5

Attachment 5.b. Cover E-mail

Dear <Title V Director>,

The Maternal and Child Health Bureau (MCHB) is conducting a survey to determine how much of your state’s federal Title V MCH Formula Block Grant funds in federal fiscal year 2011 were spent reimbursing providers for health services to infants and children, including children with special health care needs, and pregnant women. The purpose of this survey is to provide a baseline for examining how the use of federal Title V MCH Formula Block Grant funds to reimburse providers for services may change after implementation of the Affordable Care Act. RTI International is conducting this survey on behalf of the MCHB.

The survey is attached to this e-mail. A Frequently Asked Questions document is also attached. RTI will hold a conference call to answer any questions you may have about completing the survey. The conference call will be held on <Day, Month, Year> from <Time> to <Time>. The call-in number is <Phone Number>.

Completing this survey is voluntary, and your responses will not affect your participation in the Title V MCH Services Block Grant Program.

Please return the survey to me via e-mail by <Day, Month, Year>.

If you have any questions while completing the survey, please contact me via phone, 919-541-6894, or e-mail, [email protected].

Thank you for your help.

Sincerely,

Melissa Romaire

Melissa Romaire, PhD, MPH

Health Coverage for Low-Income and Uninsured Populations

RTI International

3040 E. Cornwallis Road
Research Triangle Park, NC 27709

919-541-6894

* RTI International is a trade name of Research Triangle Institute.