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Health Planning Surveys



The Survey System Will Be Down for Server Maintenance from 9:00 pm on December 1 to 2:00 am on December 2

The Division of Health Planning is now conducting
surveys using a web-based interface. Microsoft
Access databases will no longer be used to
administer surveys. Health care providers will be notified in writing regarding survey submission requirements and deadlines. Notification letters contain the provider's Unique Identification (UID) number and survey password.

To access the survey that you wish to complete, log in with the provider's Unique Identification (UID) number and password provided in the notification letter. Both the UID and password are required to access the web-based survey interface. If you did not receive a UID and/or password please contact the Division of Health Planning.

Survey instructions will be available for each survey. Please refer to the survey instructions for questions regarding the surveys. If you do not find an answer using these sources please contact the Division of Health Planning.

Financial Definitions and Federal Poverty Guidelines
Converting Patient Zip Code to County for Patient Origin Data
Blank Copies of Current Surveys
The following are links to blank PDF files of surveys that are currently available for completion, or scheduled to be available soon.

CY 2020 and SFY 2020 Surveys

Instructions for Current Surveys
The following are links to PDF files of instructions for surveys that are currently available for completion, or scheduled to be available soon.

CY 2020 and SFY 2020 Surveys
Technical Instructions
The PDF file link on each survey form opens the PDF in a pop-up window. If you can not load the PDF file you may need to turn off your pop-up blocker.