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Adult Care Management, Inc.

Providing Care Choices for Children, Adults, & the Elderly
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The Department is conducting a voluntary survey for individuals receiving home-and-community-based services, as well as their family members and advocates, to provide input on the settings where they live and/or receive such services. The Department will keep the IFA Survey open for individuals and their families/advocates to take as often as they like, through at least the end of the transition period. 


ONLINE SURVEYS in ENGLISH, SPANISH, & RUSSIAN
Complete and submit using your computer or electronic device
Completar y enviar utilizando su computadora o dispositivo electrónico
Заполните и отправьте с помощью своего компьютера или электронного устройства

In ENGLISH
In SPANISH (Espanol) 
In RUSSIAN (Pусский)



PAPER SURVEYS to PRINT & MAIL
(For Mail or Fax Info See Bottom of Page)
Complete and submit using paper and US Mail - see instructions below for sending
Complete y envíe utilizando papel y correo de los Estados Unidos - vea las instrucciones a continuación para enviar
Заполните и отправьте с помощью бумаги и почты США - см. Инструкции ниже для отправки


IN ENGLISH

IN SPANISH (Espanol)
  • For INDIVIDUALS (encuesta para personas que reciben servicios)
  • For FAMILY & FRIENDS(encuesta para familiares y amigos de personas que reciben servicios)
  • For ADVOCATES (encuesta para abogados que representan a personas que reciben servicios)

IN RUSSIAN (Pусский)
  • For INDIVIDUALS (Опрос для представителей лиц, получающих услуги по программе Medicaid)
  • For FAMILY & FRIENDS (Опрос для представителей лиц, получающих услsуги по программe                                                            
    Medicaid)
  • For ADVOCATES (Опрос для представителей лиц, получающих услуги по программе Medicaid)


To request a hard copy of the survey be mailed to you, and/or to submit a completed hard-copy survey, contact:

Email: Lori.Thompson@state.co.us or Sarah.Hoerle@state.co.us


Mail/In Person: Health Care Policy & Financing

                           Attention: Statewide Transition Plan Team

                          1570 Grant Street, Denver, CO 80203

                    
Fax: 303-866-3991, Attention: Statewide Transition Plan Team


Phone: Lori Thompson, 303-866-5142 or Sarah Hoerle, 303-866-6113