH standardized items

Page 4 of 25

Attachment A
1/31/2022

#
10

Time
points
DC

Item
A2121 Provision
Of Current
Reconciled
Medication List
to Subsequent
Provider at
Discharge

Dash
(Y/N)
N

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020
N/A - New item

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

At the time of discharge to another provider, did your
Facility provide the patient’s current reconciled
medication list to the subsequent provider?

Comment - Rationale
New standardized item for TOH
measure

0. No-Current reconciled medication list not
provided to the subsequent provider→ Skip to
A2123, Provision of Current Medication List to
Patient at Discharge
1. Yes-Current reconciled medication list provided
to the subsequent provider→ Continue to
A2122, Route of Current Reconciled
Medication List Transmission to Subsequent
Provider

11

TRN

A2120 Provision
Of Current
Reconciled
Medication List
to Subsequent
Provider at
Transfer

N

N/A - New item

At the time of transfer to another provider, did your
agency provide the patient’s current reconciled
medication list to the subsequent provider?
0. No– Current reconciled medication list not
provided to the subsequent provider Skip to
J1800, Any Falls since SOC/ROC
1. Yes – Current reconciled medication list provided
to the subsequent provider Continue to
A2122, Route of Current Reconciled Medication
List Transmission to Subsequent Provider
2. NA- The agency was not made aware of this
transfer timely→ Skip to J1800, Any Falls Since
SOC/ROC

New standardizes item for TOH
measure

12

TRN(v)
DC(V)

A2122 Route of
Current
Reconciled
Medication List
Transmission to
Subsequent
Provider

N

N/A - New item

Indicate the route(s) of transmission of the current
reconciled medication list to the subsequent provider

New standardized item for TOH
measure

↓Check all that apply↓
A. Electronic Health Record
B. Health Information Exchange
C. Verbal (e.g., in-person, telephone, video conferencing)
D. Paper-based (e.g., fax, copies, printouts)
E. Other Methods (e.g., texting, email, CDs)

10/28/2021: per CMS, response
option B modified to remove term
“organization”. Rationale: the most
frequent and widespread use of this
term does not include “organization.”
This was confirmed with ONC.

Page 5 of 25

Attachment A
1/31/2022

#
13

14

Time
points

Item

Dash
(Y/N)

DC

A2123 Provision
of Current
Reconciled
Medication List
to Patient at
Discharge

DC

A2124 Route of
Current
Reconciled
Medication List
Transmission to
Patient

N

N

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020
N/A - New item

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Comment - Rationale

At time of discharge, did your agency provide the
patient’s current reconciled medication list to the
patient, family and/or caregiver?
0. No– Current reconciled medication list not
provided to the patient, family and/or caregiver→
Skip to B1300 Health Literacy
1. Yes-Current reconciled medication list provided to
patient, family and/or caregiver→ Continue to A2124,
Route of Current Reconciled Medication Transmission
to Patient

New standardized item for TOH
measure

Indicate the route(s) of transmission of the current
reconciled medication list to the
patient/family/caregiver

New standardized item for TOH
measure

↓Check all that apply↓
A. Electronic Health Record
B. Health Information Exchange
C. Verbal (e.g., in-person, telephone, video conferencing)
D. Paper-based (e.g., fax, copies, printouts)
E. Other Methods (e.g., texting, email, CDs)

10/28/2021: per CMS, response
option B modified to remove term
“organization”. Rationale: the most
frequent and widespread use of this
term does not include “organization.”
This was confirmed with ONC.

15

SOC

B0200 Hearing

Y

N/A - New item

Ability to hear (with hearing aid or hearing appliance if
normally used)
0. Adequate – no difficulty in normal
conversation, social interaction, listening to
TV
1. Minimal difficulty – difficulty in some
environments (e.g., when person speaks
softly, or setting is noisy)
2. Moderate difficulty – speaker has to
increase volume and speak distinctly
3. Highly impaired – absence of useful hearing

New standardized item not in current
OASIS instrument

16

SOC
ROC
FU (v)

M1200 Vision

N

B1000 Vision

Y

(With corrective lenses if the patient usually
wears them):
0
Normal vision: sees adequately in most

Ability to see in adequate light (with glasses or other
visual appliances)
0. Adequate – sees fine detail, such as regular
print in newspapers/books

New standardized item, B1000
replaces legacy OASIS M1200 Vision
item, and is only collected at SOC.

Page 6 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

1

2

17

SOC,
ROC,
DC

B1300 Health
Literacy

N

situations; can see medication labels,
newsprint.
Partially impaired: cannot see medication
labels or newsprint, but can see obstacles in
path, and the surrounding layout; can count
fingers at arm's length.
Severely impaired: cannot locate
objects without hearing or touching
them, or patient nonresponsive.

N/A - New item

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Impaired – sees large print, but not regular
print in newspapers/books
2. Moderate impaired – limited vision; not able
to see newspaper headlines but can identify
objects
3. Highly impaired – object identification in
question, but eyes appear to follow objects
4. Severely impaired – no vision or sees only
light, colors or shapes; eyes do not appear to
follow objects
How often do you need to have someone help you
when you read instructions, pamphlets, or other
written material from your doctor or pharmacy?
0. Never
1. Rarely
2. Sometimes
3. Often
4. Always
7. Patient declines to respond
8. Patient unable to respond
1.

Comment - Rationale
M1200 Vision at FU was made
voluntary effective 1/1/2020 and is
removed from FU for 1/1/2021.

New OMH SDOH item
1/14/22 New change - Add response
option Patient declines to respond
and clarify copyright information.

The Single Item Literacy Screener is licensed
under a Creative Commons Attribution-NonCommercial 4.0 International License.
18

SOC,
ROC,
DC

C0100 Should
Brief Interview
for Mental Status
be Conducted?

Y

N/A - New item

19

SOC,
ROC,
DC

C0200 Repetition
of Three Words

Y

N/A - New item

Attempt to conduct interview with all patients.
0. No (patient is rarely/never understood)→
Skip to C1310 Signs and Symptoms of
Delirium (from Cam ©)
1. Yes→ Continue to C0200, Repetition of
Three Words
Ask patient: “I am going to say three words for you to
remember. Please repeat the words after I have said all
three. The words are: sock, blue, and bed. Now tell me
the three words.” Number of words repeated after
first attempt
0. None

New standardized item, not replacing
legacy OASIS item

New standardized item, not replacing
legacy OASIS item

Page 7 of 25

Attachment A
1/31/2022

#

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

OASIS-D1 Effective January 1, 2020

20

SOC,
ROC,
DC

C0300 Temporal
Orientation

Y

N/A - New item

21

SOC,
ROC,
DC

C0400 Recall

Y

N/A - New item

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

1. One
2. Two
3. Three
After the patient’s first attempt, repeat the words
using cues (“sock, something to wear; blue, a color;
bed, a piece of furniture”). You may repeat the words
up to two more times.
(Orientation to year, month, and day)
Ask patient: “Please tell me what year it is right now.”
A. Able to report correct year
0. Missed by > 5 years or no answer
1. Missed by 2-5 years
2. Missed by 1 year
3. Correct
Ask patient: “What month are we in right now?”
B. Able to report correct month
0. Missed by > 1 month or no answer
1. Missed by 6 days to 1 month
2. Accurate within 5 days
Ask patient: “What day of the week is today”
C. Able to report correct day of the week
0. Incorrect or no answer
1. Correct
Ask patient: “Let’s go back to an earlier question. What
were those three words that I asked you to repeat?”
If unable to remember a word, give cue (something to
wear; a color; a piece of furniture) for that word.
A. Able to recall “sock”
0. No - could not recall
1. Yes, after cueing (“something to wear”)
2. Yes, no cue required
B. Able to recall “blue”
0. No – could not recall
1. Yes, after cueing (“a color”)
2. Yes, no cue required
C. Able to recall “bed”
0. No – could not recall

Comment - Rationale

New standardized item, not replacing
legacy OASIS item

New standardized item, not replacing
legacy OASIS item

Page 8 of 25

Attachment A
1/31/2022

#

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

OASIS-D1 Effective January 1, 2020

22

SOC,
ROC,
DC

C0500 Summary
Score

Y

N/A - New item

23

SOC,
ROC,
DC

C1310 Signs and
Symptoms of
Delirium (from
CAM)

Y

N/A - New item

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

1. Yes, after cueing (“a piece of furniture”)
2. Yes, no cue required
Add scores for questions C0200-C0400 and fill in total
score (00-15)
Enter 99 if the patient was unable to complete the
interview
Code after completing Brief Interview for Mental
Status and reviewing medical record
A. Acute Onset of Mental Status change
Is there evidence of an acute change in mental status
from the patient’s baseline?
0. No
1. Yes

Comment - Rationale

New standardized item, not replacing
legacy OASIS item

New standardized item, does not
replace any legacy OASIS item

Coding:
0. Behavior not present
1. Behavior continuously
present, does not fluctuate
2. Behavior present, fluctuates (comes and goes,
changes in severity)
Enter Codes in Boxes
B. Inattention – Did the patient have difficulty
focusing attention, for example, being easily
distractible or having difficulty keeping track of what
was being said?
C. Disorganized Thinking – Was the patient’s thinking
disorganized or incoherent (rambling or irrelevant
conversation, unclear or illogical flow of ideas, or
unpredictable switching from subject to subject)?
D. Altered Level of Consciousness - Did the patient
have altered level of consciousness, as indicated by
any of the following criteria?
•
vigilant – startled easily to any sound or touch
•
lethargic – repeatedly dozed off when being
asked questions, but responded to voice or touch
•
stuporous – very difficult to arouse and keep
aroused for the interview

Page 9 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
•

24

SOC,
ROC,
DC

D0150 PHQ-2 to
9 (Patient Health
Questionnaire)

Y

M1730 Depression Screening: Has the patient
been screened for depression, using a
standardized, validated depression screening
tool?
0
No
1
Yes, patient was screened using the PHQ2©* scale.
Instructions for this two-question tool: Ask
patient: “Over the last two weeks, how
often have you been bothered by any of the
following problems?”
A.
B.
0
1
2
3
NA
2

Little interest or pleasure in doing things
Feeling down, depressed or hopeless

Not at all, 0 - 1 day
Several days, 2-6 days
More than half of the days, 7-11 days
Nearly every day, 12-14 days
Unable to respond

Yes, patient was screened with a different
standardized, validated assessment and the
patient meets criteria for further evaluation
for depression.
3
Yes, patient was screened with a different
standardized, validated assessment and the
patient does not meet criteria for further
evaluation for depression.
*Copyright© Pfizer Inc. All rights reserved.
Reproduced with permission.

comatose-could not be aroused
Adapted from: Inouye SK, et al. Ann Intern Med.
1990; 113: 941-948. Confusion Assessment
Method. Copyright 2003, Hospital Elder Life
Program, LLC. Not to be reproduced without
permissionA1250.

Say to patient: “Over the last 2 weeks, have you been
bothered by any of the following problems?”
If symptom present, enter 1 (yes) column 1, Symptom
Presence.
If yes in column 1, then ask the patient: “About how
often have you been bothered by this?”
Read and show the patient a card with the symptom
frequency choices. Indicate response in column 2,
Symptom Frequency.
1. Symptom Presence
0. No (enter 0 in column 2)
1. Yes (enter 0-3 in column 2)
9. No response (leave column
2 blank).
2.

Comment - Rationale

New standardized item replaces
M1730 response 1, PHQ-2.
Remainder of M1730 (responses 0, 2
and 3) are removed.
PHQ-2 to 9 is collected at SOC, ROC,
and DC whereas M1730 was only
collected at SOC and ROC.

Symptom Frequency
0. Never or 1 day
1. 2-6 days (several days)
2. 7-11 days (half or more of the days)
3. 12-14 days (nearly every day)

A. Little interest or pleasure in doing things
B. Feeling down, depressed, or hopeless
If either D150A or D150B2 is coded 2 or 3, CONTINUE
asking the questions below. If not, END the PHQ
interview.
C. Trouble falling or staying asleep, or sleeping
too much
D. Feeling tired or having little energy
E. Poor appetite or overeating
F. Feeling bad about yourself – or that you are

Page 10 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Comment - Rationale

a failure or have let yourself or your family down

Trouble concentrating on things, such as reading
the newspaper or watching television
H. Moving or speaking so slowly that other
people could have noticed it. Or the oppositebeing fidgety or restless that you have been
moving around a lot than usual
I. Thoughts that you would be better off dead, or
of hurting yourself in some way
G.

Copyright © Pfizer Inc. All rights
reserved. Reproduced with permission.
25

SOC,
ROC,
DC

D0160 Total
Severity Score

Y

N/A - New item

26

SOC,
ROC,
DC

D0700 Social
Isolation

Y

N/A - New item

SOC,
ROC

GG0100 Prior
Functioning:
Everyday
Activities

27

Indicate the patient’s usual ability with everyday
Activities prior to the current illness,
exacerbation, or injury
Coding:
3. Independent – Patient completed the
activities by him/herself, with or without
an assistive device, with no assistance
from a helper.
2. Needed Some Help – Patient needed
partial assistance from another person to
complete activities.

Add scores for all frequency responses in Column 2,
Symptom Frequency. Total score must be between 02
and 27. Enter 99 if unable to complete interview (i.e.,
Symptom Frequency is blank for 3 or more required
items)
How often do you feel lonely or isolated from those
around you?
0. Never
1. Rarely
2. Sometimes
3. Often
4. Always
7. Patient declines to respond
8. Patient unable to respond
Indicate the patient’s usual ability with everyday
Activities prior to the current illness, exacerbation, or
injury
Coding:
3. Independent – Patient completed the
activities by themself, with or without an
assistive device, with no assistance from a
helper.
2. Needed Some Help – Patient needed partial
assistance from another person to complete
any activities.

New standardized item, the score for
the PHQ2-9 (item D0150, above)

New OMH SDOH item
1/14/22 New change: Add response
option Patient declines to respond

Page 11 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

Dependent – A helper completed the
activities for the patient.
8. Unknown
9. Not Applicable
↓ Enter Codes in Boxes
A. Self Care: Code the patient’s need for
assistance with bathing, dressing, using the
toilet, eating prior to the current illness,
exacerbation, or injury.
B. Indoor Mobility (Ambulation): Code the
patient’s need for assistance with walking
from room to room (with or without a
device such as cane, crutch or walker)
prior to the current illness, exacerbation,
or injury.
C. Stairs: Code the patient’s need for
assistance with internal or external stairs
(with or without a device such as cane,
crutch, or walker) prior to the current
illness, exacerbation or injury.
D. Functional Cognition: Code the patient’s
need for assistance with planning regular
tasks, such as shopping or remembering to
take medication prior to the current
illness, exacerbation, or injury.
1.

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Comment - Rationale

Dependent – A helper completed all the
activities for the patient.
8. Unknown
9. Not Applicable
↓ Enter Codes in Boxes
A. Self Care: Code the patient’s need for
assistance with bathing, dressing, using the
toilet, and eating prior to the current
B. Indoor Mobility (Ambulation): Code the
patient’s need for assistance with walking
from room to room (with or without a device
such as cane, crutch or walker) prior to the
current illness, exacerbation, or injury.
C. Stairs: Code the patient’s need for assistance
with internal or external stairs (with or without
a device such as cane, crutch, or walker) prior
to the current illness, exacerbation or injury.
D. Functional Cognition: Code the patient’s need
for assistance with planning regular tasks, such
as shopping or remembering to take
medication prior to the current illness,
exacerbation, or injury.
1.

Page 12 of 25

Attachment A
1/31/2022

28

SOC
ROC
FU
DC

GG0130 Self Care

Home Health – OASIS-E Change Table effective 01/01/2023
Coding:

Coding:

Safety and Quality of Performance – If helper
assistance is required because patient’s
performance is unsafe or of poor quality, score
according to amount of assistance provided.

Safety and Quality of Performance – If helper
assistance is required because patient’s performance
is unsafe or of poor quality, score according to amount
of assistance provided.

Activities may be completed with or without
assistive devices.

Activities may be completed with or without assistive
devices.

06. Independent – Patient completes the
activity by him/herself with no assistance
from a helper.
05. Setup or clean-up assistance – Helper
sets up or cleans up; patient completes
activity. Helper assists only prior to or
following the activity.
04. Supervision or touching assistance –
Helper provides verbal cues and/or
touching/steadying and/or contact guard
assistance as patient completes activity.
Assistance may be provided throughout
the activity or intermittently.
03. Partial/moderate assistance – Helper
does LESS THAN HALF the effort. Helper
lifts, holds or supports trunk or limbs, but
provides less than half the effort.
02. Substantial/maximal assistance – Helper
does MORE THAN HALF the effort. Helper
lifts or holds trunk or limbs and provides
more than half the effort.
01. Dependent – Helper does ALL of the
effort. Patient does none of the effort to
complete the activity. Or, the assistance
of 2 or more helpers is required for the
patient to complete the activity.
If activity was not attempted, code reason:
07. Patient refused
09. Not applicable – Not attempted and the
patient did not perform this activity prior
to the current illness, exacerbation or
injury.

Pronouns changed to be gender
neutral.

06. Independent – Patient completes the activity
by themself with no assistance from a helper.
05. Setup or clean-up assistance – Helper sets up
or cleans up; patient completes activity. Helper
assists only prior to or following the activity.
04. Supervision or touching assistance – Helper
provides verbal cues and/or
touching/steadying and/or contact guard
assistance as patient completes activity.
Assistance may be provided throughout the
activity or intermittently.
03. Partial/moderate assistance – Helper does
LESS THAN HALF the effort. Helper lifts, holds
or supports trunk or limbs, but provides less
than half the effort.
02. Substantial/maximal assistance – Helper does
MORE THAN HALF the effort. Helper lifts or
holds trunk or limbs and provides more than
half the effort.
01. Dependent – Helper does ALL of the effort.
Patient does none of the effort to complete
the activity. Or, the assistance of 2 or more
helpers is required for the patient to complete
the activity.
If activity was not attempted, code reason:
07. Patient refused
09. Not applicable – Not attempted and the
patient did not perform this activity prior to
the current illness, exacerbation or injury.
10. Not attempted due to environmental
limitations (e.g., lack of equipment, weather
constraints)
Not attempted due to medical conditions or
88.
safety concerns

Page 13 of 25

Attachment A
1/31/2022

#

29

30

31

32

33

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

OASIS-D1 Effective January 1, 2020

SOC
ROC
FU
DC

GG0130B SelfCare, Oral
Hygiene

SOC
ROC
FU
DC
SOC
ROC
FU
DC
SOC
ROC
FU
DC
SOC
ROC
FU
DC

GG0130E
Shower/bathe
self

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

GG0130F Upper
body dressing

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

GG0130G Lower
body dressing

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

GG0130H Putting
on/taking off
footwear

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

10. Not attempted due to environmental
limitations (e.g., lack of equipment,
weather constraints)
Not attempted due to medical
88.
conditions or safety concerns
Oral Hygiene: The ability to use suitable items to
clean teeth. Dentures (if applicable): The ability to
remove and replace dentures from and to the
mouth, and manage equipment for soaking and
rinsing them.

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Comment - Rationale

Oral Hygiene: The ability to use suitable items to clean
teeth. Dentures (if applicable): The ability to insert and
remove dentures into and from mouth, and manage
denture soaking and rinsing with use of equipment.

Revised LTCH/IRF/SNF mockup not
carried through completely to HH in
OASIS-D.
The edit is made in this version for
consistency and accuracy.

Page 14 of 25

Attachment A
1/31/2022

34

SOC
ROC
FU
DC

GG0170

Home Health – OASIS-E Change Table effective 01/01/2023
Coding:

Coding:

Safety and Quality of Performance – If helper
assistance is required because patient’s
performance is unsafe or of poor quality, score
according to amount of assistance provided.

Safety and Quality of Performance – If helper
assistance is required because patient’s performance
is unsafe or of poor quality, score according to amount
of assistance provided.

Activities may be completed with or without
assistive devices.

Activities may be completed with or without assistive
devices.

06. Independent – Patient completes the
activity by him/herself with no assistance
from a helper.
05. Setup or clean-up assistance – Helper
sets up or cleans up; patient completes
activity. Helper assists only prior to or
following the activity.
04. Supervision or touching assistance –
Helper provides verbal cues and/or
touching/steadying and/or contact guard
assistance as patient completes activity.
Assistance may be provided throughout
the activity or intermittently.
03. Partial/moderate assistance – Helper
does LESS THAN HALF the effort. Helper
lifts, holds or supports trunk or limbs, but
provides less than half the effort.
02. Substantial/maximal assistance – Helper
does MORE THAN HALF the effort. Helper
lifts or holds trunk or limbs and provides
more than half the effort.
01. Dependent – Helper does ALL of the
effort. Patient does none of the effort to
complete the activity. Or, the assistance
of 2 or more helpers is required for the
patient to complete the activity.
If activity was not attempted, code reason:
07. Patient refused
09. Not applicable – Not attempted and the
patient did not perform this activity prior
to the current illness, exacerbation or
injury.

Pronouns changed to be gender
neutral.

06. Independent – Patient completes the activity
by themself with no assistance from a helper.
05. Setup or clean-up assistance – Helper sets up
or cleans up; patient completes activity. Helper
assists only prior to or following the activity.
04. Supervision or touching assistance – Helper
provides verbal cues and/or
touching/steadying and/or contact guard
assistance as patient completes activity.
Assistance may be provided throughout the
activity or intermittently.
03. Partial/moderate assistance – Helper does
LESS THAN HALF the effort. Helper lifts, holds
or supports trunk or limbs, but provides less
than half the effort.
02. Substantial/maximal assistance – Helper does
MORE THAN HALF the effort. Helper lifts or
holds trunk or limbs and provides more than
half the effort.
01. Dependent – Helper does ALL of the effort.
Patient does none of the effort to complete
the activity. Or, the assistance of 2 or more
helpers is required for the patient to complete
the activity.
If activity was not attempted, code reason:
07. Patient refused
09. Not applicable – Not attempted and the
patient did not perform this activity prior to
the current illness, exacerbation or injury.
10. Not attempted due to environmental
limitations (e.g., lack of equipment, weather
constraints)
88.
Not attempted due to medical conditions or
safety concerns

Page 15 of 25

Attachment A
1/31/2022

#

35

36

37

38

39

40

Time
points

Item

SOC,
ROC,
FU
DC
SOC
ROC
DC

GG0170C. Lying
to sitting on side
of bed:

10. Not attempted due to environmental
limitations (e.g., lack of equipment,
weather constraints)
88.
Not attempted due to medical
conditions or safety concerns
The ability to move from lying on the back to
sitting on the side of the bed with feet flat on the
floor, and with no back support.

GG0170F Toilet
Transfer

Toilet transfer: The ability to get on and off a
toilet or commode.

SOC
ROC
FU
DC
SOC
ROC
FU
DC
SOC,
ROC,
FU
DC

GG0170G Car
transfer

SOC
ROC

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

If SOC/ROC performance is coded 07, 09, 10,
or 88, skip to GG0170M, 1 step (curb)

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

The ability to move from lying on back to sitting on the
side of the bed with no back support.
Toilet transfer: The ability to get on and off a toilet or
commode.

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

GG0170K Walk
150 feet

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

GG0170M 1 step
(curb)

The ability to go up and down a curb and/or up
and down one step.
If SOC/ROC performance is coded 07, 09, 10 or 88,
→ Skip to GG0170P, Mobility, Picking up object.

The ability to go up and down a curb or up and down
one step. If SOC/ROC performance is coded 07, 09, 10,
or 88, → Skip to GG0170P, Mobility, Picking up object.

The ability to go up and down a curb and/or up
and down one step.
If SOC/ROC performance is coded 07, 09, 10 or 88,
→ Skip to GG0170Q, Does patient use wheelchair
and/or scooter?

The ability to go up and down a curb or up and down
one step. If Follow-up performance is coded 07, 09, 10,
or 88, → Skip to GG0170Q, Does patient use
wheelchair and/or scooter?

The ability to go up and down a curb and/or up
and down one step.
If Discharge performance is coded 07, 09, 10 or
88, → Skip to GG0170P, Mobility, Picking up
object.
Collected at SOC, ROC, and DC.

The ability to go up and down a curb or up and down
one step. If Discharge performance is coded 07, 09, 10,
or 88, → Skip to GG0170P, Mobility, Picking up object.

GG0170O 12
Steps

Comment - Rationale

Note: Skip pattern was added for
LTCH only, to skip out of GG0170-G
Car Transfer. The skip is not added for
HH SOC/ROC or DC.

Time point skip patterns are different

Collected at SOC, ROC, FU, and DC.

Page 16 of 25

Attachment A
1/31/2022

#

41

42

Time
points
FU
DC
SOC
ROC
FU
DC
SOC
ROC
FU(v)

Item

Dash
(Y/N)

OASIS-D1 Effective January 1, 2020

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Collected at SOC, ROC, and DC.

Collected at SOC, ROC, FU, and DC.

N

Collected at SOC and ROC, and voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC
Removed from FU

N

Collected at SOC, ROC and DC, and voluntary at
FU, (effective 01/01/2020)

Collected at SOC, ROC, and DC
Removed from FU

GG0170S Wheel
150 feet
M1610 Urinary
Incontinence or
Urinary Catheter
Presence
M1620 Bowel
Incontinence
Frequency

Home Health – OASIS-E Change Table effective 01/01/2023

Comment - Rationale

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E

43

SOC,
ROC,
FU(v)
DC

44

SOC,
ROC,
FU(v)

M1630 Ostomy
for Bowel
Elimination

N

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC
Removed from FU

45

SOC,
ROC,
FU(v)

N

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC
Removed from FU

46

SOC,
ROC,
FU(v)

N

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC
Removed from FU

47

SOC,
ROC,
FU(v),
DC

Per the CY2020 Final Rule (effective 01/01/2020),
collection of this item is voluntary at SOC, ROC,
DC, and FU.

Item is removed completely

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed completely for OASIS-E

48

SOC,
ROC,
DC

M1021 Primary
Diagnosis, ICD-10
CM and
Symptom Control
M1023 Other
Diagnoses, ICD10 CM and
Symptom Control
Rating
M1242
Frequency of
pain interfering
with patient’s
activity or
movement
J0510 Pain Effect
on Sleep

N/A - New item

Ask patient: "Over the past 5 days, how much of the
time has pain made it hard for you to sleep at
night"

New standardized item, not replacing
any legacy OASIS items.

N

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.

Page 17 of 25

Attachment A
1/31/2022

#

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

OASIS-D1 Effective January 1, 2020

49

SOC,
ROC,
DC

J0520 Pain
Interference with
Therapy
Activities

N

N/A - New item

50

SOC,
ROC,
DC

J0530 Pain
Interference with
Day-to-Day
Activities

N

N/A - New item

51

SOC(v)
ROC(v)

M1910 Has this
patient had a
multi-factor Falls
Risk Assessment
using a
standardized,
validated
assessment

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Does not apply – I have not had any pain or
hurting in the past 5 days → Skip to M1400
Shortness of Breath at SOC/ROC; skip to
J1800 Any Falls since SOC/ROC at DC
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost Constantly
8. Unable to answer
Ask patient: "Over the past 5 days, how often have
you limited your participation in rehabilitation
therapy sessions due to pain?”
0. Does not apply – I have not received
rehabilitation therapy in the past 5 days
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost Constantly
8. Unable to answer
Ask patient: "Over the past 5 days, how often you
have limited your day-to-day activities (excluding
rehabilitation therapy session) because of pain?"
1. Rarely or not at all
2. Occasionally
3. Frequently
4. Almost constantly
8. Unable to answer

The skip pattern is specific to the HH
instruments and is the same for both
SOC/ROC and DC time point versions.

Item is removed completely

Multifactor Fall Risk Assessment
Conducted For All Patients Who Can
Ambulate (NQF #0537) Measure is
removed from HH QRP beginning
with the CY 2021 [data for this
measure will be reported on Home
Health Compare until such data are
no longer available]

0.

Voluntary at SOC/ROC effective 01/01/2020

Comment - Rationale

New standardized item, not replacing
any legacy OASIS items.

New standardized item, not replacing
any legacy OASIS items.

Page 18 of 25

Attachment A
1/31/2022

#
52

53
54

55

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Time
points

Item

TRN
DC
DAH

J1800 Any Falls
Since SOC/ROC

TRN,
DC,
DAH
SOC,
ROC,
FU(v)
DC

J1900 Number of
Falls Since
SOC/ROC
M1400 When is
the patient
dyspneic or
noticeably Short
of Breath?

Y
N

Collected at SOC, ROC and DC, and voluntary at
FU, (effective 01/01/2020)

SOC,
ROC
DC

K0520
Nutritional
Approaches

Y (AD, Z)

(M1030) Therapies the patient receives at
home: (Mark all that apply.)

Y

OASIS-D1 Effective January 1, 2020

Has the patient had any falls since SOC/ROC,
whichever is more recent?
0. No → Skip J1900
1. Yes→ Continue to J1900, Number of
Falls Since SOC/ROC, whichever is
most recent

1 Intravenous or infusion therapy (excludes
TPN)
2 Parenteral nutrition (TPN or lipids)
3 Enteral nutrition (nasogastric, gastrostomy,
jejunostomy, or any other artificial entry into the
alimentary canal)
4 None of the above

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Has the patient had any falls since SOC/ROC,
whichever is more recent?
0. No → Skip to 1400 Short of Breath at DC
time point; Skip to M2005, Medication
Intervention at TRN and DAH time points
1. Yes→Continue to J1900, Number of Falls
Since SOC/ROC

Collected at SOC, ROC, DC
Removed from FU

1. On Admission
Check all of the nutritional approaches
that apply on admission
1. On Admission
A.
B.
C.
D.
Z.

Parenteral/IV Feeding
Feeding Tube (e.g., nasogastric or abdominal
(PEG))
Mechanically altered diet-require change in
texture of food or liquids (e.g., pureed food,
thickened liquids)
Therapeutic diet (e.g., low salt, diabetic, low
cholesterol)
None of the above

Comment - Rationale

The change is from dash not valid to
dash valid.
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
K0520 response A Parenteral/IV
Feeding replaces M1030 response 2
Parenteral nutrition.
K0520 response B Feeding Tube
replaces M1030 response 3 Enteral
nutrition.
Admission is used to be consistent
with CMS decision for the HH rule
language. Admission in standardized
items refers to both SOC and ROC in
HH.

4. Last 7 days
Check all of the nutritional approaches that were
Received in the last 7 days
5. At discharge
Check all of the nutritional approaches that were
being received at discharge
4. Last 7 Days
5. At Discharge
A.

Parenteral/IV Feeding

Page 19 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
B.
C.
D.
Z.

56

SOC
ROC
FU
DC

57

SOC
ROC
FU(v)
DC

58

SOC
ROC
FU(v)

59

SOC
ROC
FU(v)
DC

M1306 Does this
patient have at
least on
Unhealed
Pressure
Ulcer/Injury at
Stage 2 or Higher
or designated as
Unstageable?
M1311 Current
Number of
Unhealed
Pressure
Ulcers/Injuries at
Each Stage
M1322 Current
Number of Stage
1 Pressure
Injuries
M1324 Stage of
Most
Problematic
Unhealed
Pressure
Ulcer/Injury that
is Stageable

Comment - Rationale

Feeding Tube (e.g., nasogastric or abdominal
(PEG))
Mechanically altered diet-require change in
texture of food or liquids (e.g., pureed food,
thickened liquids)
Therapeutic Diet (e.g., low salt, diabetic, low
cholesterol)
None of the above

0 No [Go to M1322 at SOC/ROC/FU; Go to
M1324 at DC]
1 Yes

0.
No → Skip to M1322, Current Number of
Stage 1 Pressure Injuries at SOC/ROC; Skip to M1324,
Stage of Most Problematic Unhealed Pressure
Ulcer/Injury that is Stageable at DC
1.
Yes

M1322, Number of Stage 1 Pressure
Injuries, is collected at SOC, ROC and
FU in OASIS-D1 - but removed from
FU for OASIS-E. The skip pattern in
M1306 is edited to account for this
change.

Y(DC)

Collected at SOC, ROC, DC, and voluntary at FU,
(effective 01/01/2020)

Collected at SOC, ROC and DC
Removed from FU

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E

N

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC
Removed from FU

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.

N

Collected at SOC, ROC and DC, and voluntary at
FU (effective 01/01/2020)

Collected at SOC, ROC, and DC
Removed from FU

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.

Page 20 of 25

Attachment A
1/31/2022

#
60

Time
points
SOC
ROC
FU(v)

Item
M1330 Does this
patient have a
Stasis Ulcer?
**Note - this
item is displayed
in multiple rows
of the change
table**

SOC
ROC
FU(v)

62

SOC
ROC
FU(v)
DC

OASIS-D1 Effective January 1, 2020
0
1
2
3

No [Go to M1340]
Yes, patient has BOTH observable and
unobservable stasis ulcers
Yes, patient has observable stasis ulcers
ONLY
Yes, patient has unobservable stasis ulcers
ONLY (known but not observable due to
non- removable dressing/device)
[Go to M1340]

M1332 Current
Number of Stasis
Ulcer(s) that are
Observable
M1334 Status of
Most
Problematic
Stasis Ulcer that
is Observable

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
0.
1.
2.
3.

No → Skip to M1340, Surgical Wound
Yes, patient has BOTH observable and
unobservable stasis ulcers
Yes, patient has observable stasis ulcers ONLY
Yes, patient has unobservable stasis ulcers ONLY
(known but not observable due to non-removable
dressing/device)→ Skip to M1340, Surgical
Wound

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

No® Skip to M1340, Surgical Wound
Yes, patient has BOTH observable and
unobservable stasis ulcers
2. Yes, patient has observable stasis ulcers
ONLY
3. Yes, patient has observable stasis ulcers
ONLY (known but not observable due to
non-removable dressing/device) ®Skip to
M1340 Surgical Wound
Collected at SOC and ROC
Removed from FU

Collected at SOC, ROC and DC, and voluntary at
FU, (effective 01/01/2020)

Collected at SOC, ROC and DC
Removed from FU

No [Go to M1340]
Yes, patient has BOTH observable and
unobservable stasis ulcers
2
Yes, patient has observable stasis ulcers
ONLY
3
Yes, patient has unobservable stasis
ulcers ONLY (known but not observable due to
non-removable dressing/device) [Go to M1340]

0
1

DC

61

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023

Comment - Rationale
No change in skip pattern for
SOC/ROC, text revised for consistency
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.

0.
1.

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E

Page 21 of 25

Attachment A
1/31/2022

#
63

Time
points
SOC
ROC
FU(v)
DC

Item
M1340 Does this
Patient have a
Surgical Wound?

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

Collected at SOC, ROC and DC, and voluntary at
FU (effective 01/01/2020)

0
1
2

64

SOC
ROC
FU(v)
DC

65

SOC,
ROC,
DC

M1342 Status of
Most
Problematic
Surgical Wound
that is
Observable
N0415 High Risk
Drug Classes: Use
and Indication

66

SOC
ROC

M2001 Drug
Regimen Review

No [Go to M1400]
Yes, patient has at least one observable
surgical wound
Surgical wound known but not observable
due to non-removable dressing/device [Go
to M1400]

Collected at SOC, ROC and DC, and voluntary at
FU, (effective 01/01/2020)

N

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
Collected at SOC, ROC and DC
Removed from FU

No ® Skip to N0415, High-Risk Drug Classes: Use
and Indication
1. Yes, patient has at least one observable surgical
wound
2. Surgical wound known but not observable due
to non-removable dressing/device→ Skip to
N0415, High-Risk Drug Classes: Use and Indication
Collected at SOC, ROC, and DC
Removed from FU
0.

N/A - New item

1. Is Taking
Check if the patient is taking any medications by
pharmacological classification, not how it is used, in
the following classes
2. Indication noted
If Column 1 is checked, check if there is an indication
noted for all medications in the drug class
1. Is Taking
2. Indication Noted
A.
Antipsychotic
E.
Anticoagulant
F.
Antibiotic
H.
Opioid
I.
Antiplatelet
J.
Hypoglycemic (including insulin)
Z.
None of the Above (column 1)

Did a complete drug regimen review identify
potential clinically significant medication
issues?

Did a complete drug regimen review identify potential
clinically significant medication issues?

0

No – No issues found during review [Go to
M2010]

Comment - Rationale
Skip pattern edit - reorganization of
instrument places a different item
next in sequence; text revised for
consistency.
The skip pattern is the same for all 3
time points, SOC/ROC and DC.

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
New standardized item, not replacing
any legacy OASIS items

“Go to” text changed to “Skip to” for
consistency.
Skip pattern edit due to
reorganization of items; text revised
for consistency

Page 22 of 25

Attachment A
1/31/2022

#

Time
points

Item

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

1
9

Yes – Issues found during review
NA – Patient is not taking any
medications [Go to M2102]

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
0.

1.
9.

67

TRN
DC

M2016
Patient/Caregiver
Drug Education
Intervention

68

SOC
ROC
FU(v)

69

SOC,
ROC

M2030
Management of
Injectable
Medications:
Excludes IV
medications
O0110 Special
Treatments,
Procedures, and
Programs

69A

DC

O0110 Special
Treatments,
Procedures, and
Programs

Y (AH, L, J)

No – No issues found during review ® Skip to
M2010, Patient/Caregiver High-Risk Drug
Education
Yes – Issues found during review
NA – Patient is not taking any medications ®
Skip to O0110A, Special Treatments, Procedures,
and Programs

At the time of, or at any time since the most
recent SOC/ROC assessment, was the
patient/caregiver instructed by agency staff or
other health care provider to monitor the
effectiveness of drug therapy, adverse drug
reactions, and significant side effects, and how
and when to report problems that may occur?
0. No
1. Yes
NA Patient not taking any drugs
Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

N/A - Measure Removed

This item is being removed from
OASIS-E.

Collected at SOC and ROC
Removed from FU

This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.

N/A - New item

Check all of the following treatments, procedures, and
programs that apply on admission

New standardized item. The only
difference between the time point
versions is the instruction at the
beginning.

a. On Admission
Check all that apply

Y (AH, L, J)

Comment - Rationale

N/A - New item

Admission is used to be consistent
with CMSH decision for the HH rule
language, that admission in
standardized items refers to both SOC
and ROC in HH.

Check all of the following treatments, procedures, and
programs that apply at discharge
c. At Discharge
Check all that apply

Page 23 of 25

Attachment A
1/31/2022

#

Time
points

Item

69B

SOC,
ROC,
DC

O0110A1
O0110A2
O0110A3
O0110A10
O0110B1

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)

Comment - Rationale

N/A – mostly new items

Cancer Treatments
A1. Chemotherapy
A2. IV
A3. Oral
A10. Other
B1. Radiation
Respiratory Therapy
C1. Oxygen Therapy
C2. Continuous
C3. Intermittent
C4. High concentration
D1. Suctioning
D2. Scheduled
D3. As needed
E1. Tracheostomy Care
F1. Invasive Mechanical Ventilator (ventilator or
respirator)
G1. Non-invasive Mechanical Ventilator
G2. BiPAP
G3. CPAP

Included to align with the MDS, and
public comment and subject matter
experts support breaking the parent
item “chemotherapy” into type of
chemotherapy to distinguish patient
complexity/burden of care.

Other
H1. IV Medications
H2. Vasoactive mediations
H3. Antibiotics
H4. Anticoagulation
H10. Other
I1. Transfusions
J1. Dialysis
J2. Hemodialysis
J3. Peritoneal dialysis
O1. IV Access
O2. Peripheral
O3. Midline
O4. Central (e.g., PICC, tunneled, port)
None of the Above
Z1. None of the above

As of 4-2-19, O1, IV Access, replaces
M1030 response 1, Infusion therapy
(Reminder - other M1030 responses
were replaced by K0520 Nutritional
Approaches, see row

O0110C1
O0110C2
O0110C3
O0110C4
O0110D1
O0110D2
O0110D3
O0110E1
O0110F1
O0110G1
O0110G2
O0110G3
O0110H1
O0110H2
O0110H3
O0110H4
O0110H10
O0110I1
O0110J1
O0110J2
O0110J3
O0110O1
O0110O2
O0110O3
O0110O4
O0110Z1

(M1030) Therapies the patient receives at
home: (Mark all that apply.)
1 Intravenous or infusion therapy (excludes
TPN)
2 Parenteral nutrition (TPN or lipids)
3 Enteral nutrition (nasogastric, gastrostomy,
jejunostomy, or any other artificial entry into the
alimentary canal)
4 None of the above

Included to align with the MDS, and
public comment and subject matter
experts support: breaking the parent
item “oxygen therapy” into
continuous vs. intermittent to
distinguish patient
complexity/burden of care; breaking
the parent item “suctioning” into
frequency of suctioning to distinguish
patient complexity/burden of care. In
public comment, there was support
for breaking the parent item into 2
response options (CPAP and BiPAP).

Page 24 of 25

Attachment A
1/31/2022

#
70

Time
points
TRN
DC

Item
M1041 Influenza
Vaccine Data
Collection Period

Dash
(Y/N)

Home Health – OASIS-E Change Table effective 01/01/2023
OASIS-D1 Effective January 1, 2020
0
1

No [Go to M1051]
Yes

OASIS-E Effective January 1, 2023 (Note:
modifications highlighted in yellow)
0.

No ® Skip to M2401, Intervention Synopsis

71

TRN(v)
DC(v)

M1051
Pneumococcal
Vaccine

Voluntary at TRN, DC effective 01/01/2020

Yes® Continue to M1046 Influenza
Vaccine Received
Item is removed completely

72

TRN(v)
DC(v)

M1056 Reason
Pneumococcal
Vaccine not
received

Voluntary at TRN, DC effective 01/01/2020

Item is removed completely

73

SOC
ROC
FU(v)

M2200 Therapy
Need

Collected at SOC and ROC, voluntary at FU,
(effective 01/01/2020)

Collected at SOC and ROC

TRN(v)
DC(v)

M2401,
Intervention
Synopsis, Row A.
Diabetic foot
care including
monitoring for
the presence of
skin lesions on
the lower
extremities and
patient/caregiver
education on
proper foot care

74

1.

Removed from FU
Row A is voluntary at TRN, DC effective
01/01/2020
a.

b.
c.
d.
e.
f.

Diabetic foot care including monitoring for
the presence of skin lesions on the lower
extremities and patient/caregiver education
on proper foot care
Falls prevention interventions
Depression intervention(s) such as
medication, referral for other treatment, or a
monitoring plan for current treatment
Intervention(s) to monitor and mitigate pain
Intervention(s) to prevent pressure ulcers
Pressure ulcer treatment based on principles
of moist wound healing

Row A is removed from TRN, DC
a.

Diabetic foot care including monitoring for the
presence of skin lesions on the lower extremities
and patient/caregiver education on proper foot
care

Comment - Rationale
Skip pattern edit due to
reorganization of items; text revised
for consistency
Pneumococcal Polysaccharide
Vaccine (PPV) Ever Received Measure
is removed from HH QRP beginning
with the CY 2021 [data for this
measure will be reported on Home
Health Compare until such data are
no longer available]
Pneumococcal Polysaccharide
Vaccine (PPV) Ever Received Measure
is removed from HH QRP beginning
with the CY 2021 [data for this
measure will be reported on Home
Health Compare until such data are
no longer available]
This item was made voluntary at FU
effective 01/01/2020, and it is being
removed from the FU time point for
OASIS-E.
Row A, Diabetic foot care is the only
row removed. The rest of the item
remains and is collected at TRN and
DC.

B. Falls prevention interventions
C. Depression intervention(s) such as medication,
referral for other treatment, or a monitoring plan
for current treatment
D. Intervention(s) to monitor and mitigate pain
E. Intervention(s) to prevent pressure ulcers
F. Pressure ulcer treatment based on principles of
moist wound healing

Page 25 of 25

Attachment A
1/31/2022