Use this document to connect an official requirement or behavior to observable evidence: Prioritize home-health patients when services are interrupted. Only the official source and traced locations below supply facts. Confirm applicability before acting.
\nThe official 42 CFR 484.102 – Emergency preparedness from Centers for Medicare & Medicaid Services via eCFR supports the following bounded statements:
\nKeep the evidence boundary at these traced claims. They support a review of essential functions, upstream providers, recovery sequences, alternate work paths, and tested recovery objectives; they do not support conclusions outside the source’s stated conditions.
\nHHA-specific federal condition of participation; patient acuity, geographic dispersion, caregiver support, transportation, communications, state law, and survey guidance require local prioritization. A correct source interpretation can still be inapplicable to a particular design. Confirm identity, DNS, communications, facilities, suppliers, and the people authorized to invoke recovery, ownership, and change authority instead of treating documented behavior as a deployment guarantee.
\nDSE recommends using the cited source as the evidence anchor for this decision. Anchor the review in the cited section and keep observation separate from interpretation. Record the source location, examined part of essential functions, upstream providers, recovery sequences, alternate work paths, and tested recovery objectives, observed and expected states, owner, and reason for deviation.
\nTranslate the conclusion into change control only after documenting dependencies, impact, test method, expected signals, failure signals, and restoration steps. Include identity, DNS, communications, facilities, suppliers, and the people authorized to invoke recovery, while excluding secrets and sensitive personal or topology data from ordinary tickets.
\nTie each conclusion back to 42 CFR 484.102(e)(5), read with 42 CFR 484.102(e) (eCFR anchor p-484.102(e)(5)); 42 CFR 484.102(d) (eCFR anchor p-484.102(d)) and to observable material such as business-impact records, dependency maps, exercise results, recovery timings, and open corrective actions. Preserve provenance and stable identifiers without copying secrets into the evidence set.
\nRetain the starting state, authorization, execution record, outcome, deviation, and final state as one review package. Move disruptive checks to an approved test path. Reopen the decision when versions, design, dependencies, ownership, or official guidance changes.
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