Draft OASIS-E1 Instrument Now Available

NAHC Report

The Centers for Medicare & Medicaid Services (CMS) recently posted the draft OASIS-E1 All Items instrument, scheduled for an effective date of January 1, 2025. The accompanying OASIS-E1 Manual will be released at a later date. An Office of Management and Budget (OMB) number and the information collection timeframe estimate are yet to be assigned. 

The OASIS document needs to be updated to accommodate some changes related to policy including the end of the temporary suspension of OASIS for non-Medicare/non-Medicaid home health patients and the removal and addition of OASIS items related to measures for the Home Health Quality Reporting Program (HHQRP), payment calculation, and/or Medicare conditions of participation.

Beginning in 2025, home health agencies will need to collect OASIS data for all patients regardless of payor source. Existing exemptions will continue for those under the age of 18, receiving maternity services, or those receiving only personal care, housekeeping or chore services.  A phase-in period is in place for January 1, 2025 through June 30, 2025 in which failure to submit the data will not result in a penalty.  Mandatory collection and reporting begin with discharges on or after July 1, 2025.

CMS is adding the COVID-19 Vaccine measure to the HH QRP necessitating the addition of data collection through the OASIS and also removing OASIS items that are no longer necessary:

• M0110 – Episode Timing
• M2220 – Therapy Needs
• GG0130 and GG0170 – Discharge Goal

NAHC staff are reviewing the document and will provide more information after an analysis of the to be released OASIS-E1 Manual.