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Provider Monitoring Process Feedback Survey
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1.
What type of monitoring review did you participate in?
(Required.)
Post Payment Review
Unlicensed Alternative Family Living (U-AFL) Review
Respite Review
Employer of Record Review
New Unlicensed Office Site Visit
2.
Was the notification and information provided during the monitoring process clear and easy to understand?
Very clear
Somewhat clear
Not at all clear
Open Comments
3.
How would you rate the Network staff’s professionalism during the monitoring process?
Not at all Professional
1 star
Somewhat Professional
2 stars
Very Professional
3 stars
Extremely Professional
4 stars
Open Comments
4.
What aspect(s) of the monitoring review process needs improvement? Select all the apply.
Communication
Instructions
Documentation Submission
Guidelines Document
No Improvement Needed
Other (please specify)
5.
Overall, how would you rate your experience with the monitoring process?
Very Negative
1 star
Somewhat Negative
2 stars
Neutral
3 stars
Somewhat Positive
4 stars
Very Positive
5 stars
Open Comments
