Introduction

***THIS MONITORING PHASE IS CLOSED. YOU DO NOT NEED TO COMPLETE THIS SURVEY AT THIS TIME. HOWEVER, SURVEY REQUESTS MAY BE SENT IN THE FUTURE. PLEASE CONTINUE TO MONITOR YOUR EMAIL FOR INSTRUCTIONS FROM ODH.***
Please gather the following information prior to starting the survey.
1) National Provider ID. Your NPI is a ten digit number and is not your Tax Identification Number. 
2) Department of Health License Number. Four numeric digits ending in N or R. 

Please use the back button in the survey and not the browsers back button or it will reset all responses. 

We have significantly redesigned the survey to minimize the impact on your staff. Thank you for your dedicated service. 

THIS IS A NEW LINK. Please use this one to complete the survey. This new link can be used each day. If questions arise about how to complete the survey please contact CovidPPESurvey@medicaid.ohio.gov. A Medicaid analyst working on behalf of the Department of Health will get back with you shortly.  Thank you. 

Question Title

* 2. Please Enter Your NPI (Enter N/A If Your Organization Does Not Have An NPI).

Question Title

* 3. Please Enter Your Department of Health License Number (For example: 1234N, 1234R. If none enter N/A).

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