OASIS-E2 cheat sheet: all 10 item changes effective April 1, 2026

Updated October 19, 2026 · 4 min read · Source: CMS OASIS-E2 change table

OASIS-E2 replaced OASIS-E1 for assessments with a time point on or after April 1, 2026. The CMS change table lists ten changes. Most are small, but three change what field clinicians ask at the visit: the new transportation question (A1255), the sex item (A0810) that replaces gender (M0069), and hearing, vision and language items now collected at Resumption of Care.

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All ten OASIS-E2 changes at a glance

1. A1255 Transportation SOC, ROC
   New item, replaces A1250. Wording: “In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?” Responses: 0 Yes · 1 No · 7 Patient declines to respond · 8 Patient unable to respond. Dash allowed.
2. A1250 Transportation was SOC, ROC, DC
   Removed (replaced by the revised A1255 above). The old check-all-that-apply version is no longer collected.
3. B0200 Hearing SOC, ROC
   Now also collected at Resumption of Care. Response scale unchanged (0 Adequate … 3 Highly impaired).
4. B1000 Vision SOC, ROC
   Now also collected at Resumption of Care. Response scale unchanged (0 Adequate … 4 Severely impaired).
5. A1110 Language SOC, ROC
   Now also collected at Resumption of Care: preferred language and whether the patient needs or wants an interpreter.
6. M0069 Gender → A0810 Sex SOC
   M0069 removed; A0810 Sex added with the same two responses (1 Male · 2 Female). No change in the number of data elements.
7. O0350 COVID-19 vaccination was TRN, DAH, DC
   Item removed: “Patient’s COVID-19 vaccination is up to date” is no longer collected.
8. M0102 skip pattern SOC, ROC
   When a date is entered, the skip now goes to A1255 Transportation instead of A1250.
9. M1000 skip pattern ROC
   The “NA – not discharged from an inpatient facility” skip now goes to B0200 Hearing instead of B1300 Health Literacy.
10. J1900 Number of falls TRN, DAH, DC
    Response options B (injury, except major) and C (major injury) now read “As described in the OASIS manual”, to align with other post-acute care settings.

Time points: SOC – Start of Care, ROC – Resumption of Care, DC – Discharge, TRN – Transfer to an inpatient facility, DAH – Death at home.

What changes at the visit

• Transportation (SOC and ROC). Ask the new A1255 question. It has single answers plus “declines to respond” and “unable to respond”, unlike the old check-all-that-apply A1250.
• Sex (SOC). Record A0810 Sex instead of M0069 Gender. The response options are the same.
• Resumption of Care visits. Hearing, vision and preferred language are now part of ROC. CMS notes this information can be used for risk adjustment of quality measures and must be available at the start of the quality episode (SOC or ROC).
• Transfer, death at home and discharge. The COVID-19 vaccination item O0350 is gone, and J1900 injury categories now point to the definitions in the OASIS manual.

Checklist for forms and templates

• Replace the A1250 wording with A1255 on paper packets, EHR templates and pocket cards.
• Add hearing (B0200), vision (B1000) and language (A1110) questions to Resumption of Care templates.
• Use A0810 Sex instead of M0069 Gender at Start of Care.
• Remove O0350 from transfer, death-at-home and discharge templates.
• If you use paper forms, check the skip instructions after M0102 and M1000.
• Confirm with your EHR vendor that the E2 item set applies to assessments with a time point on or after April 1, 2026.

This sheet summarises the CMS change table. For coding questions, use the OASIS-E2 Guidance Manual and the CMS Q&As.