HH Conditions of Participation, Survey Protocols and Interpretive Guidelines (G-Tags)

HH Conditions of Participation, Survey Protocols and Interpretive Guidelines (G-Tags) 

In order to ensure the delivery of quality healthcare, the Centers for Medicare & Medicaid have established minimum health and safety regulations that all home health agencies (HHAs) must comply with in order to participate in federal healthcare programs. These regulations are called Conditions of Participation, commonly referred to as CoPs. There are additional resources that guide home health surveyors when they inspect HHAs to ensure compliance with federal regulations. These resources are referred to as Survey Protocols and Interpretive Guidelines (G-Tags). In this course, you will learn about the most commonly cited G-tags, their associated interpretive guidelines, and the specific measures your agency can implement to lessen the possibility of survey citations.
In 2017, CMS issued updated Conditions of Participation, or CoPs, which govern the participation of home health agencies in the Medicare and Medicaid programs. The intent of the updates is to reflect current best practices through a focus on patient-centered care, patient rights, and value and outcome-based care in an effort to promote high quality care for all, under all circumstances, in the home health arena. This course reflects those changes. 


Hours: 1.25


Certificates provided by accrediting body (1 Match)

Texas Health and Human Services Commission

1.25 HOURS

Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Licensed and Certified Home Health (L&CHH). Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.25 contact hours.

Course Details

Course Code: REL-SRC-0-CPSPIG
Hours: 1.25
Type: Online Course
Content Expiration Date: 12/31/2021
Learning Objectives:
Describe the purpose and history of home health Survey Protocols and Interpretive Guidelines (G-Tags).
Identify how G-Tags are used during the Medicare/Medicaid Survey and Certification process.
List the most problematic G-Tags.
Describe how any deficiencies cited during the survey impact the agency.
Describe G-Tags in relationship to national standards in home health.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: History and Purpose of Home Health G-Tags

Conditions of Participation

Survey Process

CoP Sections


Section 3: Medicare/Medicaid Survey Process

Initial Certification


Partial Extended Survey

Extended Survey

Compliance vs. Noncompliance


Section 4: Problematic Standards (G-Tags)

CoP 484.14



CoP 484.10

CoP 484.12

CoP 484.18



CoP 484.30

CoP 484.32

CoP 484.48

CoP 484.55


Section 5: The Successful Home Health Survey

Survey Preparation

Utilizing Reports

Accessible Information


Section 5: The Successful Home Health Survey


Course Contributors



Instructor: Sandra S. Lentz, RN
Ms. Lentz has 25 years of experience in the home health and hospice industry in operations and consulting roles. She has been responsible for accreditation, regulatory compliance, performance improvement, disease management, clinical benchmarking, and service utilization for home health, hospice, and durable medical equipment organizations. She has also served as Director of Regulatory Services for the Association for Home Hospice Care of North Carolina. Disclosure: Sandra S. Lentz, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Faith Williams, RN, BS in HCA
Faith is a registered nurse and earned a BS in Health Care Administration at St. Leo College in St. Leo, Florida. She has an extensive background in home health education, nursing and healthcare administration. Subsequent to the years in home health, she has worked for companies who provide on-line education to healthcare providers and workers in the acute and subacute markets. She has authored various education programs and procedure manuals, as well as presented to and educated both clinical staff and the general public. Disclosure: Faith Williams, RN, BS in HCA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Entry level Direct Care Workers; in the following settings: Acute Care Facility, Assisted Living, Home Health, Hospice, Long-term Care, Palliative Care, Residential Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.