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Michigan Long-Term Support Services Forum
We Value Your Feedback
As a valued provider partner, your feedback is important. Please complete this survey to ensure we make the LTSS Forums as valuable to you as possible.
This survey will take approximately 5 minutes to complete. Thank you.
1.
Was the Forum helpful?
Yes
No
2.
Are there any topics you would be interested in learning more about?
3.
What is the Provider Network Department doing well?
4.
What could the Provider Network Department do better?
5.
Please list (if any) barriers you are experiencing?
6.
Do you have any recommendations on how we could improve this presentation?
7.
Would you like Molina to follow up with you on the feedback provided on this survey? If so, please provide contact information below:
Group Name
Your Name
TIN
Email Address
Phone Number
Fax Number
8.
Additional Comments
