Georgia Speech-Language-Hearing Association

Provider Survey

This survey is to be filled out by speech-language pathologists, occupational therapists or physical therapists that currently or recently have billed Medicaid for treatment services.  When you have completed the survey, click Submit.  Please complete the survey by 10/30/04.  Please refer questions about the survey to Jennifer McCullough at jmccullough@pediaspeech.com.

Do you provide services to children with Medicaid?

 

 Yes  No
Did the elimination of the travel fee affect your ability to provide services to children in the community?

 

 Yes  No
Do you provide services in the ..... Community/Home
Clinic
Both

 
Which of the following services do you provide? OT
PT
Speech

 
Do you provide OT, PT, or Speech services through the prior approval process?

 

 Yes  No
Have Medicaid changes affected your employment? Yes  No

 
What percentage of your billing is Medicaid?

 
Has the percentage of your Medicaid billing changed this year? Yes  No

 
What percentage of your Medicaid claims are denied or pended?

 
How has Medicaid affected your business cash flow?

 
Have you lost clients due to the changes in Medicaid? Yes  No

 
How will further Medicaid cuts affect your business?

 
Please indicate which area of the state you reside?

Copyright © 2004 Georgia Speech-Language-Hearing Association.  All rights reserved.