Non-Emergency Medical Transportation

Similar documents
Non-Emergency Medical Transportation

WELCOME TO THE MEDICAL ASSISTANCE TRANSPORTATION PROGRAM! (MATP)

Provider Service Expectations Transportation Services SPC 107 Provider Subcontract Agreement Appendix N

Presbyterian Centennial Care Transportation, Lodging, and Meals Frequently Asked Questions (FAQ)

Rich Fitzgerald County Executive. Welcome! Thank you for your interest in using the Medical Assistance Transportation Program (MATP).

mobility plus application package SECTION A: For completion by applicant

Non-Emergency Transportation. SoonerRide. Discharge Manual

Wisconsin Hospitals FAQ

Scope of Service Transportation (Specialized Transportation)

East Bay Paratransit 1750 Broadway Oakland, CA 94612

WEBINAR PRESENTATION.

Member Handbook. Effective Date: January 1, Revised October 30, 2017

ADA Application for PT Connect Paratransit Services

1. Non-Emergent Transportation Providers

Non-Emergency Medical Transportation for Traditional Medicaid: Southeastrans Frequently Asked Questions

Specialized Transportation Application Form

Same day when possible, otherwise following day. Medical Management Marge Worth If possible, same or next day for urgent

How do I know if I am eligible and how do I apply?

Arkansas Medicaid. Non-Emergency Transportation (NET) Survey Results

How do I know if I am eligible and how do I apply?

NHS Patient Transport Service

BAPTISTMEDICALGROUP.ORG

(1) The consumer is enrolled in the PASSPORT program;

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES

Reimbursement Policy. Policy

TRANSPORTATION HANDBOOK

FEDERAL FISCAL YEAR TOLEDO OH - MI URBANIZED AREA JOB ACCESS AND REVERSE COMMUTE PROGRAM & NEW FREEDOM PROGRAM REQUEST FOR PROPOSALS

TRANSLINK REIMBURSEMENT GUIDE

NYC EARLY INTERVENTION PROGRAM INDIVIDUALIZED FAMILY SERVICE PLAN PAGE 1

RAZORBACK TRANSIT University of Arkansas 131 ADSB 155 Razorback Rd. Fayetteville, AR Phone: (479) Fax: (479)

Florida Medicaid Non-emergency Transportation Beneficiary handbook

Part I. Federal Section 5310 Program

NEW YORK STATE MEDICAID TRANSPORTATION GUIDELINES FOR MEDICAL PRACTITIONERS & FACILITIES

Roaring Fork Transportation Authority s Traveler Program NEW APPLICANT

TRANSPORTATION ASSISTANCE APPLICATION FOR PARATRANSIT SERVICE

NEW PATIENT PACKET. Address: City: State: Zip: Home Phone: Cell Phone: Primary Contact: Home Phone Cell Phone. Address: Driver s License #:

Medi-Cal Managed Care L.A. Care Major Risk Medical Insurance Program. Reimbursement Policy

ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-18 TRANSPORTATION SERVICES TABLE OF CONTENTS

CLIENT INFORMATION BOOK

Subject: Transportation Services: Ambulance and Nonemergent Transport Committee Approval Obtained: Effective Date: 08/18/14

CLIENT APPLICATION FORM

Performance Standard Procedures Person(s) Responsible (a)

Appendix B: WIC Provider Survey Results and Analysis

Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: Committee Approval Obtained: Section: Facilities 04/01/16

Independent Assessment of the Florida Medicaid NET Program

Subject: Transportation Services: Ambulance and Nonemergent Transport Committee Approval Obtained: Effective Date: 03/01/15

Anthem Blue Cross and Blue Shield Healthcare Solutions Medicaid Managed Care. Reimbursement Policy

ADMINISTRATIVE INSTRUCTION

MobilityPLUS Application Form

Welcome to BCHC Your Medical Home

Thank you, in advance, for being a partner in your care.

Welcome to LifeWorks NW.

EASTERN MIDDLE SCHOOL POLICIES AND PROCEDURES

ADMISSION INFORMATION

2017 Consumer In-Home Services Assessment Form Updated 7/12/2017

Required Contingency Plans for CMHCM Providers

THE DAY OF YOUR SURGERY

notice of public hearing

X Name of Patient (Please Print) X Signature of Patient (or Parent/Legal Guardian) X Name of Parent/Legal Guardian (Please Print)

Parent & Guardian Handbook

Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date:

Federal Transit Administration: Section Enhanced Mobility of Seniors and Individuals with Disabilities. Call for Projects.

2017 CALL FOR PROJECTS & FUNDING APPLICATION

Welcome to Baptist Medical Group - Westside. Please read the below information carefully to prepare for your upcoming appointment.

LICENSED MENTAL HEALTH TECHNICIAN EXAM PREPARATION GUIDE

HIGHLANDS COUNTY SPECIAL NEEDS SHELTER REGISTRATION REQUEST FORM ***FORMS NEED TO BE COMPLETED ANNUALLY BEGINNING JANUARY 1 ST ***

Crisis Management Manual. Bodine School 2432 Yester Oaks Drive Germantown, TN /7/2017

Medicaid Transportation Ordering Guidelines for Medical Practitioners & Facilities Located in New York City. Queens

Camper Information, Waiver & Release Forms

Introduction to Day Hospital

Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Committee Approval Obtained: Effective Date: 08/18/14

Serenity House Inc. House Rules

WYOMING MEDICAID TRAVEL ASSISTANCE EFFECTIVE 9/1/16

MENDING HEARTS TRANSITIONAL LIVING HOUSE RULES REVISED Restoring Women, Reclaiming Lives

Subject: Transportation Services: Ambulance and Nonemergent Transport Committee Approval Obtained: Effective Date: 02/01/15

Using Transportation Voucher Programs to Support Low-Wage Earners and Workers with Disabilities (October 30, 2008 Session) Follow-up Q and A

PAGE 1 0F 14. G:\MASTER documents to print out\new PATIENT QUESTIONNIRE & Patient Id - ADULT March 2016 ONLINE.doc

The Food Bank of Eastern Michigan Volunteer Manual

Subject: Transportation Services: Ambulance and Non-Emergent Transport

Ch. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT

Department of Veterans Affairs VHA HANDBOOK Washington, DC May 24, 2007 VOLUNTEER TRANSPORTATION NETWORK (VTN)

Subject: Transportation Services: Ambulance and Nonemergent Transport Committee Approval Obtained: Effective Date: 10/01/17

MTA Flint Your Ride Plus

Resident Rights in Nursing Facilities

Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy

APPLICATION FOR ACCESSIBLE TRANSPORTATION SERVICES

3.0 SCOPE OF WORK 3.1 GENERAL INFORMATION 3.2 VISITATION DAYS OF OPERATION & SCHEDULING VISITATION SCHEDULE DECEMBER VISITATION SCHEDULE

We ll meet in the Youth Room at 2:30 p.m. and we ll return by 6:30 p.m. (depending on traffic)! For students in grades 7-12.

FEDERAL FISCAL YEAR 2006 through 2010 TOLEDO OH - MI URBANIZED AREA JOB ACCESS AND REVERSE COMMUTE PROGRAM REQUIREMENTS AND COMPETITIVE APPLICATION

YOUR HEALTH CARE GUIDE

California Children s Services (CCS) Program Medi-Cal Managed Care CCS Whole-Child Model Comparison Chart January 6, 2016

Part I. New York State Laws and Regulations PRENATAL CARE ASSISTANCE PROGRAM (i.e., implementing regs on newborn testing program)

Step 4: To schedule a ride or check the status of your application call RIDEASSIST at Press Option 2#

MID-HUDSON VALLEY TRANSPORTATION MANAGEMENT AREA JOB ACCESS AND REVERSE COMMUTE & NEW FREEDOM PROGRAMS GRANT APPLICATION.

Short Term Missionary Application

Region 08 Transit Coordination Plan Addendum, FY 2013 Projects, Work Plans Page 1

Protocols for Non Emergency Medical Transportation Providers

STANDARD OPERATING GUIDELINES

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES

MILLBURY POLICE DEPARTMENT Youth Police Academy

Transcription:

Non-Emergency Medical Transportation Last Updated: April 18, 2018 This a guide for healthcare facilities requesting nonemergency medical transportation on behalf of HUSKY Health members in the State of Connecticut.

Table of Contents Important Resources 3 Who is Veyo? 3 What Is NEMT? 3 Who is Eligible for NEMT? 4 Transportation Options 5 Trip Scheduling 6 Cancellations and Reservation Updates 9 Special Requests 9 During the Ride 12 Transportation Providers 14 How to File a Complaint 16 Questions 17 veyo.com 2

Important Resources Reservation Line 855-478-7350 Normal Hours of Operation Facility Information Website 7:00 AM to 6:00 PM EST M-F ct.ridewithveyo.com/facilities Who is Veyo? Veyo is a technology-based patient transportation broker that the State of Connecticut has partnered with to coordinate its Non- Emergency Medical Transportation (NEMT) benefits for HUSKY Health / Medicaid member. We want to be the best partner possible for your facility to ensure your patients are serviced appropriately. This Healthcare Facility Resource Guide contains useful information for your staff to utilize. What is NEMT? Non-Emergency Medical Transportation (NEMT) is a limited transportation benefit that is provided to eligible Medicaid members in Connecticut who have no other way of getting to their medical, behavioral health or dental appointments. veyo.com 3

Who is eligible for NEMT? NEMT services are only available to HUSKY A, C, D, and limited benefit members that cannot drive themselves, and/or do not have a neighbor, friend, relative, or voluntary organization that can transport them to their appointment. The must be attending a Medicaid-covered medical, behavioral health, or dental appointment and have no other way of getting there. Members can go to any provider they choose within their local community (within 10 miles for members who live in urban areas, within 20 miles for members who live in rural areas). In some cases, the member may be able to get a ride to a provider who is outside their local community. A Closest Provider Certification form may be required to be filled out by their medical, dental, or behavioral healthcare provider in order to schedule a ride. The Closest Provider Certification can be found at ct.ridewithveyo.com/forms. Veyo does not cover rides to pick up prescriptions or medical equipment that does not need to be fitted. veyo.com 4

Transportation Options There are multiple transportation modes available: Public Transit. If the member lives close enough to a bus stop and is able to ride the bus, a bus pass may be provided. Mileage Reimbursement. If a family member or friend has a car and is able to drive the member to their appointment, the driver may be eligible to be reimbursed based on the total miles driven. If the member is not able to ride the bus or get a ride, Veyo will schedule a ride for them with an appropriate vehicle based on their medical and transportation needs. This may be one of the following options: Car/Vehicle or Rideshare Vehicle Wheelchair Van Ambulance Another approved form of transportation The member s healthcare provider will need to fill out a Medically Appropriate Mode Form explaining why they are unable to take public transportation. This form can be found at: ct.ridewithveyo.com/forms. veyo.com 5

Trip Scheduling Facilities can request a ride on behalf of the member by calling Veyo at 855-478-7350 Monday through Friday between 7:00 AM and 6:00 PM EST. If the facility needs to book multiple trips for multiple members, they can do so at ct.ridewithveyo.com/facilities using the Multiple Trip Scheduling Tool. For bus passes, please call at least 5 business days before the member s scheduled appointment. Additional time is needed for bus passes to be delivered to the member. If the member qualifies to be transported in a car or wheelchair vehicle, a reservation must be made 2 business days before the member s scheduled appointment. The chart below gives you examples of when facilities would need to call Veyo to schedule the member s ride: veyo.com 6

Key information to keep in mind: Veyo s Call Center is open from 7:00 AM to 6:00 PM EST Monday through Friday for scheduling routine appointments The reservation phone line is 855-478-7350 The Multiple Trip Scheduling Tool can be found at ct.ridewithveyo.com/facilities Transportation for routine appointments can be scheduled up to 30 days in advance Repeating trips can be scheduled up to 180 days in advance If the trip request is received with less than 2 business days notice, and the appointment is not urgent, you may need to reschedule the member s appointment Requests for hospital discharges and urgent* trips will be scheduled immediately and are taken 24 hours a day, seven days a week. Please note: it may take up to 3 hours to arrange a ride for hospital discharge or urgent trips *An Urgent trip request is when a medical, dental, or behavioral health provider determines that the member must receive services in less than 2 business days. When scheduling a member s trip, please keep in mind that the driver may drop the member off at the healthcare facility right at the time of the scheduled appointment time. If it is a large facility or the member needs to arrive before the appointment time, please make sure to factor this in when scheduling the trip. veyo.com 7

Can other people request transportation for a member? Yes. A relative, a caregiver, or a healthcare provider may call and schedule transportation on the member s behalf. What information will I need when I call to schedule a ride? When you call Veyo to schedule transportation, please be sure to have the following member information available: Medicaid ID # First and Last Name Date of Birth A Valid Phone Number where the member can be reached Pick-Up Address, Including Apartment Number Appointment Date Appointment Time Provider / Facility Name Address of Appointment, Including Office or Suite Number If Appointment Is Repeating Mode of Transportation Being Requested Special Accommodations (e.g. Oxygen tank, no multi-loading) Additional Companion/Attendant Information veyo.com 8

Cancellations and Reservation Updates Reservation Updates If the member s appointment date or time has changed, please remember to call and update the Veyo Call Center at 855-478- 7350 of the change so we can adjust the transportation reservation. Cancellations If the member is not able to make their appointment, please call Veyo to cancel or reschedule the reservation as soon as you become aware that the member no longer needs a ride. Please cancel the member s ride even if it is a public transit trip. Special Requests Forms Depending on the member s personal situation, different forms may need to be completed before booking transportation with Veyo. Below are the most common examples: Medically Appropriate Mode Form. If the member is unable to travel by public transportation, this form must be completed by veyo.com 9

a healthcare provider indicating the most medically appropriate mode(s) of transportation for the member. Closest Provider Certification. This form must be completed by the member s healthcare provider to verify that, for medical reasons, the member needs to travel to an appointment outside of their local community (beyond 10 miles for members who live in urban areas, beyond 20 miles for members who live in rural areas). Minor Consent to Travel Form. This authorization form must be completed by the member s parent or legal guardian before a child between the ages of 12-15 can travel without an adult escort or aide. Companion Request Form. This form must be completed when a member has a medical need to have someone travel with them to their medical appointment. Each form can be downloaded at ct.ridewithveyo.com/forms or requested over the phone by calling the Veyo Call Center at 855-478- 7350. You can find out a member s form approval status by calling 855-478- 7350. All forms must be signed by a licensed treatment professional (example: MD, LCSW, LMFT, APRN, RN). Signatures from Certified Nursing Assistants, Patient Techs, Receptionists, Medical Assistants, etc. are not acceptable. Please make sure to call the Veyo Call veyo.com 10

Center if any information changes, such as the member s address, phone number, etc. Children Under 16 Years Old A parent, legal guardian, or caregiver is required to travel with any child under 16 years of age. Parents must fill out, sign, and return the Minor Consent to Travel Form to Veyo before any child between 12-15 years old will be able to ride alone. Any child who behaves inappropriately while riding alone will need to be accompanied by an adult for all future rides. Medically Required Attendants or Escorts A medically required attendant, escort, aide, assistant, or companion may ride with a member. The member s healthcare provider will need to fill out and submit a Companion Request Form before the member s trip. Once the healthcare provider has verified that the additional person is needed at the appointment, the person may ride with the member. Newborn or nursing infants (up to 6 months old) may ride with members, as long as the member provides an appropriate car seat for the child. If a person does not meet the criteria above, they will not be able to ride with a member to or from their appointment. veyo.com 11

During the Ride We want Veyo to be enjoyable and safe for everyone. These ground rules are designed to ensure that riders and drivers have the best experience possible. Member Responsibilities Be ready 15 minutes before their scheduled pickup time Wait in a safe area where the member can see when the driver arrives Enter the vehicle immediately upon its arrival If needed, the member should bring their own special equipment such as a car seat, wheelchair, oxygen, or a walker Be respectful to the driver and any additional passengers The member cannot bring alcohol, drugs, or weapons in the vehicle The member cannot smoke, eat, or drink in the vehicle The member must always wear their seatbelt while traveling in the vehicle The member is required to sign the driver s log after they are driven to their drop off location. The member should only sign for the trip they just received. If the member has a return trip, they will need to sign for that trip after it is completed. This is used to document that the trip was provided to the member. veyo.com 12

Shared Rides The member may be sharing a ride with another member who is traveling to and from the same area. Shared rides with other Medicaid members are allowed. If there are special health circumstances which prevent the member from sharing a ride with other individuals, please tell Veyo when you call to schedule their ride. The member s healthcare provider will need to note this on the Medically Appropriate Mode Form so they will not be scheduled for a shared ride. Finding a Member s Ride If the ride is more than 15 minutes late, you can call Veyo at 855-478- 7350 prompt #4 to ask for an update. No-Shows If the member does not show up to their appointment, first call the member to verify that he or she did not cancel transportation to their appointment. If you cannot get ahold of the member, please call into Veyo s Call Center to check on transportation. Snowstorm or Bad Weather Event If there is a snowstorm or bad weather and your office has decided to close for the day, please call Veyo at 855-478-7350 to cancel or reschedule transportation reservations for that day. veyo.com 13

If your town cancels school for the day or has early dismissal due to weather, children will not be transported to after-school treatment programs if the schools in the town they live in are closed or the schools in the town the program is located in are closed. Every effort is made to continue to operate transportation services during bad weather, however, delays and cancellations may occur due to unsafe travel conditions. Because safety is Veyo s top priority, we ask members and drivers to reschedule trips if they do not feel it is safe to be on the road. Transportation Providers Standards of Behavior Prior to driving any member, all drivers go through extensive onboarding which includes, but is not limited to: ADA and HIPAA regulation training Sensitivity and professionalism training Customer service expectations Compliance with Veyo protocols and contractual obligations CPR and First Aid Certification State Background Check Rigorous vehicle inspection veyo.com 14

In Addition, Veyo has the following expectations for drivers: All drivers and cars must be properly licensed and insured Drivers must follow all the normal rules of the road including not using a cell phone without a hands-free device unless the vehicle is parked No smoking while a member is in the vehicle Reduce volume on the radio, per member request Maintain air conditioning or heat at a reasonable temperature Secure passengers who are in a wheelchair as appropriate for safe travel Store any unoccupied wheelchairs or other medical equipment safely Pick members up between 15 minutes before and 15 minutes after the scheduled pick up time Wait up to 5 minutes after the scheduled pickup time for the member to enter the vehicle Drivers are required to help members get from the outside door of their pick-up location into the vehicle, and from the vehicle to the outside door of their drop-off location, if the member asks for their help. The amount of assistance the member receives will depend on the type and level of service they request. veyo.com 15

How to file a Complaint Healthcare providers and case managers can make a complaint through Veyo s website at ct.ridewithveyo.com/contact by phone at 877-558-2437. A complaint can be about many different things like an extremely late pick up, the condition of the vehicle the member rode in, the behavior of another passenger, or the courtesy of Veyo s Call Center agents. Please include the following information in your complaint to help the Veyo compliance team with their investigation: Member s first name Member s last name Member s Medicaid ID # The date of the member s trip A description of the problem Any additional information that can help Veyo investigate the issue After submitting a compliant, you will receive a call or written response within one to three business days depending on the type of complaint. You must also ask for a call back if you would like to receive one. veyo.com 16

QUESTIONS Contact us at ctfacility@veyo.com or visit ct.ridewithveyo.com/facilities for more information about Veyo and other useful resources. veyo.com 17