Provider Experience Survey

Question Title

* 1. Do you know how to reach your Molina Provider Service Manager?

Yes

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* 2. How responsive have we been to your questions or concerns?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not Applicable

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* 3. Did your Provider Service Manager provide clear information and fully resolve your issue?

Yes

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* 4. Rate your satisfaction level on the customer service you receive from:

	Never Satisfied	Rarely Satisfied	Neutral	Satisfied	Very Satisfied
Provider Service Manager	Provider Service Manager Never Satisfied	Provider Service Manager Rarely Satisfied	Provider Service Manager Neutral	Provider Service Manager Satisfied	Provider Service Manager Very Satisfied
Contact Call Center	Contact Call Center Never Satisfied	Contact Call Center Rarely Satisfied	Contact Call Center Neutral	Contact Call Center Satisfied	Contact Call Center Very Satisfied
The Molina Utilization Management Team	The Molina Utilization Management Team Never Satisfied	The Molina Utilization Management Team Rarely Satisfied	The Molina Utilization Management Team Neutral	The Molina Utilization Management Team Satisfied	The Molina Utilization Management Team Very Satisfied
Claims Team	Claims Team Never Satisfied	Claims Team Rarely Satisfied	Claims Team Neutral	Claims Team Satisfied	Claims Team Very Satisfied

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* 5. Where do you feel like Molina is exceeding your expectations?

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* 6. Where do you feel like Molina is not meeting your expectations?

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* 7. Molina offers training sessions for providers, if you have participated, please rate the following training sessions:

	Never Attended	Dissatisfied	Neutral	Satisfied
It Matters to Molina Provider Forum	It Matters to Molina Provider Forum Never Attended	It Matters to Molina Provider Forum Dissatisfied	It Matters to Molina Provider Forum Neutral	It Matters to Molina Provider Forum Satisfied
Other (please specify)
Availity Provider Portal Training	Availity Provider Portal Training Never Attended	Availity Provider Portal Training Dissatisfied	Availity Provider Portal Training Neutral	Availity Provider Portal Training Satisfied
Other (please specify)
Cultural Competency Training	Cultural Competency Training Never Attended	Cultural Competency Training Dissatisfied	Cultural Competency Training Neutral	Cultural Competency Training Satisfied
Other (please specify)
Provider Orientation Training	Provider Orientation Training Never Attended	Provider Orientation Training Dissatisfied	Provider Orientation Training Neutral	Provider Orientation Training Satisfied
Other (please specify)
Model of Care Training	Model of Care Training Never Attended	Model of Care Training Dissatisfied	Model of Care Training Neutral	Model of Care Training Satisfied
Other (please specify)

Question Title

* 8. Where do you receive your Molina updates?

Provider Bulletin

Provider Service Manager

Molina Provider Website

Fax Blast

Question Title

* 9. Molina offers Monthly Provider Bulletins and Special Provider Bulletins to our network providers. Based on these provider Bulletins, please indicate how strongly you agree or disagree with the statements below:

	Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Agree
I am satisfied with the content of the Provider Bulletin articles	I am satisfied with the content of the Provider Bulletin articles Disagree	I am satisfied with the content of the Provider Bulletin articles Somewhat Disagree	I am satisfied with the content of the Provider Bulletin articles Neutral	I am satisfied with the content of the Provider Bulletin articles Somewhat Agree	I am satisfied with the content of the Provider Bulletin articles Agree
I feel informed after reading the Provider Bulletin articles	I feel informed after reading the Provider Bulletin articles Disagree	I feel informed after reading the Provider Bulletin articles Somewhat Disagree	I feel informed after reading the Provider Bulletin articles Neutral	I feel informed after reading the Provider Bulletin articles Somewhat Agree	I feel informed after reading the Provider Bulletin articles Agree
The Provider Bulletin articles easy to understand	The Provider Bulletin articles easy to understand Disagree	The Provider Bulletin articles easy to understand Somewhat Disagree	The Provider Bulletin articles easy to understand Neutral	The Provider Bulletin articles easy to understand Somewhat Agree	The Provider Bulletin articles easy to understand Agree
I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website Disagree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website Somewhat Disagree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website Neutral	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website Somewhat Agree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website Agree
I do not read the Provider Bulletin	I do not read the Provider Bulletin Disagree	I do not read the Provider Bulletin Somewhat Disagree	I do not read the Provider Bulletin Neutral	I do not read the Provider Bulletin Somewhat Agree	I do not read the Provider Bulletin Agree

Question Title

* 10. Are you interested in learning more about our Quality Improvement Programs?

Yes

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* 11. If answering "Yes," Please leave your email address below or reach out the Provider Service Manager at MFLProviderNetworkManagement@Molinahealthcare.com

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* 12. Are you currently participating in a "Provider Engagement Meeting"?

Yes

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* 13. Is answering "no," and you would like to participate in the Provider Engagement Meetings, please add your email address below, or reach out to your Provider Service Manager at MFLProviderNetworkManagement@molinahealthcare.com

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* 14. Are you interested in joint a Provider Advisory Committee Council?

Yes

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* 15. If you answered "Yes." to joining a Provider Advisory Council, please provide your contact information below:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Provider Experience Survey

Molina Healthcare

Question Title

* 1. Do you know how to reach your Molina Provider Service Manager?

Question Title

* 2. How responsive have we been to your questions or concerns?

Question Title

* 3. Did your Provider Service Manager provide clear information and fully resolve your issue?

Question Title

* 4. Rate your satisfaction level on the customer service you receive from:

Question Title

* 5. Where do you feel like Molina is exceeding your expectations?

Question Title

* 6. Where do you feel like Molina is not meeting your expectations?

Question Title

* 7. Molina offers training sessions for providers, if you have participated, please rate the following training sessions:

Question Title

* 8. Where do you receive your Molina updates?

Question Title

* 9. Molina offers Monthly Provider Bulletins and Special Provider Bulletins to our network providers. Based on these provider Bulletins, please indicate how strongly you agree or disagree with the statements below:

Question Title

* 10. Are you interested in learning more about our Quality Improvement Programs?

Question Title

* 11. If answering "Yes," Please leave your email address below or reach out the Provider Service Manager at MFLProviderNetworkManagement@Molinahealthcare.com

Question Title

* 12. Are you currently participating in a "Provider Engagement Meeting"?

Question Title

* 13. Is answering "no," and you would like to participate in the Provider Engagement Meetings, please add your email address below, or reach out to your Provider Service Manager at MFLProviderNetworkManagement@molinahealthcare.com

Question Title

* 14. Are you interested in joint a Provider Advisory Committee Council?

Question Title

* 15. If you answered "Yes." to joining a Provider Advisory Council, please provide your contact information below: