---
kind: "section"
citation: "42 C.F.R. § 456.80"
title: "42"
number: "456.80"
heading: "Individual written plan of care."
url: "https://uscodex.org/cfr/42/456.80"
---

# §456.80. Individual written plan of care.

- (a) Before admission to a hospital or before authorization for payment, a physician and other personnel involved in the care of the individual must establish a written plan of care for each applicant or beneficiary.
- (b) The plan of care must include—
  - (1) Diagnoses, symptoms, complaints, and complications indicating the need for admission;
  - (2) A description of the functional level of the individual;
  - (3) **Any orders for—**
    - (i) Medications;
    - (ii) Treatments;
    - (iii) Restorative and rehabilitative services;
    - (iv) Activities;
    - (v) Social services;
    - (vi) Diet;
  - (4) Plans for continuing care, as appropriate; and
  - (5) **Plans for discharge, as appropriate.**
- (c) Orders and activities must be developed in accordance with physician's instructions.
- (d) Orders and activities must be reviewed and revised as appropriate by all personnel involved in the care of an individual.
- (e) A physician and other personnel involved in the beneficiary's case must review each plan of care at least every 60 days.

## Notes

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.