US · guidance
HOPE Update Visit (HUV) v1.02, Item A1400
Payer Information
A1400. Payer Information
↓ Check all existing payer sources that apply at the time of this assessment
A. Medicare (traditional fee-for-service)
B. Medicare (managed care/Part C/Medicare Advantage)
C. Medicaid (traditional fee-for-service)
D. Medicaid (managed care)
G. Other government (e.g., TRICARE, VA, etc.)
H. Private Insurance/Medigap
I. Private managed care
J. Self-pay
K. No payer source
X. Unknown
Y . Other
History
HOPE Update Visit (HUV) 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
471ff24a82feca8d28a80bdceb4b10fb1e9d76887acb4e2cfbd916bdd91eb8e2
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