CMS finalizes OASIS-D guidance manual ahead of January 2019 implementation date

Breaking News: OASIS-D Guidance Manual Released


Thursday, December 20, 2018, Less than two weeks before a new version of the OASIS is scheduled to take effect, CMS has released a final guidance manual for the revised assessment. OASIS-D is scheduled to go into effect Jan. 1, 2019, and will involve removing 28 items, adding six new items and revising seven additional items. CMS posted the final manual to its website Dec. 20, 2018. Similar to the draft, the final OASIS-D guidance manual is 335 pages. Many providers and industry experts expect OASIS-D to take more time to complete.

According to a recent questionnaire conducted by DecisionHealth, about 75% of the 270 respondents believe OASIS-D will take more time overall to complete than OASIS-C2. And 70% of respondents expect it to take clinicians more than 70 minutes to complete OASIS-D at start of care (SOC). In contrast, only 38% of the 268 respondents to a separate survey question say OASIS-C2 currently takes more than 70 minutes to complete at SOC. The time that clinicians expect to spend on OASIS-D is far greater than CMS’ expectation — that clinicians will spend 47.7 minutes on OASIS-D at SOC (DecisionHealth, 2018).

OASIS D Guidance Manual:

Related links: CMS finalizes calendar year 2019 and 2020 payment and policy changes for Home Health Agencies and Home Infusion Therapy Suppliers 


DecisionHealth (2018). CMS finalizes OASIS-D guidance manual ahead of January 2019 implementation date. Retrieved from:

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