SAP | Statutory Authority | How it works | FAQ | Forms | Links

Subscriber Assistance Program Survey


If you have participated in our Program, please complete this form and let us know about your experience with the appeal process.

 


     
 

     
 

     
 

     
 

     
 

     
 
     
     
 

      Friend   Newspaper   Attorney   Health Care Practitioner
      Health Plan  Other
 

 
Yes
 
No
 

 
Yes
 
No
 

 
Yes
 
No
 

 
Yes
 
No
 

 
Yes
 
No
 

 
Yes
 
No
 

 
Yes
 
No
 
  



Reporting Medicaid Fraud