Wisconsin Provider TPA Feedback Thank you for taking the time to complete this survey. Your responses will be kept anonymous and used solely to inform MAMES advocacy efforts. We will share updates as our meetings and advocacy progress. Questions? Contact the MAMES office at info@mames.com or 651-351-5395. Question Title * 1. Approximately how many patients do you currently serve through Molina Healthcare? Fewer than 10 10-50 51-100 More than 100 If more than 100, please give an approx. number of patients Question Title * 2. What percentage of your overall business does Molina represent? Less than 10% 10%-25% 26%-50% More than 50% If more than 50%, please provide us with a percentage. Question Title * 3. Based on what you know about TPA arrangements, how do you anticipate this change affecting your patients' access to equipment and services? (select all that apply) Delays in prior authorization approvals Increased denials Disruption to existing patient relationships Difficulty obtaining equipment for complex or high-need patients Patients may go without needed equipment Other (please specify) Question Title * 4. Do you have specific patient populations or equipment categories you believe will be most impacted by this change? Question Title * 5. In your own words, how do you anticipate this TPA arrangement affecting the patients you serve? Question Title * 6. How do you anticipate this change affecting your business operations? (select all that apply) Increased administrative burden Cash flow disruption Staffing challenges Contracting requirements with CareCentrix Claims processing changes Reimbursement rate concerns Cost of implementing new systems or workflows Other (please specify) Question Title * 7. In your own words, what is the greatest threat this TPA arrangement poses to your business? Question Title * 8. Do you have an existing relationship with any state or federal legislators or their offices? Yes No Question Title * 9. If yes, please identify the legislator(s) and the nature of the relationship (established, new relationship, worked with before on issues etc.) Question Title * 10. Have you already contacted your legislator(s) about the TPA issue? Yes No Please provide any additional information such as the outcome of that contact (meeting set up, visit to location, etc.) and any other necessary details! Question Title * 11. Is there anything else you would like MAMES to know or raise on your behalf in our meeting with Wisconsin Medicaid leadership or in our broader advocacy efforts on this issue? Done
