Fed Regist. 1999 Jun 18;64(117):32984-91.
This notice announces to home health agencies (HHAs), State survey agencies, Medicare and Medicaid beneficiaries, software vendors, and the general public changes to and effective dates for OASIS implementation. This notice announces the effective dates for the mandatory use, collection, encoding, and transmission of OASIS data for all Medicare/Medicaid patients receiving skilled services. For non-Medicare/non-Medicaid patients receiving skilled services, there will be no encoding and transmission until further notice, but HHAs must conduct comprehensive assessments and updates at the required time points. For patients receiving personal care only services, regardless of payor source, we are delaying the requirements regarding OASIS use, collection, encoding, and transmission until further notice. We expect to begin implementation of OASIS for non-Medicare/non-Medicaid patients receiving skilled care and for patients receiving personal care only services in the Spring of 2000. A separate Federal Register notice will be published with instructions at that time. In addition, software changes described at the end of this notice are of interest to software vendors and HHAs. Also, a companion notice concerning the OASIS System of Records (SOR) is published elsewhere in this Federal Register and is available via the HCFA Internet site (http://www.hcfa.gov).
本通知向家庭健康机构(HHA)、州调查机构、医疗保险和医疗补助受益人、软件供应商及公众宣布了OASIS实施的变更内容及生效日期。本通知宣布了所有接受专业服务的医疗保险/医疗补助患者OASIS数据强制使用、收集、编码及传输的生效日期。对于接受专业服务的非医疗保险/非医疗补助患者,在另行通知之前,无需进行编码和传输,但家庭健康机构必须在规定时间点进行全面评估和更新。对于仅接受个人护理服务的患者,无论付款方来源如何,我们将推迟有关OASIS使用、收集、编码及传输的要求,直至另行通知。我们预计在2000年春季开始对接受专业护理的非医疗保险/非医疗补助患者以及仅接受个人护理服务的患者实施OASIS。届时将发布一份单独的联邦公报通知并附上说明。此外,本通知末尾所述的软件变更内容对软件供应商和家庭健康机构具有参考价值。另外,一份关于OASIS记录系统(SOR)的配套通知刊登在本联邦公报的其他地方,可通过医疗保健财务管理局网站(http://www.hcfa.gov)获取。