Medicaid Waiver Survey for Community Stakeholders Question Title * 1. Name of the person completing this survey Question Title * 2. Tell me about the services you provide to individuals with disabilities. Social Activities Vocational Training Employment Case Management Post Secondary Education Other Question Title * 3. What are the UNMET needs of your clients/customers? Housing Assistance Specialized therapies (Speech, Occupational Therapy, Physical therapy, etc...._ Behavior Management Training Employment Services Vocational Training Services Medical Services Other Question Title * 4. How are you funded for the services you provide to individuals with disabilities? Private Pay Community Living Assistance & Support Services (CLASS) Texas Home Living (TxHml) Home Community Supports (HCS) Medically Dependent Children Program (MDCP) Texas Workforce Commission Vocational Rehabilitation Texas Workforce Solutions Employer Network Other Question Title * 5. What are the unmet needs of your clients that were not listed above? Question Title * 6. Are you willing to join us in contacting your state legislatures to request that additional funds are allocated to reducing the HCS wait list in Texas? Yes No Question Title * 7. What is your email address? Done