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Outpatient Insurance Participation Survey

Please note that this survey will display differently depending on the device you are using.

1. Name (first and last): *This question is required.

2. State: (select all that apply for your practice) *This question is required.

3. APA Member ID:

4. Years of practice:

What percentage of your care is provided in an outpatient setting?

*This question is required.

6. Indicate venues in which you provide clinical care: (select all that apply) *This question is required.

Solo Private Practice (i.e., you are the only clinician)
Group Practice
Community Mental Health Center
Integrated Care/Primary Care
Dept. of Social Services
Clinic in a private hospital
Clinic in a freestanding facility
Clinic in a public hospital
Setting (e.g., correctional facility, assertive community treatment, school system)

Recognizing you may work in more than one setting, please provide your experience as a whole, rather than by setting.

6. For patients you are treating in the outpatient setting, should they be hospitalized, do you also treat them during their hospitalization?

6. Are you accepting new patients? *This question is required.

6. Why are you not accepting new patients?

6. If so, is the wait time less than a month?

6. Does the practice in which you work in employ: (select all that apply)

Clerical/administrative staff
Clinical staff who cannot independently bill for their time (i.e. RN, care manager, LPN, medical assistant)
Independent clinicians (i.e. psychologist, social worker)
None of the above

6. What percentage of your patient appointments are: (each drop-down menu will require a selection)

If you are using a mobile device, answer options will appear above each category. *This question is required.

	Self pay
	Commercial insurance (in network with a carrier - i.e. BCBS, CIGNA, AETNA, etc)
	Medicaid
	Medicare/Medicare Advantage
	Other

6. Please define the "other" type of patient appointment type listed in the previous question:

6. If your practice is entirely self pay, have you accepted any of the following insurance plans in the last five (5) years? (select all that apply) *This question is required.

Commercial insurance
Medicaid
Medicare
Medicare Advantage
None
Other Please enter an 'other' value for this selection. * This question is required.

6. Why are you not participating in any commercial insurance networks? (select all that apply) *This question is required.

Reimbursement rates
Administrative burden in paperwork requirements (i.e. prior authorization, utilization reviews, additional documentation requirements)
Administrative burden in credentialing
Ability to practice as desired (i.e. 60 minute psychotherapy session, session limits)
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. Which is the primary reason you are not participating in any commercial insurance networks?

Please enter an 'other' value for this selection.

6. What would encourage you to join/rejoin a commercial insurance network? *This question is required.

Please enter an 'other' value for this selection.

6. Why do you accept commercial insurance? (select all that apply)

Moral obligation
Facility/hospital makes the decision
Build practice/establish client base
Joined to maintain/continue care for one or more clients
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. Please mark the commercial insurance networks you have participated/are participating in:

Space Cell	Five years ago	Now
Aetna	Aetna: Five years ago	Aetna: Now
Anthem	Anthem : Five years ago	Anthem : Now
Blues plan in your state (other than Anthem)	Blues plan in your state (other than Anthem) : Five years ago	Blues plan in your state (other than Anthem) : Now
Centene	Centene : Five years ago	Centene : Now
Cigna	Cigna: Five years ago	Cigna: Now
Humana	Humana: Five years ago	Humana: Now
United/UBH	United/UBH : Five years ago	United/UBH : Now
None	None: Five years ago	None: Now
Enter another option	Other: Five years ago	Other: Now

6. If you do not accept Medicaid, why not? (select all that apply) *This question is required.

Reimbursement rates
Administrative burden
Ability to practice as desired (i.e. limits on initial evaluations; limits on length/number of sessions)
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. If you do not accept Medicaid, would you accept it if it paid Medicare rates? *This question is required.

6. What would encourage you to accept Medicaid?

Please enter an 'other' value for this selection.

6. Why do you accept Medicaid? (select all that apply) *This question is required.

Moral obligation
Facility/hospital makes the decision
Build practice/establish client base
Joined to maintain/continue care for one or more clients
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. In the last year, have you had Medicaid claims denied for medical necessity?

6. What percentage of your claims have been denied? *This question is required.

6. If you do not accept Medicare/Medicare Advantage, why not? (select all that apply)

Reimbursement rates
Administrative burden
Ability to practice as desired (i.e. limits on initial evaluations; limits on length/number of sessions)
Technology requirements for notes and billing
Inability to bill no-shows
Audits/concerns about audits
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. What would encourage you to accept Medicare/Medicare Advantage? *This question is required.

Please enter an 'other' value for this selection.

6. Why do you accept Medicare/Medicare Advantage? (select all that apply) *This question is required.

Moral obligation
Facility/hospital makes the decision
Build practice/establish patient base
Joined to maintain/continue care for one patient
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

6. With regard to behavioral healthcare financing and administrative burdens, where do you think APA should focus our efforts? (select top 3) *This question is required.

Aligning administrative tasks regardless of payer type
Increasing commercial insurance reimbursement rates
Decreasing commercial insurance administrative requirements
Increasing Medicare reimbursement rates
Decreasing Medicare administrative requirements
Increasing Medicaid reimbursement rates in my state
Decreasing/streamlining Medicaid administrative tasks in my state

7. We are collecting information to inform our legislative, regulatory, and payer advocacy efforts. What one message would you like to share with us?

8. For future advocacy purposes, would you be willing to provide further information to APA staff? *This question is required.