Medicaid Survey Question Title * 1. How long have you been a Medicaid provider of service? More than 10 years 5-10 Years 3-5 Years 1-2 Years Less than 1 Year OK Question Title * 2. Do you accept all Medicaid plans? Yes No OK Question Title * 3. Are you accepting new dual-eligible Medicare/Medicaid, and Medicaid-only patients? Yes No OK Question Title * 4. If no, what is the primary reason why? Poor Reimbursement Prior authorization requirements Credentialing Hassles Previous problem that was not resolved to your satisfaction Other (please specify) OK Question Title * 5. What percentage of your patients are covered by Medicaid, including MississippiCAN? > 75% 50 - 75% 25 - 50% 10 - 25% < 10% OK Question Title * 6. How do you currently receive information regarding program changes? Please select all that apply Web Portal E-mail Announcements Mail Reimttance Advice Fax Provider Representative Do NOT receive notifications OK Question Title * 7. How would you rate customer service/provider relations with the Division of Medicaid? Highly Satisfied Satisfied Neither Satisfied or Dissatisfied Dissatisfied Highly Dissatisfied OK Question Title * 8. How would you rate customer service/provider relations with Magnolia Health Plan? Highly Satisfied Satisfied Neither Satisfied or Dissatisfied Dissatisfied Highly Dissatisfied OK Question Title * 9. How would you rate customer service/provider relations with United Healthcare? Highly Satisfied Satisfied Neither Satisfied or Dissatisfied Dissatisfied Highly Dissatisfied OK Question Title * 10. On a scale of 1 to 5, rank your satisfaction with Medicaid. Rank each aspect individually with 1 being LEAST and 5 being MOST. 1 2 3 4 5 Reimbursement 1 2 3 4 5 Claims Processing 1 2 3 4 5 Eligibility Verification 1 2 3 4 5 Prior Authorization 1 2 3 4 5 Customer Service Response OK Question Title * 11. Any other comments or information you would like to share: OK DONE