Change table

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)
List of Abbreviations

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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

Time
points
SOC
ROC
FU

Item
M0110 Episode
Timing

Dash
(Y/N)
N

OASIS-E Effective January 1, 2023
Is the Medicare home health payment episode, for
which this assessment will define a case mix group,
an “early” episode or a “later” episode in the
patient’s current sequence of adjacent Medicare
home health payment episodes?
1. Early
2. Later
UK. Unknown
NA. Not Applicable: No Medicare case mix
group to be defined by this assessment

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)
Item removed

Comment - Rationale
Per CY 2024 Home Health PPS Final Rule,
88 Fed. Reg. pg. 77768, M0110—Episode
Timing and M2200—Therapy Need
effective January 1, 2025. These items are
no longer used in the calculation of
quality measures already adopted in the
HH QRP, nor are they being used
currently for previously established
purposes unrelated to the HH QRP,
including payment, survey, the HH VBP
Model or care planning.
Commenters unanimously supported the
removal of the M0110— Episode Timing
data element
Removed from SOC, ROC and FU
timepoints- 1 DE each

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2

Time
points
SOC
ROC

Item

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)

M2200 Therapy
Need

Dash
(Y/N)
N

OASIS-E Effective January 1, 2023

In the home health plan of care for the Medicare
payment episode for which this assessment will
define a case mix group, what is the indicated need
for therapy visits (total of reasonable and
necessary physical, occupational, and speechlanguage pathology visits combined)? (Enter zero
[“000”] if no therapy visits indicated.)
Number of therapy visits indicated (total of
physical, occupational and speech-language
pathology combined).

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)
Item removed

NA – Not Applicable: No case mix group defined by
this assessment.

Comment - Rationale
Per CY 2024 Home Health PPS Final Rule
(88 Fed. Reg. pg. 77768), M0110—
Episode Timing and M2200—Therapy
Need effective January 1, 2025. These
items are no longer used in the
calculation of quality measures already
adopted in the HH QRP, nor are they
being used currently for previously
established purposes unrelated to the HH
QRP, including payment, survey, the HH
VBP Model or care planning.
Some commenters opposed removal of
the M2200—Therapy Needs data
element out of concern that it would limit
CMS’ ability to evaluate a patient’s
therapy need. Response: CMS
appreciates the concern from
commenters regarding CMS’s ability to
evaluate patient’s therapy needs. With a
broad set of new and current data
elements on the OASIS–E assessment
tool, CMS has improved the ability of
providers to assess functional status and
therapy needs that allows for the removal
of the M2200-Therapy Need data
element. CY 2024 HH PPS Final Rule (88
Fed. Reg. pg 77768)

3

SOC
ROC

GG0130.2
Discharge Goal

N

GG0130. Self-Care
Code the patient’s usual performance at
SOC/ROC for each activity using the 6-point
scale. If activity was not attempted at
SOC/ROC, code the reason. Code the patient’s
discharge goal(s) using the 6-point scale. Use
of codes 07, 09, 10 or 88 is permissible to
code discharge goal(s).

GG0130. Self-Care
Code the patient’s usual performance at
SOC/ROC for each activity using the 6-point
scale. If activity was not attempted at
SOC/ROC, code the reason. Code the
patient’s discharge goal(s) using the 6-point
scale. Use of codes 07, 09, 10 or 88 is
permissible to code discharge goal(s).

Removed from SOC and ROC timepoints1 DE each.
Removed Column 2, Discharge Goal, and
instructions for coding discharge goal(s)
due to retiring quality measure:
Application of Percent of Long-Term Care
Hospital Patients with an Admission &
Discharge Functional Assessment and a
Care Plan that Addresses Function.

Page 2 of 6

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Time
points

Item

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)
Dash
(Y/N)

OASIS-E Effective January 1, 2023

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)

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.
05.
04.
03.
02.
01.

Independent
Setup or clean-up assistance
Supervision or touching assistance
Partial/moderate assistance
Substantial/maximal assistance
Dependent

06.
05.
04.
03.
02.
01.

Independent
Setup or clean-up assistance
Supervision or touching assistance
Partial/moderate assistance
Substantial/maximal assistance
Dependent

If activity was not attempted, code reason:

If activity was not attempted, code reason:

07.
Patient refused
09.
Not applicable
10.
Not attempted due to environmental
limitations
88.
Not attempted due to medical condition
or safety concerns

07.
Patient refused
09.
Not applicable
10.
Not attempted due to environmental
limitations
88.
Not attempted due to medical
condition or safety concerns

(Column 1) 1. SOC/ROC Performance
(Column 2) 2.Discharge Goal

1. SOC/ROC Performance
2.Discharge Goal

↓ Enter Codes in Boxes↓
•
A. Eating
•
B. Oral Hygiene
•
C. Toileting Hygiene
•
E. Shower/bathe self
•
F. Upper body dressing
•
G. Lower body dressing:
•
H. Putting on/taking off footwear

↓ Enter Codes in Boxes↓
•
A. Eating
•
B. Oral Hygiene
•
C. Toileting Hygiene
•
E. Shower/bathe self
•
F. Upper body dressing
•
G. Lower body dressing:
•
H. Putting on/taking off footwear

Comment - Rationale
Per the CY 2024 HH PPS Final Rule, (88
Fed. Reg. pg 77851), As discussed in
section III.C.2. of this final rule, we
proposed to remove a measure from the
HH QRP, the Application of Percent of
Long-Term Care Hospital Patients with an
Admission and Discharge Functional
Assessment and a Care Plan That
Addresses Function (Application of
Functional Assessment/Care Plan)
measure, beginning with admission
assessments completed on January 1,
2025. We also proposed to remove OASIS
items for Self-Care Discharge Goals (that
is, GG0130.2) and for Mobility Discharge
Goals (that is, GG0170.2).

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4

Time
points
SOC
ROC

Item

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)

GG0170.2
Discharge Goal

Dash
(Y/N)
N

OASIS-E Effective January 1, 2023
GG0170. Mobility

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)
GG0170. Mobility

Code the patient’s usual performance at SOC/ROC
for each activity using the 6-point scale. If activity
was not attempted at SOC/ROC, code the reason.
Code the patient’s discharge goal(s) using the 6point scale. Use of codes 07, 09, 10 or 88 is
permissible to code discharge goal(s).

Code the patient’s usual performance at
SOC/ROC for each activity using the 6-point scale.
If activity was not attempted at SOC/ROC, code
the reason. Code the patient’s discharge goal(s)
using the 6-point scale. Use of codes 07, 09, 10 or
88 is permissible to code discharge goal(s).

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.
06.
Independent
05.
Setup or clean-up assistance
04.
Supervision or touching assistance
03.
Partial/moderate assistance
02.
Substantial/maximal assistance
01.
Dependent

Activities may be completed with or without
assistive devices.
06.
Independent
05.
Setup or clean-up assistance
04.
Supervision or touching assistance
03.
Partial/moderate assistance
02.
Substantial/maximal assistance
01.
Dependent

If activity was not attempted, code reason:
07.
Patient refused
09.
Not applicable
10.
Not attempted due to environmental
limitations
88.
Not attempted due to medical condition
or safety concerns

If activity was not attempted, code reason:
07.
Patient refused
09.
Not applicable
10.
Not attempted due to environmental
limitations
88.
Not attempted due to medical
condition or safety concerns

(Column 1) 1. SOC/ROC Performance
(Column 2) 2.Discharge Goal

(Column 1) 1. SOC/ROC Performance
(Column 2) 2.Discharge Goal

↓ Enter Codes in Boxes↓
•
A. Roll left and right
•
B. Sit to lying
•
C. Lying to sitting on side of bed
•
D. Sit to stand
•
E. Chair/bed-to-chair transfer

↓ Enter Codes in Boxes↓
•
A. Roll left and right
•
B. Sit to lying
•
C. Lying to sitting on side of bed
•
D. Sit to stand
•
E. Chair/bed-to-chair transfer

Comment - Rationale
Removed Column 2, Discharge Goal, and
instructions for coding discharge goal(s),
due to retirement of cross-setting
function measure (as listed in row 3 notes
for GG0130).

Page 4 of 6

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Time
points

Item

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)
Dash
(Y/N)

OASIS-E Effective January 1, 2023
•
•
•
•
•
•
•

•
•
5

6

TOC
Death
DC

O0350. COVID19: Percent of
Patients/Residen
ts Who Are Up to
Date
D0150.
Patient Mood
Interview (PHQ-2
to 9)

Y

F. Toilet transfer
G. Car transfer
I. Walk 10 feet
J. Walk 50 feet with two turns:
K. Walk 150 feet
L. Walking 10 feet on uneven surfaces
M. 1 step (curb)
N. 4 steps
O. 12 steps

N/A - New item

D0150. Patient Mood Interview (PHQ-2 to 9)
Say to patient: "Over the last 2 weeks, have you
been bothered by any of the following
problems?"
If symptom is present, enter 1 (yes) in 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. Symptom Frequency
0. Never or 1 day
1. 2-6 days (several days)
2. 7-11 days (half or more of the day
A. Little interest or pleasure in doing things
B. Feeling down, depressed, or hopeless

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)
•
•
•
•
•
•
•
•
•

Comment - Rationale

F. Toilet transfer
G. Car transfer
I. Walk 10 feet
J. Walk 50 feet with two turns:
K. Walk 150 feet
L. Walking 10 feet on uneven surfaces
M. 1 step (curb)
N. 4 steps
O. 12 steps
0.
1.

No, patient is not up to date
Yes, patient is up to date

D0150. Patient Mood Interview (PHQ-2 to 9)
Revise instruction above part C to say:
"If both D0150A1 and D0150B1 are
coded 9, OR both D0150A2 and
D0150B2 are coded 0 or 1, END the
PHQ interview, otherwise continue."

New item added for quality measure:
COVID-19: Percent of Patients/Residents
Who Are Up to Date. (1 DE).
This instruction was moved from
guidance to the item, to highlight this
procedure for assessing clinicians. (Subregulatory change).

Page 5 of 6

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Time
points

Item

Home Health – Change Table for OASIS-E1 (OASIS effective date 1/1/2025)
Dash
(Y/N)

OASIS-E Effective January 1, 2023

If either D0150A2 or D0150B2 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 a
failure or have let yourself or your family
down
G. Trouble concentrating on things, such as reading
the newspaper or watching television
H. Moving or speaking so slowly that other people
could have noticed. Or the opposite – being
so fidgety or restless that you have been
moving around a lot more than usual
I. Thoughts that you would be better off dead, or of
hurting yourself in some way

OASIS-E1 Effective January 1, 2025 (Note:
modifications highlighted in yellow)

Comment - Rationale

Page 6 of 6