Provider Bulletin Survey

Molina Healthcare

Your feedback is important, and It Matters to Molina. As a valued provider partner, please complete and submit the survey below so we can continue to make the Molina Provider Bulletin a valuable resource to you. This survey will take approximately 5-7 minutes to complete. Thank you!

Question Title

* 1. Would you prefer to receive the Provider Bulletin via:

Fax

NOTE: Visit www.MolinaHealthcare.com/ProviderEmail to receive our Provider Bulletin by email.

Question Title

* 2. Please indicate how strongly you agree or disagree with the statements below:

	Disagree	Somewhat Disagree	Neutral	Somewhat Disagree	Agree
I am satisfied with the content of the Provider Bulletin articles	I am satisfied with the content of the Provider Bulletin articles Disagree	I am satisfied with the content of the Provider Bulletin articles Somewhat Disagree	I am satisfied with the content of the Provider Bulletin articles Neutral	I am satisfied with the content of the Provider Bulletin articles Somewhat Disagree	I am satisfied with the content of the Provider Bulletin articles Agree
I feel informed after reading the Provider Bulletin articles	I feel informed after reading the Provider Bulletin articles Disagree	I feel informed after reading the Provider Bulletin articles Somewhat Disagree	I feel informed after reading the Provider Bulletin articles Neutral	I feel informed after reading the Provider Bulletin articles Somewhat Disagree	I feel informed after reading the Provider Bulletin articles Agree
The Provider Bulletin articles are clear and easy to understand	The Provider Bulletin articles are clear and easy to understand Disagree	The Provider Bulletin articles are clear and easy to understand Somewhat Disagree	The Provider Bulletin articles are clear and easy to understand Neutral	The Provider Bulletin articles are clear and easy to understand Somewhat Disagree	The Provider Bulletin articles are clear and easy to understand Agree
I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website.	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website. Disagree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website. Somewhat Disagree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website. Neutral	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website. Somewhat Disagree	I was aware I could find back issues of the Provider Bulletin under the "Communications" tab on the Molina website. Agree

Question Title

* 3. What topics are the most helpful? Please rank the items below with 1 being the most helpful and 5 being the least helpful topic.

Question Title

* 4. Is there anything important Molina could add to the Provider Bulletin that is not currently included?

Question Title

* 5. When you read articles in the Provider Bulletin, how often do you:

	Never	Rarely	Sometimes	Often	Always
Read only the headlines to get a general idea of the topic and skip the article	Read only the headlines to get a general idea of the topic and skip the article Never	Read only the headlines to get a general idea of the topic and skip the article Rarely	Read only the headlines to get a general idea of the topic and skip the article Sometimes	Read only the headlines to get a general idea of the topic and skip the article Often	Read only the headlines to get a general idea of the topic and skip the article Always
Read the first sentence of each paragraph in the article to understand the idea of the article	Read the first sentence of each paragraph in the article to understand the idea of the article Never	Read the first sentence of each paragraph in the article to understand the idea of the article Rarely	Read the first sentence of each paragraph in the article to understand the idea of the article Sometimes	Read the first sentence of each paragraph in the article to understand the idea of the article Often	Read the first sentence of each paragraph in the article to understand the idea of the article Always
Skim the whole article to get a general idea of the topic	Skim the whole article to get a general idea of the topic Never	Skim the whole article to get a general idea of the topic Rarely	Skim the whole article to get a general idea of the topic Sometimes	Skim the whole article to get a general idea of the topic Often	Skim the whole article to get a general idea of the topic Always
Carefully read the entire article	Carefully read the entire article Never	Carefully read the entire article Rarely	Carefully read the entire article Sometimes	Carefully read the entire article Often	Carefully read the entire article Always

Question Title

* 6. Where do you receive your Molina updates (choose all that apply)?

Provider Bulletin

Provider Services Representative

Molina Provider Website

Provider Services Contact Center

Question Title

* 7. Which professional title best describes your role?

Office Manager

Physician

Nurse Practitioner

Physician Assistant

Billing Professional

Other (please specify)

Question Title

* 8. Do you pass the Provider Bulletin on to others in your organization?

Yes

Question Title

* 9. Do you use the quick-skip navigation tool in the Provider Bulletin?

Yes

Question Title

* 10. Are you interested in joining a regional Provider Advisory Council?

Yes

Question Title

* 11. If you answered "Yes" to joining a regional Provider Advisory Council, please provide your contact information below:

Group Name

Your Name

TIN

Email Address

Phone Number

Fax Number

Question Title

* 12. Please provide your contact information if you would like a Molina Representative to reach out to you on the feedback provided.

Group Name

Your Name

TIN

Email Address

Phone Number

Fax Number

Comment