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* 1. Are you the parent/guardian of a child under the age of 18 who is receiving developmental disability services through Medicaid in the State of Idaho?

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* 2. Where in Idaho do you live?

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* 3. Did your child previously receive developmental disability services such as Intensive Behavioral Intervention (IBI) and/or Developmental Therapy?

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* 4. Did your child transition to the new developmental disabilities services?

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* 5. If your child did not transition to the new system, please tell us why not.

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* 6. If your child did transition to the new services, are they receiving all of the services in their new plan?

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* 7. Is your child on any sort of waiting list? If so, please explain.

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* 8. Did you choose to opt out of the new developmental disability services for your child? If yes, please explain.

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* 9. Is your child's budget providing the amount of services your child needs?

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* 10. Are you aware of the appeal process?

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* 11. Have you appealed your child's plan for additional services through the EPSDT (Early Periodic Screening, Diagnosis and Treatment) process?

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* 12. Would you like to be contacted for more information?

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* 13. If your child is currently accessing the new developmental disability services, how satisfied are you?

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* 14. Please share any additional comments below. Thank you for your feedback.

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