1. Are you with (Pick one):
| SHIP | 27.88% |
|
29 |
| SMP | 43.27% |
|
45 |
| Both SHIP and SMP | 28.85% |
|
30 |
| Total Responses | 104 | ||
| Skipped | 0 | ||
2. I work with the State of:
| Alabama | 3.85% |
|
4 |
| Alaska | 0.96% |
|
1 |
| Arizona | 4.81% |
|
5 |
| Arkansas | 1.92% |
|
2 |
| California | 2.88% |
|
3 |
| Colorado | 0.00% |
|
0 |
| Connecticut | 3.85% |
|
4 |
| Delaware | 0.00% |
|
0 |
| Florida | 4.81% |
|
5 |
| Georgia | 1.92% |
|
2 |
| Hawaii | 2.88% |
|
3 |
| Idaho | 4.81% |
|
5 |
| Illinois | 1.92% |
|
2 |
| Indiana | 0.96% |
|
1 |
| Iowa | 0.96% |
|
1 |
| Kansas | 0.00% |
|
0 |
| Kentucky | 2.88% |
|
3 |
| Louisiana | 1.92% |
|
2 |
| Maine | 0.96% |
|
1 |
| Maryland | 8.65% |
|
9 |
| Massachusetts | 0.96% |
|
1 |
| Michigan | 0.96% |
|
1 |
| Minnesota | 0.00% |
|
0 |
| Mississippi | 1.92% |
|
2 |
| Missouri | 1.92% |
|
2 |
| Montana | 0.00% |
|
0 |
| Nebraska | 0.96% |
|
1 |
| Nevada | 5.77% |
|
6 |
| New Hampshire | 0.00% |
|
0 |
| New Jersey | 3.85% |
|
4 |
| New Mexico | 0.96% |
|
1 |
| New York | 1.92% |
|
2 |
| North Carolina | 0.00% |
|
0 |
| North Dakota | 2.88% |
|
3 |
| Ohio | 1.92% |
|
2 |
| Oklahoma | 0.96% |
|
1 |
| Oregon | 0.96% |
|
1 |
| Pennsylvania | 1.92% |
|
2 |
| Rhode Island | 1.92% |
|
2 |
| South Carolina | 0.00% |
|
0 |
| South Dakota | 0.96% |
|
1 |
| Tennessee | 2.88% |
|
3 |
| Texas | 1.92% |
|
2 |
| Utah | 0.96% |
|
1 |
| Vermont | 1.92% |
|
2 |
| Virginia | 0.96% |
|
1 |
| Washington | 0.96% |
|
1 |
| Washington, D.C. | 0.00% |
|
0 |
| West Virginia | 0.96% |
|
1 |
| Wisconsin | 2.88% |
|
3 |
| Wyoming | 0.96% |
|
1 |
| Other (Please Specify) | 3.85% |
|
4 |
| Total Responses | 104 | ||
| Skipped | 0 | ||
3. My office is a (Pick one):
| Local Office | 34.62% |
|
36 |
| State Office | 65.38% |
|
68 |
| Total Responses | 104 | ||
| Skipped | 0 | ||
4. I am a (Pick the one that best applies):
| Director | 47.12% |
|
49 |
| Site Coordinator | 19.23% |
|
20 |
| Counselor | 4.81% |
|
5 |
| Other (Please Specify) | 28.85% |
|
30 |
| Total Responses | 104 | ||
| Skipped | 0 | ||
5. On a scale of 1 to 5, with 1 being "not at all" and 5 being "completely," how confident are SHIP/SMP personnel that they have the resources to assist people with the following types of disabilities:
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| Visual |
6
5.77%
|
23
22.12%
|
29
27.88%
|
31
29.81%
|
15
14.42%
|
104
|
| Hearing |
11
10.58%
|
19
18.27%
|
34
32.69%
|
25
24.04%
|
15
14.42%
|
104
|
| Speech |
9
8.65%
|
15
14.42%
|
40
38.46%
|
27
25.96%
|
13
12.50%
|
104
|
| Ambulatory (physical challenges) |
5
4.81%
|
5
4.81%
|
28
26.92%
|
35
33.65%
|
31
29.81%
|
104
|
| Cognitive (including memory challenges) |
10
9.62%
|
13
12.50%
|
45
43.27%
|
25
24.04%
|
11
10.58%
|
104
|
| Behavioral (including mental health challenges) |
16
15.38%
|
15
14.42%
|
40
38.46%
|
26
25.00%
|
7
6.73%
|
104
|
| Developmental (including learning challenges) |
11
10.58%
|
20
19.23%
|
43
41.35%
|
21
20.19%
|
9
8.65%
|
104
|
| Total Responses | 104 |
| Skipped | 0 |
6. On a scale of 1 to 5, with 1 being "not at all" and 5 being "completely," how confident are SHIP/SMP personnel in assisting people with Medicare who are under age 65 in the following special populations:
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| Disabled veterans |
2
1.92%
|
17
16.35%
|
26
25.00%
|
37
35.58%
|
22
21.15%
|
104
|
| People with limited English proficiency |
5
4.81%
|
19
18.27%
|
34
32.69%
|
34
32.69%
|
12
11.54%
|
104
|
| People recently released from incarceration |
14
13.46%
|
17
16.35%
|
40
38.46%
|
20
19.23%
|
13
12.50%
|
104
|
| People who have mental health challenges |
12
11.54%
|
20
19.23%
|
34
32.69%
|
25
24.04%
|
13
12.50%
|
104
|
| Total Responses | 104 |
| Skipped | 0 |
7. Are you aware of any current training specifically aimed at preparing personnel to work with Medicare beneficiaries under age 65?
| Yes | 27.88% |
|
29 |
| No | 72.12% |
|
75 |
| Total Responses | 104 | ||
| Skipped | 0 | ||
8. You answered yes, there is currently training to prepare personnel to work with the Under-65 population. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how effective are the following training methods for working with Medicare beneficiaries under age 65? (If you aren’t familiar with a method, choose "Not Used.")
| 1 | 2 | 3 | 4 | 5 | Not Used | Responses | |
|---|---|---|---|---|---|---|---|
| Online Course and Quiz |
0
0.00%
|
2
7.69%
|
4
15.38%
|
4
15.38%
|
3
11.54%
|
13
50.00%
|
26
|
| Webinar |
0
0.00%
|
1
3.70%
|
4
14.81%
|
9
33.33%
|
7
25.93%
|
6
22.22%
|
27
|
| Printed Material |
0
0.00%
|
1
3.70%
|
6
22.22%
|
8
29.63%
|
7
25.93%
|
5
18.52%
|
27
|
| In-Person Program |
1
3.57%
|
1
3.57%
|
3
10.71%
|
7
25.00%
|
10
35.71%
|
6
21.43%
|
28
|
| Conference Call / Video Call |
0
0.00%
|
2
8.00%
|
2
8.00%
|
8
32.00%
|
2
8.00%
|
11
44.00%
|
25
|
| Total Responses | 28 |
| Skipped | 76 |
9. On a scale of 1 to 5, with 1 being “not at all” and 5 being “often,” how regularly do personnel currently work with any of the following to reach Medicare beneficiaries who are under age 65? (Please answer all)
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| State government organizations |
6
6.25%
|
6
6.25%
|
24
25.00%
|
30
31.25%
|
30
31.25%
|
96
|
| Local government organizations |
7
7.29%
|
8
8.33%
|
21
21.88%
|
30
31.25%
|
30
31.25%
|
96
|
| Advocacy groups |
2
2.08%
|
10
10.42%
|
28
29.17%
|
29
30.21%
|
27
28.12%
|
96
|
| Veterans Administration |
10
10.42%
|
26
27.08%
|
25
26.04%
|
21
21.88%
|
14
14.58%
|
96
|
| Social Security |
10
10.42%
|
15
15.62%
|
20
20.83%
|
25
26.04%
|
26
27.08%
|
96
|
| Targeted condition groups (e.g. MS Society, Diabetes Assn., etc.) |
5
5.21%
|
14
14.58%
|
29
30.21%
|
27
28.12%
|
21
21.88%
|
96
|
| Physician’s offices or other provider offices |
17
17.71%
|
15
15.62%
|
35
36.46%
|
18
18.75%
|
11
11.46%
|
96
|
| Total Responses | 96 |
| Skipped | 8 |
10. Do you work regularly with any other agencies, organizations or groups not listed above (list all that apply):
| Total Responses | 35 |
| Skipped | 69 |
11. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how much do people with disabilities understand about Medicare coverage?
| 1 | 5.81% |
|
5 |
| 2 | 31.40% |
|
27 |
| 3 | 54.65% |
|
47 |
| 4 | 6.98% |
|
6 |
| 5 | 1.16% |
|
1 |
| Total Responses | 86 | ||
| Skipped | 18 | ||
12. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how aware are people who are under age 65 about when they become eligible for Medicare?
| 1 | 12.79% |
|
11 |
| 2 | 24.42% |
|
21 |
| 3 | 43.02% |
|
37 |
| 4 | 17.44% |
|
15 |
| 5 | 2.33% |
|
2 |
| Total Responses | 86 | ||
| Skipped | 18 | ||
13. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how easy is the Medicare enrollment process for people who are under age 65?
| 1 | 13.95% |
|
12 |
| 2 | 27.91% |
|
24 |
| 3 | 39.53% |
|
34 |
| 4 | 11.63% |
|
10 |
| 5 | 6.98% |
|
6 |
| Total Responses | 86 | ||
| Skipped | 18 | ||
14. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how easy is it for beneficiaries to transition to Medicare from:
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| An Affordable Care Act Plan |
19
22.09%
|
26
30.23%
|
27
31.40%
|
12
13.95%
|
2
2.33%
|
86
|
| Medicaid |
13
15.12%
|
20
23.26%
|
31
36.05%
|
18
20.93%
|
4
4.65%
|
86
|
| Private Insurance |
7
8.14%
|
16
18.60%
|
36
41.86%
|
22
25.58%
|
5
5.81%
|
86
|
| Total Responses | 86 |
| Skipped | 18 |
15. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how helpful would the following additional information be for Medicare beneficiaries who are under age 65? (Please answer all)
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| Alternative language materials (other than English) |
2
2.33%
|
10
11.63%
|
16
18.60%
|
29
33.72%
|
29
33.72%
|
86
|
| Additional printed materials |
0
0.00%
|
9
10.47%
|
23
26.74%
|
31
36.05%
|
23
26.74%
|
86
|
| Additional online materials |
1
1.16%
|
5
5.81%
|
26
30.23%
|
32
37.21%
|
22
25.58%
|
86
|
| Links to other online materials |
1
1.16%
|
6
6.98%
|
25
29.07%
|
32
37.21%
|
22
25.58%
|
86
|
| Videos |
2
2.33%
|
3
3.49%
|
25
29.07%
|
26
30.23%
|
30
34.88%
|
86
|
| Videos with closed captioning |
2
2.33%
|
2
2.33%
|
20
23.26%
|
25
29.07%
|
37
43.02%
|
86
|
| Audio materials |
4
4.65%
|
10
11.63%
|
22
25.58%
|
22
25.58%
|
28
32.56%
|
86
|
| Total Responses | 86 |
| Skipped | 18 |
16. Are there any materials not listed above that would be helpful to you (list any that apply):
| Total Responses | 11 |
| Skipped | 93 |
17. On a scale of 1 to 5, with 1 being “not at all” and 5 being “completely,” how helpful would the following distribution/outreach locations be to provide information for Medicare beneficiaries who are under 65:
| 1 | 2 | 3 | 4 | 5 | Responses | |
|---|---|---|---|---|---|---|
| State government organizations |
0
0.00%
|
7
8.14%
|
12
13.95%
|
27
31.40%
|
40
46.51%
|
86
|
| Local government organizations |
0
0.00%
|
3
3.49%
|
12
13.95%
|
27
31.40%
|
44
51.16%
|
86
|
| Advocacy groups |
0
0.00%
|
3
3.49%
|
10
11.63%
|
29
33.72%
|
44
51.16%
|
86
|
| Veterans Administration |
0
0.00%
|
4
4.65%
|
12
13.95%
|
26
30.23%
|
44
51.16%
|
86
|
| Social Security |
1
1.16%
|
2
2.33%
|
11
12.79%
|
23
26.74%
|
49
56.98%
|
86
|
| Targeted condition groups (e.g. MS Society, Diabetes Assn., etc.) |
1
1.16%
|
2
2.33%
|
12
13.95%
|
26
30.23%
|
45
52.33%
|
86
|
| Physician’s offices or other provider offices |
0
0.00%
|
2
2.33%
|
14
16.28%
|
25
29.07%
|
45
52.33%
|
86
|
| Total Responses | 86 |
| Skipped | 18 |
18. Are there other distribution/outreach locations not listed above that would be useful to you (list any that apply):
| Total Responses | 17 |
| Skipped | 87 |