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Medical Transportation Services
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The agency's transportation program assists with transportation to health and behavioral health care services. Persons may be eligible based on their income, or because they are on Medicaid.
The following Plan describes the transportation we can provide and how this is done.
Enhanced Medicaid Transportation Plan
This plan will identify the methods of transportation available for reimbursement, the criteria to decide which mode of transportation will be accessed, and address the client's medical condition, efficiency criteria, and timeliness concerns.This plan will also define the community of service provision and terms of determination. (Wood County Department of Job and Family Services has defined the community as Wood County, Fostoria, Findlay and Toledo (including towns adjoining Toledo.) Defining the community is prescribed under 5101:3-24-01B(1). The Wood County Department of Job and Family Services (Agency) will provide services in accordance with Enhanced Medicaid Transportation (EMT) Rules 5101: 3-24-01, 03, 04, 05 and 06.
- Gas vouchers may be provided to a person the assistance group (AG) selects to transport the AG to EMT appointments. The person selected must have a valid driver's license and vehicle liability insurance.This must be documented by the Agency prior to the delivery of services.
- If the use of a voucher is not possible, the driver selected may be paid by reimbursement at the county's current rate of mileage reimbursement.Appropriate verifications must be documented.
- If options 1 and 2 are not possible, the agency will directly transport using a family service aide or a student intern, and a county vehicle.
- Recipients using Medicaid funded services, within five miles of their home, are not eligible for assistance with transportation from agency staff or private transportation companies if there is a working vehicle and licensed driver residing in their home. In these cases, assistance will be provided via gas voucher or mileage reimbursement once the recipient has exceeded the number of required roundtrips according to the eligibility and extenuating circumstances defined in OAC Rule 5101:3-24-03.
- Ambulatory recipients who require frequent transportation, transportation before/after Agency hours, or, cannot be accommodated by agency vehicles, will be transported by a private transportation company under contract with the agency. Options 1 and 2 will be explored with each consumer to use less expensive transportation whenever possible.
- Recipients over age sixty are referred to the Wood County Committee on Aging. When the Agency documents that WCCOA cannot provide the transportation the Agency will consider options 1-5.
- AG's covered by a managed care plan (MCP) must contact them first for transportation. If there is documentation that this service is not available, transportation will be provided following options 1-5.
- Transportation of a consumer to a medical provider outside the defined community will require documentation, from their community provider, that the consumer's needed service is not available in the community and can only be delivered at a non-community site. The written documentation must include the diagnosis, treatment required, and the reason for the referral outside the community.
- Transportation to dental and optical care will only be provided within the community.
- Transportation to behavioral health care will only be provided within Wood County. An exception may be made if the consumer provides verification, from a Medicaid approved Wood County behavioral health care provide, that the service cannot be provided in Wood County. Then transportation to behavioral health care may be provided within the community as defined in paragraph two of the introduction to this plan.
Effective Date of Plan – March 1, 2003 | |
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