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A0500: Legal Name of Resident

Section A. Identification Information.
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Item Rationale

 

DEFINITION

LEGAL NAME

Resident’s name as it appears on the Medicare card. If the resident is not enrolled in the Medicare program, use the resident’s name as it appears on a Medicaid card or other government-issued document.
 

Allows identification of resident.

Also used for matching each of the resident’s records.

Steps for Assessment

Ask resident, family, significant other, and/or

guardian/legally authorized representative.

 

 

A0500: Legal Name of Resident (cont.)

Check the resident’s name on their Medicare card, or if not in the program, check a Medicaid card or other government-issued document.

Coding Instructions

 Use printed letters. Enter in the following order:                                                                               

First Name

Middle Initial (if the resident has no middle initial, leave Item A0500B blank; if the resident has two or more middle names, use the initial of the first middle name)

Last Name

Suffix (e.g., Jr./Sr.)

 

Page A-12 to A-13

Manual Version 1.18.11    October 2023

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October 2023
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