To ensure that The Arc Pikes Peak Region's advocacy efforts represent the needs and priorities of the community, we are gathering information regarding the impacts of proposed changes/cuts to Medicaid and the LTSS System. We understand and acknowledge that many of these proposed changes will have significant impacts; this survey will be used to understand which of the proposed changes will impact our community the most.

This survey will cover proposed changes at the state level, the federal level, as well as recommendations for cost-saving measures. The Arc Pikes Peak Region is conducting this survey independently from other agencies and will use the results to develop strategy founded in the priorities of our community.

In the Colorado specific page (questions 6 - 29), you will find additional information and links attached to HCPF documents related to the topic. If you have questions or need assistance completing the survey, please contact Christina Butero at christina@thearcppr.org or call 719-434-4121.

Please provide contact information if you are interested in sharing your impact story regarding the proposed changes. If you would like to remain anonymous, you do not have to provide any contact information. Please do not include protected health information.

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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Can we contact you?

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* 5. Who are YOU? Check all that apply

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