You Matter To Molina Suggestion Box

You Matter To Molina Suggestion Box

Molina Healthcare of Michigan, Inc. is committed to its Provider community. In an effort to maintain the highest levels of service, Molina Healthcare of Michigan, Inc., is interested in hearing your perspective and receiving feedback.

Please take a couple of minutes to fill out this survey.

Question Title

* 1. What actions should Molina Healthcare START to best support you?

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* 2. What actions should Molina Healthcare CONTINUE to best support you?

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* 3. What actions should Molina Healthcare STOP to best support you?

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* 4. Are you interested in joining a regional Provider Advisory Council?

Yes

No

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

Group Name

Your Name

TIN

Email Address

Phone Number

Fax Number

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* 6. Please provide your contact information if you would like a Molina Representative to reach out to you on the feedback provided.

Group Name

Your Name

TIN

Email Address

Phone Number

Fax Number

Thank you for taking the time to provide Molina Healthcare of Michigan, Inc., with your feedback. Please note you have the option of providing feedback anonymously, and the responses to the survey questions will remain confidential.