Aetna Better Health of Florida
Behavioral Health and Primary Care Provider Collaboration

Behavioral Health & Medical Care Continuity and Coordination of Care Survey

Aetna Better Heath would like to understand how well primary care and behavioral health providers communicate and coordinate care. Please complete a survey and share your feedback for each Behavioral Health Provider within the Practice. Information obtained from the survey allows Aetna Better Health to measure how well we are meeting the expectations and needs of our network providers and practitioners. 
1.Practitioner Group Name(Required.)
2.Practitioner Group TIN(Required.)
3.Practitioner Name (First & Last)(Required.)
4.Practitioner NPI(Required.)
5.Practitioner Specialty(Required.)
6.Phone Number(Required.)
7.Email Address(Required.)
8.How do you communicate with Primary Care Providers?
(Select all that apply)
(Required.)
9.How satisfied are you with the accuracy of the information received from Primary Care Providers in the health plan network?(Required.)
Well Below Average
Somewhat Below Average
Average
Somewhat Above Average
Well Above Average
N/A
10.Do Primary Care Providers communicate and exchange member health and treatment plan information sufficiently?(Required.)
Well Below Average
Somewhat Below Average
Average
Somewhat Above Average
Well Above Average
N/A
11.Do Primary Care Providers communicate and exchange member health and treatment plan information timely?(Required.)
Well Below Average
Somewhat Below Average
Average
Somewhat Above Average
Well Above Average
N/A
12.How satisfied are you with the clarity of the information received from Primary Care Providers in the health plan network?(Required.)
Well Below Average
Somewhat Below Average
Average
Somewhat Above Average
Well Above Average
N/A
13.How satisfied are you with the frequency of the information received from Primary Care Providers in the health plan network?(Required.)
Well Below Average
Somewhat Below Average
Average
Somewhat Above Average
Well Above Average
N/A