2024 Elevating the Medicaid Enrollment Experience Survey (English)

We are interested in hearing about your experience with applying for or renewing Medicaid!

Take this survey and share your Medicaid renewal experiences to help inform improvements to the Medicaid enrollment system!
If you:
(1) were born in a country other than the United States and,
(2) you submitted a Medicaid application or renewal, whether you were accepted or denied, we want to hear your experiences!

At the end of the survey, you will have an opportunity to provide your information to participate in a follow up virtual interview. If you take the time to participate in an interview, you will be compensated for your time with a $50 e-gift card.

If you have any questions while completing the survey, please contact Cyierra Roldan at 518-344-9868 or roldan@immresearch.org
1.Have you ever submitted a Medicaid application or renewal?(Required.)
2.Were you born in a country other than the United States?(Required.)
3.If you got a notice in the mail informing you that you needed to renew your Medicaid, did you understand it?(Required.)
4.Did anyone help you renew your Medicaid? (Check all that apply)(Required.)
5.Do you think that the Medicaid application was easy or hard to complete?(Required.)
6.In just a few sentences share why you felt that way.(Required.)
7.Were you able to access the forms in a language you can comfortably read and write?(Required.)
8.If you needed an interpreter when interacting with Medicaid staff, did they offer one?(Required.)
9.Did you ever feel like you were treated unfairly by Medicaid staff because of being an immigrant, your race or gender, etc.?(Required.)
10.If you ever felt like you were treated unfairly by Medicaid staff, can you tell us why?
11.How long did it take to get your notice informing you if your renewal was accepted or denied? 
12.If you needed to speak with someone on the phone or in person from the Medicaid office, how long did you have to wait before you could speak with them?
13.What was the hardest part about the renewal process? What challenges did you encounter?(Required.)
14.If you could change one thing about the renewal/redetermination process to make it easier for others, what would you change?(Required.)
15.Thank you for completing the survey.

Would you be willing to share more information about your Medicaid Enrollment experience with us and participate in a confidential virtual or phone interview? (We will be compensating all interview participants with a $50 e-VISA giftcard.)
16.If yes, please provide your name, phone number and email address and we will follow up with you to schedule a time to talk. All interviews will remain confidential. (Your information will be kept confidential and will only be used to send you a e-giftcard and to schedule an interview).
17.What is your immigration status?
18.What is your race?(Required.)
19.What state do you live in?(Required.)