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cms_high_impact_human_final_decision

ai-risk-management conformance pure_temporal ai-governancecmsfederalhealthcareuse-case-governancerag-red

For high-impact cases, AI provides advice/recommendations only; the final decision is made by qualified staff with documented oversight.

Formula

G(high_impact_decision → human_final_decision ∧ documented_oversight)

Why it matters

CMS BR-AI-5: do not rely on AI for final decisions for high-impact cases; AI advises, qualified staff decide with documented oversight.

Examples

passes the CMS AI rule's evidence is present

fails the required control is absent

Use it

ponens policies add cms_high_impact_human_final_decision --into ./trace.json
ponens trace check ./trace.json