Ohio Home Care Program

Post-Structural Review Provider Survey

We would like to know about your Structural Review! Please tell us by completing the survey below. You can remain anonymous by not disclosing your identity. If you would like to be contacted by someone from our offices regarding a specific issue, you may use the Ohiohcp Feedback form located on www.ohiohcp.org. Your comments will remain confidential even if you disclose your identity.

DIRECTIONS: It only takes about five (5) minutes to complete the survey. Please select the box that most closely reflects your experience during your most recent Review. PM = Provider Monitor / Reviewer, SR = face-to-face Structural Review