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Q3 2026 Member and Family Advisory Council Meeting Pre-Survey
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1.
Please fill in your contact information to secure your RSVP:
(Required.)
Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
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2.
How did you hear about the Member and Family Advisory Council Meeting?
(Required.)
Word Of Mouth
Website
Text Message
Call Center
Other (please specify)
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3.
How will you be attending?
(Required.)
Virtual
In Person
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4.
Do you need translation assistance and if so, what language do you need?
(Required.)
Yes
No
Preferred Language
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5.
Do you know how the Prior Authorization process works? Do you have any questions?
(Required.)
Yes
No
Questions
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6.
Have you heard about the new Work requirements to keep your Medicaid coverage? Do you have any questions?
(Required.)
Yes
No
Questions
