Living Independently for Today and Tomorrow

LIFTT is collecting information from and about people who are covered by Medicaid in Montana.

Any information you provide will be helpful in our efforts to improve the Medicaid system. Please complete the following questionaire, all information is confidential.

E-Mail Address (optional):

Monthly income?

Did you know Medicaid coverage changed April 1, 2002?

Are you aware that the "co-pay" has increased from a flat rate to 5% of the covered item?

How many persons in your household, including yourself?

How much did you usually spend on medical expenses before April 1, 2002?

What do you anticipat spending for medical expenses after April 1, 2002?

Is most of your medical expense in:

Are you going to need a new piece of durable medical equipment during the next year?

If so, what piece type of equipment are you going to need?

Would you like to find out more about the Medicaid changes? Yes No

Are you interested in trying to stop negative changes from occurring? Yes No

If yes, please give your name and phone number for contact purposes.

If you would like to give this information in person call 259-5181 in the Billings area or 1-800-669-6319.