Thank you for taking the time to complete this survey. Results will be used to inform and guide discussion at the Association Executives retreat. The survey should take 20-25 minutes to complete.

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* 1. Contact Information

Membership Characteristics

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* 2. How many of the following types of members are in your association?

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* 3. What is the total number of unduplicated individuals served by your members each year?

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* 4. Which of the following provider groups does your association represent? (check all that apply)

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* 5. If you selected "Managed care," when is your state’s MCO contract up for re-negotiation?

What is the term of the master contract with the state?

Is behavioral health a “carve-in” or “carve-out” in your MCO?

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* 6. Have the types of provider groups the association represents (as identified in question #4) changed over time?

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* 7. What proportion of your provider members are:

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* 8. Do any of your members have an IPA?

Membership Budgets & Revenue

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* 9. What percentage of your provider members' revenue comes from: (please ensure the total is 100%)

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* 10. How has this revenue distribution changed over the past year?

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* 11. Which of the following delivery or payment reform initiatives are your provider members participating in? (select all that apply)

Membership Dues

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* 12. How are your membership dues structured? (select all that apply)

Association Executive

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* 13. How many years have you been in your current role?

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* 14. What is your base annual salary?

Association Characteristics

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* 15. What is the association's IRS status? (check all that apply)

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* 16. Why was that/those IRS status(es) selected?

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* 17. Has the association undergone a recent merger?

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* 18. What is the total annual association budget?

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* 19. What is the total current number of individuals employed (FTEs) by your association?

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* 20. What proportion of the association's budget (revenue) comes from:  (please ensure the total is 100%)

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* 21. Since this time last year, your non-dues revenue as a percent of the budget:

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* 22. Do you have a fundraising plan?

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* 23. How many individuals serve on the association’s board of directors?

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* 24. Is there a provision in the bylaws for representation of a consumer on the board?

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* 25. Do your bylaws set term limits for board members?

Policy & Lobbying

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* 26. Do you anticipate that your state will make budget cuts that will impact your members?

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* 27. If state budgets are cut, do you believe you will need federal aid to make up for the deficit?

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* 28. What do you think would be most helpful if your members do get a budget cut:

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* 29. What are your top three policy objectives for the coming year?

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* 30. Do you think your state can absorb the anticipated increase in new Medicaid eligibles?

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* 31. Who at the association is the lead on policy work?

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* 32. How many staff support additional policy work?

Advocacy

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* 33. What proportion of your time is spent on federal policy work?

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* 34. What proportion of the association budget is spent on federal policy work?

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* 35. What proportion of your time is spent on state policy work?

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* 36. What proportion of your budget is spent on state policy work?

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* 37. Please indicate which policy/advocacy/lobbying services the association provides to your members (select all that apply):

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* 38. Do you use an external lobbying firm/contract lobbyist? If you use standard questions to interview potential lobbyists, please email them to: NealC@TheNationalCouncil.org

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* 39. Does the association have a PAC?

Communications & PR

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* 40. When you seek relevant information from the National Council (e.g., policy-related, webinars, trainings, resources), where do you typically go first?

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* 41. Which of the following best describes the amount of communication you would like to regularly receive from the National Council? (excluding special communications around things like provider relief information, which updates frequently)

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* 42. Which of the following best describes how often you utilize our Capitol Connector (CapCon) newsletter as a resource?

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* 43. Which of the following best describes how often you utilize our BHive newsletter as a resource?

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* 44. How often do you turn to the National Council’s social media channels for information?

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* 45. If you answered “frequently” or “sometimes” for question #44, which of the following reasons best describes why?

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* 46. If you answered “infrequently” or “almost never” for question #44, which of the following reasons best describes why?

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* 47. What communications product or service that the National Council currently does not provide would you find helpful?  Please describe.

Thank you for completing this survey. And thank you for being a part of the National Council!

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