We use this screening to understand needs our clients may have that could interfere with good health. We may share your answers with healthcare providers, your health plan, and social service organizations to determine if you qualify for free non-medical services that may help.

• You may choose not to answer this survey, but we can only check for services if you respond.
• You may choose to be screened later and may still be eligible for extra services.
• None of this will affect your ongoing Medicaid eligibility.

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