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 October 1, 2022 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 gather information about providers.
Q: Who uses Form CMS-802?
A: Providers use Form CMS-802.
Q: What information is collected on Form CMS-802?
A: Form CMS-802 collects information such as provider details and services offered.
Q: How often is Form CMS-802 to be filled out?
A: Form CMS-802 needs to be filled out on a regular basis.
Form Details:
- Released on October 1, 2022;
- 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
1
2
