Although management and evaluation of the care plan is not a new skilled nursing service under the home health benefit recent regulatory changes that require a physician narrative statement when M&E is ordered has brought more attention to this skilled service. Many providers are still unclear about what M&E is, and what it is not.
This publication describes the evolution of management and evaluation (M&E) of the care plan as a skilled nursing service in home health and provides clear guidance on how to implement this needed service along with helpful hints for documentation.