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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 November 1, 2020 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?
A: Form CMS-802 is a matrix used by providers.
Q: What is the purpose of Form CMS-802?
A: The purpose of Form CMS-802 is to track provider information.
Q: How is Form CMS-802 used?
A: Form CMS-802 is used to collect data from providers on a regular basis.
Q: Who needs to complete Form CMS-802?
A: Providers are responsible for completing Form CMS-802.
Q: What information is included in Form CMS-802?
A: Form CMS-802 includes provider details like name, address, and contact information.
Q: Is Form CMS-802 mandatory?
A: Yes, completing Form CMS-802 is mandatory for providers.
Q: How often is Form CMS-802 required to be submitted?
A: The frequency of Form CMS-802 submission varies and depends on CMS requirements.
Q: Are there any penalties for not completing Form CMS-802?
A: Failure to complete Form CMS-802 may result in penalties or non-compliance consequences.
Q: Is Form CMS-802 specific to the US and Canada?
A: Form CMS-802 is specific to the US and does not include Canada.
Form Details:
- Released on November 1, 2020;
- 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 printable 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
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