Long Term Services and Supports (LTSS) Advisory Member Recruitment

Trillium is recruiting for Long-Term Services and Supports Member Advisory Committee (LTSS MAC) members that will provide input and advice regarding the LTSS covered services under Trillium’s Health Resources- Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan.

Your opinion matters. Please complete this form if you are interested in joining in a Member LTSS Advisory Committee.

FIRST NAME*

EMAIL ADDRESS*

PHONE NUMBER*

COUNTY OF RESIDENCE*

Trillium strives to assure equal representation of all counties. Please include the county where you live. Representatives must live in a Trillium covered county.

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INTERESTED IN JOINING THE COMMITEE*

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ADDITIONAL INFORMATION

Please include any additional information that you would like to have considered.

DATE OF APPLICATION *

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