Cook Children’s Health Plan Provider Prior Authorization Survey 2022

We value your care for our Members. We want to make the process as seamless and understandable as possible. We know dealing with all Medicaid and CHIP patients and coverage can be cumbersome. Cook Children's Health Plan would like to make it less so. Please complete this survey to help us maintain a beneficial mutual relationship with both you and your patients.

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* 1. Please provide your contact information. Cook Children's Health Plan may contact you for additional information or to provide support.

Name

Company

Email Address

Phone Number

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* 2. What type of care do you provide?

Physical, Speech, and Occupational Therapy

OB/GYN

Primary Care Physician

Private Duty Nursing/Skilled Nursing Visits

Behavioral Health Services

Durable Medical Equipment/Medical Supplies

Other (please specify)

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* 3. I have searched in the Cook Children’s Health Plan’s website when needing help caring for Members.

Yes

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* 4. If "no", what might have prevented you from accessing?

I was not aware of it

I do not have time

Besides having Medicaid, I am rarely aware of the Member's specific plan in my workflow

Other (please specify)

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* 5. I am able to locate which services require prior authorization on Cook Children's Health Plan website.

Yes

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* 6. I am able to locate network providers for appropriate Member referral. (ie, 16 year old requires referral to a Bariatric Surgeon)

Yes

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* 7. I refer to out of network providers despite there being network providers available.

Yes

Other (please specify)

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* 8. If you answered yes to the above question, please explain the rationale for out of network referrals.

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* 9. Please list any specialty provider types for which you feel are needed within the Cook Children's Health Plan network.

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* 10. I am able to locate contact information for contacting Cook Children's Health Plan for authorization assistance on the website.

Yes

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* 11. I am able to locate criteria sources used for determining medical necessity on Cook Children's Health Plan website.

Yes

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* 12. The services for which prior authorization is required is reasonable.

Yes

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* 13. If you answered "NO" for question 12, please list which services that you feel should not require prior authorization and supporting reasons.

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* 14. I am able to locate monthly Prior Authorization updates/changes.

Yes

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* 15. Do you utilize the secure provider portal to submit prior authorization requests?

Yes

I am a CCHCS provider and I utilize Epic Hyperspace.

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* 16. Are you able to check the status of your request via the secure provider portal?

Yes

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* 17. I am able to submit additional information to a pending referral via Epic Care Link.

Yes

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* 18. What recommendations would make the secure provider portal more user friendly when submitting prior authorization requests?

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* 19. Please comment on what part of the prior authorization process is working well for you.

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* 20. Please list any provider training types from which you feel your practice would benefit.

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* 21. Please list any other feedback that you would like to provide to Cook Children's Health Plan to improve its prior authorization process.

Thank you for your time and feedback. We plan on sending this out to our network on an annual basis. We appreciate your participation in Cook Children's Health Plan's Network.

Kimberly Aaron, MD &Catherine Nicholas, MD & Gary Strong, MD
Medical Directors, CCHP