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Minimum Wage Survey-ALP-2019


Please enter your Provider Identification number in the text box below. Your Provider ID number should include eight (8) numeric digits.

ex.) 12345678
Your Provider ID number will be used to prepopulate lines 1 & 2 on the survey. Please DO NOT alter the prepopulated responses. If you believe the information provided on lines 1 & 2 of the survey is incorrect, please contact the Bureau of Residential Health Care Reimbursement at:

If you receive an error message stating  "I'm sorry that password is incorrect" please type "00000000" into the password box and manually enter the Facility Name and Provider ID number on the next page.

*If you enter the incorrect opcert, you must exit the survey and re-enter.