For Kids or adults with disabilities on Medicaid

23%

Hello:
This survey is to collect data on how well the states are complying with federal regulations regarding Medicaid services for our kids with disabilities.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time.

Summer Harrison
Children's Disability Rights Education Association
www.childrensdisabilityrights.org
[email protected]

Please tell us who you are.

I am the parent of an individual with disabilities currently receiving Medicaid.

I am the caregiver for an individual with disabilities receiving Medicaid.

I am an individual with disabilities who is currently receiving Medicaid.

Other

How old was the individual with disabilities when enrollment in Medicaid was completed?

birth to less than 3 years old

3 years old to eleven years old

12 years old to 18 years old

19 or 20 years old

older than 21

What state does the individual with disabilities live in?

In what year was the individual with disabilities born?