PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-802
for the current year.
Form CMS-802 Matrix for Providers
What Is Form CMS-802?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on January 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-802 Matrix for Providers?A: Form CMS-802 Matrix for Providers is a form used by healthcare providers to report their staffing levels and patient census.
Q: Who is required to complete Form CMS-802 Matrix for Providers?A: Healthcare providers, such as hospitals and nursing homes, are required to complete Form CMS-802 Matrix.
Q: What information is included in Form CMS-802 Matrix for Providers?A: Form CMS-802 Matrix for Providers includes information on staffing levels, patient census, and other relevant data.
Q: Why is Form CMS-802 Matrix for Providers important?A: Form CMS-802 Matrix for Providers is important because it helps monitor staffing levels and ensure quality care for patients.
Form Details:
- Released on January 1, 2018;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-802 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-802 Matrix for Providers
1
2
