Key contact information for each of your facilities

In preparation of the launch of MyCare Ohio, the MCO plans are asking for the following information to help establish relationships with the appropriate staff in facilities. Please complete this quick survey separately for each of your facilities, as information will be different for each. Once the surveys are completed, the information will be collected and shared with the plans. Thank you for your time and attention to this request!

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* 1. Facility name

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* 2. Facility address (street, city, state, ZIP)

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* 3. Key contact name for care management

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* 4. Key contact for care management phone number

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* 5. Key contact for care management email address

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