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How long has your organization provided Medicaid transportation?
 
0-2 years
 
3-5 years
 
5-10 years
 
10 years or more
 
 
 
On the average, how many Medicaid trips does your organization provide on a daily basis?
 
1-10
 
11-20
 
21-40
 
41-60
 
60 or more
 
 
 
On the average, what type of trips does your organization provide?
 
Singele Rider Trips
 
Group Trips
 
 
 
What is the average number of riders transported per each trip?
 
1
 
2-3
 
4-7
 
8 or more
 
 
 
What type of vehicles does your agency use?
 
Non-emergency ambulatory sedan/van
 
Non-emergency ambulance
 
Wheelchair accessible van
 
Cab
 
Other
 

 
 
 
How would you rate the communicaiton between your agency and the current Medicaid broker?
 
Very Good
 
Good
 
Satisfactory
 
Unsatisfactory
 
 
 
How would you rate the transition from the previous Medicaid transportation to the current broker?
 
Very Good
 
Good
 
Satisfactory
 
Unsatisfactory
 
 
 
If you think the transition to the current broker was not smooth, what could have been done differently to faclitate the transition? Please check all that apply.
 
Previous broker being more forthcoming in providing information
 
Current broker being better prepared to handle volume of clients/calls
 
Better communication between previous and current broker
 
Better communication from responsible State agencies
 
Better facilitation of responsible State agencies
 
Other
 

 
 
 
How often does the Medicaid broker pay your organization?
 
weekly
 
bi-weekly
 
monthy
 
quarterly
 
 
 
How satisfied are you with the current frequency of pay?
 
Very satisfied
 
Satisfied
 
Dissatisfied
 
 
 
Are there any mileage disputes between the current medicaid broker and your organization that are preventing payments for trips?
 
Yes
 
No
 
 
 
Have you experienced any billing issues with the current Medicaid broker, including timely payment?
 
Yes
 
No
 
 
 
If YES please explain.
   
 
 
 
Do you think that the FY09 subcontractor rates in Region 6 are reasonable for Type 02,04,07 and 08 recipients?
 
Yes
 
No
 
 
 
If NO please explain
   
 
 
 
Do you think that the FY09 flat rate is reasonable as compared to the FY08 mileage rate?
 
Yes
 
No
 
 
 
Please explain
   
 
 
 
What sources of funding does you agency use to support transportation of persons?
 
Medicaid
 
Workforce funds
 
Local government
 
United Way
 
Private pay
 
Other
 

 
 
 
One the average, how many trips per month does your organization decline to provide?
 
None
 
1-5
 
6-10
 
11 or more
 
 
 
Please list reasons for trip re-routes
 
Booked schedule
 
Distance
 
Limited Staff
 
Limited fleet of vehicles
 
Inoperable vehicles
 
Other
 

 
 
 
So you think that the Medicaid broker is grouping trips effectively when assisting recipients to your organization?
 
Yes
 
No
 
 
 
How satisfied are you with routing and scheduling of trips?
 
Very Satisfied
 
Satisfied
 
Dissatisfied
 
 
Do you think that the following factors adversely affect coordination effors in Region 6?
Yes No
Not enough information sharing amoung transportation providers
Information sharing between broker and providers
Information sharing between the KY Transportation Cabinet and providers
Not coordinating technologies
Different goals among transportation providers
 
 
 
Other (Please specify)
   
 
 
Do you consider any of the following issues to be bariers to coordinating services?
Yes No
Transit regulatory/legal/compliance issues (such as ADA, CDL, regulations)
Financial restrictions
Information/Technology barriers -ex. collectin gand storing confidential data
Limited control for coordination
Reaching consensus on various issues
Fear of losing service to current costomers
 
 
 
Additional Comments
   
 
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