{"ref":"DC-HH-ASM-01","title":"Comprehensive Assessment, Reassessment, and the 62-Day Skilled Services Review","category":"Service delivery","summary":"Sets the schedule, content, and responsibility for assessing and reassessing each patient: the nurse’s and each discipline’s evaluations, the review and evaluation of skilled services at least every 62 calendar days with a summary report to the physician, the federal comprehensive assessment and its updates if the Agency is Medicare-certified, the DC Medicaid 60-day plan reviews and annual evaluation of continued need, and the reassessments a change in condition requires.","inShort":["Every skilled service is reviewed at least every 62 calendar days, and a summary report goes to the physician.","If we are Medicare-certified, the comprehensive assessment is done within 5 calendar days of the start of care and updated in the last 5 days of every 60 days.","After a hospital stay of 24 hours or more, the patient is reassessed within 48 hours of coming home (Medicare-certified).","Report any change in a patient’s condition to the nurse the same day, and at once in an emergency.","DC Medicaid personal care: the nurse reviews the plan at least every 60 days and evaluates continued need every 12 months."],"primaryCitation":"42 CFR §484.55","citations":["22-B DCMR §3916.1","22-B DCMR §3917.2","22-B DCMR §3911.2","22-B DCMR §3914.3","22-B DCMR §3922.4","22-B DCMR §3923.3","22-B DCMR §3925.3","22-B DCMR §3926.3","22-B DCMR §3908.3","29 DCMR §5003.9","29 DCMR §5003.10","29 DCMR §5005.4","29 DCMR §5008.3","29 DCMR §5008.4","29 DCMR §5008.5","29 DCMR §4222.11"],"federalCitations":["42 CFR §484.55","42 CFR §484.55(b)","42 CFR §484.55(c)","42 CFR §484.55(d)","42 CFR §484.60(c)","42 CFR §484.102(b)(1)"],"surveyorAsks":["Show me this patient’s assessments since admission. When was the last review of skilled services, and when was the summary report sent to the physician?","If you are Medicare-certified: when was the comprehensive assessment completed? Was it within 5 calendar days of the start of care?"],"forms":[{"ref":"DC-HH-ASM-01-A","title":"Assessment and Review Tracking Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3916.1; 42 CFR §484.55)","5. Assessment and Review Schedule","6. Content of the Comprehensive Assessment","7. Who Completes Each Assessment","8. The 62-Day Review of Skilled Services","9. Reassessment After a Change in Condition","10. Reporting Findings","11. Tracking Due Dates","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}