US · guidance

HOPE Discharge (DC) v1.02, Item A0500

Legal Name of Patient

activein force · 2025-10-01 – presentcompiled-edition

A0500. Legal Name of Patient

A. First name:

B. Middle initial:

C. Last name:

D. Suffix:

History

HOPE Discharge (DC) v1.02, effective October 1, 2025 (OMB control number 0938-1153).

Provenance

Source: cms.gov
Retrieved: 2026-09-17
Edition: hope-v1.02
Content hash: a6110b710f01a220bdce2d83b9e182d1e5ca749fccca1d6565ac5ecdc77f85b9

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