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0%
 
 
Type of provider
 
Dentist/Physician
 
Mental Health Provider
 
Dialysis Center
 
Adult Day Care
 
Other
 
 
 
 
Overall, how satisfied are you with the current Medicaid transportation provider transporting your clients/patients?
 
Very Satisfied
 
Satisfied
 
Dissatisfied
 
 
 
How would you rate the on-time performance of the current Medicaid transportation provider?
 
Excellent
 
Very Good
 
Good
 
Satisfactory
 
Unsatisfactory
 
 
Have you ever filed a complaint with the current Medicaid transportation broker because o fone or more of the following
Yes No
Provider no-show to pick up a client
Provider being consistently late picking up clients
Provider Service Quality
Driver Behavior
Other
 
 
 
If you answered Other to question 4 please specify
   
 
 
 
On the average, how many times per month do you have to call the Medicaid transportation broker/provider to check on the status of a ride?
 
1 time
 
2-3 times
 
4-5 times
 
More than 5 times
 
 
 
How would you rate the scheduling of trips for your clients/patients?
 
Very Good
 
Good
 
Satisfactory
 
Unsatisfactory
 
 
Do you consider the following to be inefficiencies in the Medicaid transportation service
Yes No
Vehicles and other resources not utilized to capacity
Duplicative service in some areas and little or no service in other areas
Lack of reliable informatino about available services and cost
The available transportation service not able to meet the existing need
Other
 
 
 
If answered Other, please explain
   
 
 
Do you think that efficiency can be improved through coordination of transportation that will ultimately lead to the following?
Yes No
Improved Service Quality - example: on-time performance, better trained drivers
Better accountability of cost and output
Additional funding for transportation providers through more funding sources
Increased mobility resulting in trips provided to customers at lower cost
 
 
 
What percentage of your patients access medical services through Medicaid transportation?
 
1-5%
 
6-10%
 
11-20%
 
21-30%
 
31-40%
 
41% or more
 
 
 
Additional Comments:
   
 
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