Mi Via Annual Participant Survey

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Greetings from Charles Clayton, Managing Director at Visions Case Management.

THANK YOU for choosing us to provide your Mi Via Consultant services!

In order to meet Department of Health requirements and ensure that we are doing the best possible job, we respectfully ask that you complete this survey. Your input is very important to us and will guide us as our Mi Via consulting program continues to grow. If we’re doing something right, then let us know! If you have ideas on how we could be even better, then let us know! If you feel we have fallen short of your expectations in any area, then let us know! Our goal is to learn from our successes as well as our mistakes so that we can provide high quality Mi Via consulting services to you and your family. If you have questions about this survey, please feel free to call me directly at (575) 779-7419. Thank you.

* NOTE: PLEASE CLICK "OTHER" TO TYPE ANY ADDITIONAL COMMENTS. When you are all done, please click on the purple SUBMIT button at the bottom of the survey.

Name of your Consultant (optional)

QUESTION 1. Does your Consultant provide consistent support by communicating with you and scheduling a monthly face-to-face meeting at a time and date that works for you?

Yes

N/A

Other:

QUESTION 2. Is your Consultant respectful of your time?

Yes

N/A

Other:

QUESTION 3. Does Your Consultant demonstrate good communication and understanding when you ask questions or show concerns?

Yes

N/A

Other:

QUESTION 4. Is your Consultant accessible and available to you to answer your questions and concerns about your Mi Via covered supports, Services, and Goods?

Yes

N/A

Other:

QUESTION 5. Is your consultant reliable i.e.: Keeps Appointments and Returns your Calls or E-Mails promptly?

Yes

N/A

Other:

QUESTION 6. Does your Consultant support you in monitoring the Quality and Effectiveness of your SSP and the Utilization of your SSP Budget?

Yes

N/A

Other:

QUESTION 7. Did your Consultant provide you with the Visions Community Resource Directory and help you access resources including Natural and Informal Supports? (Note: You should be able to find this in your enrollment binder or online)

Yes

N/A

Other:

QUESTION 8. Does your Consultant help you to Understand Participant and EOR Roles and Responsibilities and provide support as needed?

Yes

N/A

Other:

QUESTION 9. Did your Consultant help you in developing a thoughtful and Comprehensive SSP/Budget that met your needs AND submit SSP Budget requests and changes if needed?

Yes

N/A

Other:

QUESTION 10. Did your Consultant submit your Annual SSP Budget On Time to the TPA, i.e., 30 days before the Expiration Date?

Yes

N/A

Other:

QUESTION 11. If necessary, did your Consultant help you with Employer-related activities such as identifying an EOR, finding and hiring employees and contractors, and completing ALL documentation required by the FMA?

Yes

N/A

Other:

QUESTION 12. Did your Consultant make sure you have taken the online training on how to recognize and report “Critical Incidents” including abuse, neglect, and exploitation?

Yes

N/A

Other:

Question 13. Did your Consultant help you create and monitor the effectiveness of your 24-hour Emergency Back-Up Plan? Revise if necessary?

Yes

N/A

Other:

QUESTION 14. Overall, How satisfied are you with Visions Case Management and Consulting?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Other:

Clear selection

Additional Comments or Suggestions--what have we done well and what can we do to better support you?

Submit

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