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  2. 2016
  3. June
  4. L
  5. LIS Leads Data
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Questions marked with a * are required Exit Survey
 
 
State
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
* How frequently are the LIS leads data received by the state Medicaid agency (or vendor)?
 
 
 
Who receives LIS data at state level? Is same person responsible for implementing MIPPA requirement? Comments/Suggestions:
   
 
 
 
Does the state Medicaid agency (or vendor) take action with LIS leads data when received?
 
Yes
 
No
 
Other
 

 
 
 
If action, what do they do?
   
 
 
 
If action, how frequent are the actions following the receipt of data?
   
 
 
 
How does the applicant learn the LIS leads data created an MSP app?
   
 
 
 
Please describe the process of letter (or other) communication sent directly from the state Medicaid agency (or vendor).
   
 
 
 
Does the applicant need to provide additional information or documentation to complete the MSP application?
 
Yes
 
No
 
Other