Get Sunshine Health Implementation Survey - Region 7

Completing the Sunshine Health Implementation Survey for Region 7 is a straightforward process that helps ensure your agency is prepared for the Electronic Visit Verification (EVV) system. This guide provides step-by-step instructions to assist you in filling out the survey online.

Follow the steps to effectively complete your survey.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by inputting the date you complete the survey in the specified format (MM/DD/YYYY). Ensure this section is accurate, as it represents the time of your submission.
3. Fill in your name and title in the 'Completed by' section. This information helps identify the individual responsible for the submission.
4. Provide your phone number and email address to facilitate communication. It is essential to use a valid email address as you will receive important announcements related to the survey via this address.
5. In the Primary Provider Agency Information section, enter the name of your agency and relevant identification numbers. This includes the NPI Number, API Number, Medicaid Provider Number, and TIN Number. If applicable, separate multiple entries with commas.
6. Complete the Primary Provider Agency Contact Details with the appropriate contact information. This will ensure all EVV generated announcements reach the right person at your agency.
7. Proceed to the Secondary and Technical Provider Agency Information section. Fill out the details for the secondary contact and the technical contact for data or technical questions, including names, titles, and contact information.
8. Enter the total number of office locations from which your agency provides services, along with a list of locations by county.
9. In the Agency Staff and Member Information section, provide the estimated number of staff who will log into the system, the number of individuals receiving services, the total number of caregivers, and relevant language demographics.
10. Respond to the questions about your current use of Electronic Visit Verification, DMV for AHCA, and the use of an Electronic Health Records system. Be sure to provide details if applicable.
11. Select your training preference regarding the EVV system from the options provided.
12. Review all entered information for accuracy. Once confirmed, save your changes to the form. You may choose to download, print, or share the completed form as necessary.

Complete your Sunshine Health Implementation Survey online today to ensure your agency is prepared for the EVV system.