Introduction

This survey has two major sections, information from licensed developmental home providers and Qualified Vendors. Please reach out to your licensed developmental home providers and ask for this information and summarize it in your survey submission. Due to the request for information from the licensed developmental home providers, we’re providing extra time to complete the survey please respond by November 15, 2020. 

We understand that you've provided answers to many of these questions in prior survey rounds. To ensure we can trend information reliably over time by survey we need the answers repeatedly so we appreciate you providing them again. Please save your answers so you can reuse them in additional surveys.

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* 2. Contact Information

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* 3. Please enter your AHCCCS ID:

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* 4. Please enter you Employer ID:

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* 5. Do you provide Child and Adult Developmental services?

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