Alliance Provider Access Survey

Alliance Behavioral Healthcare is evaluating network service adequacy and availability through the following provider survey.  Please submit only one response per agency to the following questions.

Your responses are very important to help us understand the service needs in our community. The information that we receive through this process will inform our service planning and development efforts for the next year and will help us better serve adults, children, and families in our communities.

Although we are asking that you identify yourself and your agency in the survey, your identifying information will be used primarily to verify survey completion, and no personally identifiable information will be shared in the presentation of survey results.

Please complete the survey by Friday, July 26.

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* 1. Please provide your contact information (we will use this only to identify missing data and to contact you if we have questions about your responses)

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* 2. Please indicate the counties that you serve under contract with Alliance (select all that apply)

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* 3. Are you currently accepting new referrals for individuals with Medicaid for all services and counties served?

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* 4. Are you currently accepting new Non-Medicaid referrals (i.e., uninsured, state or county funded, IPRS) for all services and counties served?

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* 5. If you are not accepting new referrals for all services or counties served, what are the reasons that you are not accepting referrals? (check all that apply)

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* 6. Select any of the following that your agency provides to improve access to care. (select all that apply)

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* 7. How do you make services available to individuals who do not speak English?

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* 8. Do you provide any services that are tailored specifically to meet the needs of those whose primary language is Spanish?

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* 9. Please indicate whether your agency has specialized services for any of the specific populations listed below. Please select only those areas in which your organization has taken extra efforts to tailor services to identified population needs, and please provide specific details about how your services are designed to address these needs.

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* 10. What is your average in-office wait time for clients?

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* 11. For each of the following types of appointment requests, select the average wait time in days before new referrals can be seen for an intake assessment.

  Wait Time (Days)
Follow-up appointment after hospitalization
Referral from Alliance Call Center (Routine)
Referral from Alliance Call Center (Urgent)

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* 12. For each item below, how long does it take for new clients to be seen from the date of the intake assessment? (Select number of weeks/days, or 'N/A' if item does not apply to your agency)

  Weeks Days
First outpatient treatment appointment (weeks/days between intake assessment and first appointment)
Appointment with psychiatrist/prescriber when indicated (weeks/days between intake assessment and psychiatrist/prescriber appointment)
Enhanced services for MH or SUD (e.g., IIH, CST, SAIOP; weeks/days between intake and enhanced services initiation)
Services for IDD and/or Autism Spectrum Disorders (e.g., ABA) (weeks/days between intake assessment and initiation of services)

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* 13. Do you have any practitioners within your agency who can bill for the following insurance coverage options? (select all that apply)

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* 14. Has your agency ever used the Alliance slot scheduler?

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* 15. What are the most significant barriers to receiving timely and appropriate care?

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* 16. What suggestions do you have for improving access to care, addressing barriers to access or improving accessibility for specific populations.

Thanks for completing the survey! Please select 'DONE' to submit your feedback and exit the survey.

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