Change Table
- Transportation listing changed from A1250 to A1255
- Hearing (B0200) and Vision (B1000) added to ROC
- Sex (A0810) replaces Gender (M0069)
- COVID vaccination up to date removed
- Language (A1110) added to ROC
- Minor changes to replace outdated item numbers with updated ones (ex: all instances of A1250 changed to A1255)

Change Timeline
The Changes are effective April 1, 2026. However, the changes are not final pending approval from the Office of Management and Budget (OMB). Agencies are able to use the draft form for training purposes, but should look for the final form that includes the OMB control number and expiration date.
Implications
OASIS accuracy is linked to PDGM payments and quality outcomes. Prepare early for the off-cycle April 1, 2026 changes to ensure a smooth transition to E2 requirements and continued reporting accuracy.
Resources
Draft versions of the instruments are on the CMS website in a ZIP file. You can download the file here.
The PRA package, which includes four separate documents, is available for download here.
Submit comments to CMS about OASIS-E2 or any other item in the Home Health Prospective Payment System Rate Update for CY 2026 here and here.