Introduction

DDD is exploring the need to expand AZ Stay Connected Grant Program opportunity to DDD group homes. This program provides funding to invest in technology and resources to expand and enhance virtual visitations and family engagement with residents. While the current program is specifically for licensed skilled nursing facilities and Intermediate Care Facilities (ICF) information from your organization can assist in the potential development of a similar program for DDD group homes. Please assist with this process by completing the survey below if your organization provides HAB, HPD or HAN services. Your timely response is greatly appreciated, DDD requests that Qualified Vendors providing group home services complete the associated survey no later than close of business on Tuesday, July 14, 2020.

This survey is specific to Group Home Providers. Please be as accurate and detailed as possible to inform DDD decision making. There is an open-ended question at the end, in case there are issues the survey did not address. The goal of this survey is to better understand each vendor’s current situation and is not meant to be punitive.

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* 2. Please enter your AHCCCS ID

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* 3. Please enter your Employer ID

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* 4. Contact Information

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* 5. Do you provide group home services? Services include HAB, HPD, HAN.

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