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Service Definitions Review

Please use this form to provide NABHO with feedback related to the draft provider manual. Our hope is that it will enable us to identify priority issues and shape the “asks” we take directly to DHHS. 

Please be aware that web browsers have a tendency to "time out" - if it takes you longer than 10 minutes to complete the form, your browser might "forget" what you have input when you hit "submit," and it will be lost for all time. 

We recommend that you prepare your narrative responses to the questions below in a separate Word document and copy and paste your statements into the online form only after you have drafted them completely and are ready to submit your concerns.

If you prefer to email us your concerns, please direct them to Anne (anne.hajek@nabho.org) using the form we sent out announcing the publication of this form.

First Name *
Last Name *

It will be helpful to NABHO as an organization to gain an overall understanding of the overarching concerns of our member agencies. Please select what you consider to be the most pressing issues and note them below.

If you can cite a precise portion of the draft provider manual, please do so by providing us with a brief citation and a short narrative explaining your concerns. You can provide page numbers, headings, or direct citations of text.

It is imperative that you share your concerns not just with NABHO but with State Senators, the Governor's office, and the Department of Health and Human Services.

Check the boxes below to indicate the agencies to whom you have already expressed your concern:

If you need contact information for the above, please let us know; Anne will be happy to send you email addresses as necessary (anne.hajek@nabho.org)!

Thanks to our Alliances Partners

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