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2026 AHWGMA

Hi there, please fill out and submit this form. This assessment data covers the period from October 1, 2024 through September 30, 2025. Please ensure your organization is using data from this timeframe when completing the survey.
93Questions
  • 1
    Please provide your full name.
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  • 2
    Please provide your email address below.
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  • 3
    Please provide your FULL organization contracted name.
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  • 4
    Please scroll through the list below and check the box that best applies to your main department/responsibilities.
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  • 5
    Please provide your organizational leaders information below (ex. CEO, COO, Owner, President, etc.).
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  • 6
    Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 7
    Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 8
    See the link below for more information: H2O - Solari Community Support Network https://community.solari-inc.org/h2o/ Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 9
    Please scroll through the list of Provider Types below and check the 'Yes' box for all that apply.
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  • 10
    Definition of Full-time employee is, for a calendar month, an employee employed on average at least 30 hours of service per week, or 130 hours of service per month. - Identifying full-time employees | Internal Revenue Service (irs.gov) Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 11
    Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 12
    *REMINDER* The total number of employees from the question "How many total paid employees does your organization employ?" need to equal the sum of the boxes below. Please scroll through the list below and input the total number of employees per age group.
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  • 13
    The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees, as well as federal contractors and first-tier subcontractors with 50 or more employees AND contracts of at least $50,000 to complete an EEO-1 report each year.  Please select 'Yes' or 'No'.
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  • 14
    The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal contractors and first-tier subcontractors with 50 or more employees AND contracts of at least $50,000 complete an EEO-1 report each year. Select the option(s) that best fit your scenario.
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  • 15
    Please input the total number of employees per category using your 2025 EEOC data. If you don't have an employee that falls within the category, then type '0':
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  • 16
    Please scroll through the list below and input the total number of employees corresponding to the ethnic group in which they identify, using your 2025 EEOC data. If you don't have an employee that falls within the category, then type '0':
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  • 17
    Please scroll through the list below and check the 'Yes' box for all that apply. If 'Yes', please input the total number of employees.
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  • 18
    Step 1) Select all recruitment platforms/talent‑acquisition strategies used in the past 12 months. For each, enter the number of hires made and how many remained employed for at least six months. Step 2) For each selected platform, check those that resulted in hires retained for six months or more and enter the number of retained hires.
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  • 19
    Veteran definition: Title 38 Code of Federal Regulations Veterans programming refers to services, activities, or programs specifically designed to support military veterans, such as career and employment assistance, education and training support, health and wellness services, and housing assistance. Please select 'Yes' or 'No'.
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  • 20
    Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 21
    Please review the list below and check the 'Yes' box for all that apply.
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  • 22
    For a comprehensive list of unlicensed positions, please see: Unlicensed Direct Service Employees.docx Please select "Yes' or 'No'.
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  • 23
    Please select your organizations average length of employment for unlicensed direct service employees.
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  • 24
    For a comprehensive list of licensed positions, please see: Licensed Direct Service Employees.docx Please select "Yes' or 'No'.
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  • 25
    Please select your organizations average length of employment for licensed direct service employees.
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  • 26
    All ACC, ACC-RBHA BH, and/or Division of Developmental Disabilities (DDD) contracted Provider organizations with designated Provider types will be required to complete an attestation indicating that they have developed a P-WFDP and/or updated their previous year’s P-WFDP. Please click the link, and if your organization is a designated provider type, select 'Yes'.
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  • 27
    Contract Requirement: Develop a P-WFDP, which clearly outlines organizational workforce development initiatives (see Components of a Provider Workforce Development Plan in your contracted Health Plans Provider Manual) within 90 days of becoming a contracted Provider. Annually, review and update the P-WFDP to set new initiatives and objectives. Previous years’ iterations must be kept on file for a minimum of five years. Please select 'Yes' or 'No'.
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  • 28
    Please ensure that your organization develops and implements a P-WFDP for the calendar year, as this is a contractual requirement. Please select all that apply.
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  • 29
    Per Health Plan contract and ACOM 407, effective 10/1/2025. State Statutes Arizona Administrative Code Title 9
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  • 30
    Please review the options below and select all that apply.
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  • 31
    **For the purposes of this assessment, ONBOARDING is defined as the time frame of the first day on the job, to the day they are able to provide and bill for a service. Please select the option below that best fits the average length of time for your organization.
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  • 32
    **For the purposes of this assessment, ONBOARDING is defined as the time frame of the first day on the job, to the day they are able to provide and bill for a service. Please select the option below that best fits the average length of time for your organization.
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  • 33
    **For the purposes of this assessment, ONBOARDING is defined as the time frame of the first day on the job, to the day they are able to provide and bill for a service. Please select the option below that best fits the average length of time for your organization.
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  • 34
    Please select all that apply.
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  • 35
    Competency = An employee’s demonstrated ability to intentionally, successfully, and efficiently perform the basic requirements of a job, multiple times, at or near the required standard of performance (ACOM 407) Competency Tool = An assessment instrument that measures an employee’s demonstrated capacity to intentionally, efficiently, and successfully perform the core job functions repeatedly and in alignment with established performance standards. Please select 'Yes' or 'No'.
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  • 36
    Competency = An employee’s demonstrated ability to intentionally, successfully, and efficiently perform the basic requirements of a job, multiple times, at or near the required standard of performance (ACOM 407) Competency Tool = An assessment instrument that measures an employee’s demonstrated capacity to intentionally, efficiently, and successfully perform the core job functions repeatedly and in alignment with established performance standards. Please review the options below and select all that apply.
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  • 37
    Competency = An employee’s demonstrated ability to intentionally, successfully, and efficiently perform the basic requirements of a job, multiple times, at or near the required standard of performance (ACOM 407) Competency Tool = An assessment instrument that measures an employee’s demonstrated capacity to intentionally, efficiently, and successfully perform the core job functions repeatedly and in alignment with established performance standards. Please review all of the options below and select the competency tool(s) used by your organization.
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  • 38
    Please review the list below and check the 'Yes' box for all that apply.
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  • 39
    Please review the list below and check the 'Yes' box for all that apply.
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  • 40
    Please scroll through the list below and check the 'Yes' box for all that apply.
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  • 41
    Please check the 'Yes' box for all that apply
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  • 42
    Please select 'Yes' or 'No'.
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  • 43
    Retention Period: 10/1/2024 - 9/30/2025 (Please exclude any recent acquisitions) - Retention = # of FTE's on 10/1/25 divided by # of FTE's on 09/30/25. - Multiply the answer by 100 to get the percentage and round to the nearest whole number. - Please adjust the slider below to that number. For a spreadsheet to help calculate this rate, please visit this link.
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  • 44
    Please check the 'Yes' box for all that apply.
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  • 45
    - Turnover period: 10/1/2024 - 9/30/2025 (Please exclude any recent acquisition) Step 1: #FTE ON 10/1/24 + #FTE ON 9/30/25 divided by 2 = Average #FTE during period. Step 2: #FTE Separated during period divided by Average #FTE during period. - Multiply the answer by 100 to get the percentage and round to the nearest whole number. - Round up the nearest whole number and please adjust the slider below to that number. For a resource to help calculate this rate, please visit this link.
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  • 46
    Please check the 'Yes' box for all that apply.
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  • 47
    Please check the 'Yes' box for all that apply.
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  • 48
    Please check the 'Yes' box for all that apply.
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  • 49
    Please limit one position per row. Select +Add Row to add additional positions.
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  • 50
    Please check the 'Yes' box for all that apply.
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  • 51
    Please limit one position per row. Select +Add Row to add additional positions.
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  • 52
    i.e. tuition reimbursement, loan repayment assistance. Please select "Yes' or 'No'.
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  • 53
    Please select the option(s) that best apply.
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  • 54
    Please check the 'Yes' box for all that apply.
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  • 55
    1 = Extremely Challenging - A critical, ongoing challenge with significant impact; resources or solutions are insufficient. 2 = Very Challenging - A major challenge that frequently impacts operations and requires substantial effort to manage. 3 = Challenging - A noticeable challenge that requires ongoing attention, though it is manageable over time. 4 = Moderately Challenging - An occasional challenge that can generally be addressed with existing efforts. 5 = Somewhat Easy - Generally manageable; issues are infrequent and have minimal impact. 6 = Easy - Little to no difficulty; processes and resources work well. 7 = Very Easy / Least Challenging - Minimal or no challenge; strong capabilities and consistently effective performance. Use the drop down menu for ranking 1-7. Please limit one challenge per ranking (i.e., do not select the same number in multiple fields).
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  • 56
    Please check the 'Yes' box for all that apply.
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  • 57
    Baccalaureate Social Worker (LBSW) Clinical Social Worker (LCSW) Master Social Worker (LMSW) Please select "Yes' or 'No'.
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  • 58
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 59
    Baccalaureate Social Worker (LBSW) Clinical Social Worker (LCSW) Master Social Worker (LMSW) Please select "Yes' or 'No'.
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  • 60
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 61
    Associate Counselor (LAC) LAC Training to be a LPC Professional Counselor (LPC) Please select "Yes' or 'No'.
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  • 62
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 63
    Associate Counselor (LAC) LAC Training to be a LPC Professional Counselor (LPC) Please select "Yes' or 'No'.
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  • 64
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 65
    Associate Marriage and Family Therapist (LAMFT) LAMFT Training to be an LMFT Marriage and Family Therapist (LMFT) Please select "Yes' or 'No'.
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  • 66
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 67
    Associate Marriage and Family Therapist (LAMFT) LAMFT Training to be an LMFT Marriage and Family Therapist (LMFT) Please select "Yes' or 'No'.
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  • 68
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 69
    Abuse Technician (LSAT) LSAT training to be an LASAC Associate Substance Abuse Counselor (LASAC) LASAC training to be an LISAC Independent Substance Abuse Counselor (LISAC) Please select "Yes' or 'No'.
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  • 70
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 71
    Abuse Technician (LSAT) LSAT training to be an LASAC Associate Substance Abuse Counselor (LASAC) LASAC training to be an LISAC Independent Substance Abuse Counselor (LISAC) Please select "Yes' or 'No'.
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  • 72
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 73
    Certified Nurse Assistant (CNA) Dentist DO Physician Osteopath – Cardiologist MD Physician OBGYN Pediatrician Physician Assistant Registered Nurse (RN) Please select "Yes' or 'No'.
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  • 74
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 75
    Certified Nurse Assistant (CNA) Dentist DO Physician Osteopath – Cardiologist MD Physician OBGYN Pediatrician Physician Assistant Registered Nurse (RN) Please select "Yes' or 'No'.
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  • 76
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 77
    Assisted Living Manager Behavioral Health Nurse Practitioner (BH NP) Board Certified Behavior Analyst (BCBA) Doctor of Nursing Practice (DNP) Family Practice Nurse Practitioner (FNP) Licensed Dietitian Licensed Practical Nurse (LPN) Medical Assistant (MA) Nurse Practitioner (NP) Occupational Therapist (OT) Physical Therapist (PT) Psychiatric Nurse Practitioner (PNP) Psychiatric Registered Health Nurse (BHRN) Psychiatrist Psychologist Skilled Nursing Home Administrator Speech Therapist (ST) Please select "Yes' or 'No'.
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  • 78
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 79
    Assisted Living Manager Behavioral Health Nurse Practitioner (BH NP) Board Certified Behavior Analyst (BCBA) Doctor of Nursing Practice (DNP) Family Practice Nurse Practitioner (FNP) Licensed Dietitian Licensed Practical Nurse (LPN) Medical Assistant (MA) Nurse Practitioner (NP) Occupational Therapist (OT) Physical Therapist (PT) Psychiatric Nurse Practitioner (PNP) Psychiatric Registered Health Nurse (BHRN) Psychiatrist Psychologist Skilled Nursing Home Administrator Speech Therapist (ST) Please select "Yes' or 'No'.
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  • 80
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 81
    Certified Assisted Living Caregiver Community Health Worker (CHW) Credentialed Family Support Specialist Direct Care Worker (DCW) Home Health Aid (HHA) Peer Recovery Support Specialist (PRSS) Recovery Support Specialist (RSS) Registered Behavior Tech (RBT) Please select "Yes' or 'No'.
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  • 82
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 83
    Certified Assisted Living Caregiver Community Health Worker (CHW) Credentialed Family Support Specialist Direct Care Worker (DCW) Home Health Aid (HHA) Peer Recovery Support Specialist (PRSS) Recovery Support Specialist (RSS) Registered Behavior Tech (RBT) Please select "Yes' or 'No'.
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  • 84
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 85
    BH Case/Care Manager Behavioral Health Tech (BHT) Direct Support Professional (DSP) Doula Please select "Yes' or 'No'.
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  • 86
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 87
    BH Case/Care Manager Behavioral Health Tech (BHT) Direct Support Professional (DSP) Doula Please select "Yes' or 'No'.
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  • 88
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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  • 89
    Administrator/Front Desk Billing and Coding Compliance/Quality Management Finance/Payroll Food Service Human Resources Information Technology Recruiters Training and Development Please select "Yes' or 'No'.
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  • 90
    Please ensure that all cells are filled. If you do not have a response, enter '0'.
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  • 91
    Administrator/Front Desk Billing and Coding Compliance/Quality Management Finance/Payroll Food Service Human Resources Information Technology Recruiters Training and Development Please select "Yes' or 'No'.
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  • 92
    Indicate the number of roles your organization plans to expand, based on your best estimate forecasting. Please ensure all cells are filled. If you do not have a response, enter '0'
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