OASIS · Section M
M0150 — Current Payment Sources for Home Care
Response options, how to score it, and the error that most often sends the record back. Cited to Ch. 3, Item M0150.
Response options
| Value | Meaning |
|---|---|
| 0 | None; no charge for current services |
| 1 | Medicare (traditional fee-for-service) |
| 2 | Medicare (HMO/managed care/Advantage plan) |
| 3 | Medicaid (traditional fee-for-service) |
| 4 | Medicaid (HMO/managed care) |
| 5 | Worker’s compensation |
| 6 | Title programs (for example, Title III, V, or XX) |
| 7 | Other government (for example, TriCare, VA) |
| 8 | Private insurance |
| 9 | Private HMO/managed care |
| 10 | Self-pay |
| 11 | Other (specify) |
| UK | Unknown |
How to score it
Check every payer the agency will actually bill for this episode — not just the primary payer — by reviewing referral information and insurance cards; exclude pending payment sources. If a combined Medicare/Medicaid managed care plan is billed, check both 2 and 4. Dash is not a valid response for this item.
The common error
Leaving a Medicaid home-and-community-based (HCBS) waiver patient uncoded or filed under “Other” (11). CMS guidance directs these patients to code 3 (Medicaid traditional fee-for-service), since the HCBS waiver still runs through the state's Medicaid program even though the card doesn't obviously read that way.
CMS Q&As on this item
- Q24 For M0150 - Current Payment Sources for Home Care, what should be the response if the clinician knows that a…
- Q27 A patient with traditional Medicare is referred for skilled services, and upon evaluation, is determined to…
- Q28 The patient's payer source changes from Medicare to Medicaid or private pay. The initial SOC/OASIS data…
- Q29.1 Do I mark response 1 - Medicare (traditional fee-for-service) if the patient’s payer is VA?
- Q29.4 It has come to our attention that we have been answering M0150 - Current Payment Source for Home Care…
- Q29.5 CMS Q&A Cat 4b Q24 says that "when a Medicare patient has a private insurance pay source, Medicare may be…
- Q29.6 CMS Q&A Cat. 4b Q24 states that if a patient is involved in an auto accident the M0150 - Current Payment…
Source: OASIS-E2 Guidance Manual — Ch. 3, Item M0150. Verified 2026-04-26.
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