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Outpatient Insurance Participation Survey

Please note that this survey will display differently depending on the device you are using. 
2. State: (select all that apply for your practice) *This question is required.
4. Years of practice:
5.

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.
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. If so, is the wait time less than a month?
6. Does the practice in which you work in employ: (select all that apply)
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.
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.
  • * This question is required.
6. Why are you not participating in any commercial insurance networks? (select all that apply) *This question is required.
  • * This question is required.
6. Which is the primary reason you are not participating in any commercial insurance networks?
6. What would encourage you to join/rejoin a commercial insurance network? *This question is required.
6. Why do you accept commercial insurance? (select all that apply)
  • * This question is required.
6. Please mark the commercial insurance networks you have participated/are participating in:
Space Cell Five years agoNow
Aetna
Anthem
Blues plan in your state (other than Anthem)
Centene
Cigna
Humana
United/UBH
None
6. If you do not accept Medicaid, why not? (select all that apply) *This question is required.
  • * 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? 
6. Why do you accept Medicaid? (select all that apply) *This question is required.
  • * 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)
  • * This question is required.
6. What would encourage you to accept Medicare/Medicare Advantage? *This question is required.
6. Why do you accept Medicare/Medicare Advantage? (select all that apply) *This question is required.
  • * 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.
8. For future advocacy purposes, would you be willing to provide further information to APA staff? *This question is required.