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2023 West Virginia Medicaid Coalition's Member Information
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Name
*
Your answer
Preferred Pronouns
*
Your answer
Organization Affiliate (If Applicable)
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Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Are you interested in joining any of the following subcommittees?
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Long-term Care Services and Support
Reproductive Health
Policy and Education
RX
Steering Team
None at this time
Required
Is there a subcommittee you feel that the West Virginia Medicaid Coalition is lacking and would benefit in creating?
Your answer
Are there any topics you would particularly like the West Virginia Medicaid Coalition to cover?
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Your answer
Do you have a personal experience with Medicaid or CHIP?
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Yes
No
If you do have a personal experience with Medicaid or CHIP can Mariah Plante, story collector, contact you?
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Yes
No
Would you and or your organization be willing to forward or share information from West Virginians for Affordable Health Care about Medicaid and CHIP through newsletters or list services?
*
Yes
No
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