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You Matter to Molina Suggestion Box
As a Molina partner, your feedback and perspective are important to us. Please take 2 minutes to share your suggestions with us.
1.
What actions should Molina Healthcare of Wisconsin START to best support you?
2.
What actions should Molina CONTINUE to best support you?
3.
What actions should Molina DISCONTINUE to best support you?
4.
Are you interested in joining a Provider Advisory Council?
Yes
No
5.
If you answered "Yes" to joining a regional Provider Advisory Council, please provide your name and contact information below:
Group / Organization Name
Your Name
TIN
Email Address
Phone Number
6.
If you would like Molina to follow up with you on the feedback provided on this survey, please provide your name, contact information, and TIN/NPI below:
Group / Organization Name
Your Name
TIN
Email Address
Phone Number
Additional Comments
