January 9 2026
OASIS Answers
Categories: HHQRP

New Resources Available for Falls with Major Injury Quality Measure

by Kerry Termine, DPT, HCS-D, CHS-C, COS-C

In the CY 2026 Home Health (HH) Prospective Payment System (PPS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) announced plans to respecify the Falls with Major Injury (FMI) measure. The new version of the measure incorporates claims data, encounter data and OASIS data to produce a more robust and complete data set, resulting in a more accurate measure that includes more providers. In conjunction with this update, CMS has released updated documents.

CMS has provided home health agencies (HHAs) with:

Updated Technical Specifications for the respecified Falls with Major Injury Measure
Home Health J1800 and J1900 Errata for the OASIS Guidance Manual
3 New October 2025 CMS Quarterly OASIS Q&As specific to J1800 and J1900 coding guidance

The technical specifications summarize the incorporation of claims data into measure calculation. The J1800 and J1900 errata includes updated definitions that expand on the definition of “falls” and “major injury” for OASIS data collection. The CMS Quarterly OASIS Q&As clarify the guidance updates for J1800 and J1900 and indicates that the updated guidance for OASIS coding is effective January 1, 2026.

For more information on work CMS has been doing to re-specify the FMI measure please check out OASIS Answers 2-part blog series related to these anticipated changes.

To learn more about the October 2025 OASIS Quarterly Q&As or OAI’s upcoming January 2026 Quarterly OASIS Update check out the OASIS Answers Quarterly OASIS Update webinars.

Questions related to OASIS coding and documentation of the OASIS responses can be sent to the Home Health Quality Help Desk: homehealthqualityquestions@cms.hhs.gov.