Home Health: Say ‘Hello’ to 4 New SDOH Items That May Hit OASIS in 2027

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains proposed changes in CMS’s 2025 home health rule that would add new social determinants of health assessment items to OASIS, revise the transportation item, and change all-payer collection timing. It also outlines broader HH QRP measure concepts CMS is considering for future years. The piece is most relevant for home health agencies, coders, OASIS reviewers, quality reporting staff, and compliance teams following CMS rulemaking.

Why This Topic Matters

The proposed updates affect what home health agencies may need to collect, when they collect it, and how CMS may use the data for quality reporting and payment-related processes. Understanding the scope of the changes helps organizations prepare for operational and documentation impacts.

Article Sections

  1. Proposed SDOH items for OASIS

    Summarizes the proposed addition of new standardized assessment items in the social determinants of health category and explains the general reason CMS gives for adding them.

  2. Transportation item revision

    Describes the proposed update to the current transportation-related OASIS item, including the broad intent to align and simplify the data collection approach.

  3. All-payer data collection start date

    Covers CMS’s proposed change to when all-payer OASIS data collection would begin and the related timing considerations discussed in the rule.

  4. New HHQRP measure concepts

    Outlines the measure concept areas CMS is seeking feedback on for future home health quality reporting, along with the general context for that request.

What You Will Learn

  • Which categories of OASIS data collection CMS is proposing to expand
  • How the transportation assessment item would be updated at a high level
  • What CMS is proposing for the timing of all-payer OASIS collection
  • Which future home health quality measure concepts CMS is exploring

Who Should Read This

  • Home health agencies
  • OASIS clinicians and reviewers
  • Health information management and coding professionals
  • Quality reporting teams
  • Compliance and reimbursement staff

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