Exit this survey >> 1. General Information Question Title 1. What type of Provider are you? (Check all that apply) Solo/individual Group/organization Licensed professional Certified Professional Non-traditional provider Question Title 2. Please indicate which network/target population(s) you serve. Check all that apply. Behavioral Health Services & Supports (BHS) Child and Family Services (CFS) Children’s Partnership (CP) Crisis Services Division (CSD) Early Childhood Intervention (ECI) Intellectual & Development Disabilities (IDD) Substance Abuse Managed Service Organization (SAMSO) Youth and Family Assessment Center (YAFAC) Uncertain Question Title 3. How long have you been a Provider with the ATCIC Provider Network? Less than one year One to three years Four to six years Seven to nine years Ten or more years Question Title 4. When you applied to become a Network Provider, did the Contract Coordinator/Manager answer your questions in an accurate, courteous and timely manner? Always Usually Sometimes Never Question Title 5. Did the Contract Coordinator/Manager contact you regarding an incomplete application? Yes No Next >>
