Okaloosa County BOCC — 2013 meeting #1139 (date undetermined) — MEDICAID ORIGINAL 2009 — reading text

included in a corresponding cost report. Transportation. Services are included in an rCF/DD's per diem; I. Unless otherwise provided by State or federal law, the Recipient shall not pay salaries, fees, or other compensation for professional health care Attendants/Escorts; m. Transportation of a Medicaid Beneficiary to a service covered by a Home and Community-Based Service (HCBS) waiver if transportation can be billed to the waiver or is included in the reimbursement for the waiver service; or n. Transportation Services to or from an Adult Day Care center. V. TRANSPORTATION PROVIDER NETWORK A. General Provisions 1. The Commission shall maintain a Subcontractor List for each county in which it provides services. The STP shall also maintain a Subcontractor List. The list shall include, at a minimum, the following information for each Subcontractor: 2008/2009 Medicaid Non-Emergency Transportation Subcontracted Transportation Provider Contract Page 39 of 117  a. Name; b. Mailing address (including street number, city, state, and zip code); c. Main contact's name; d. Main contact's telephone number; e. Main customer service telephone number; f. Main fax telephone number; and, g. E-mail address. 2. The Commission shall notify AHCA within seven (7) Business Days of any significant changes to the STP's Transportation Provider network in a county. The Agreement defines a significant change as: a. A loss of all Transportation Providers of a particular mode of Transportation (e.g., stretcher transportation, etc.); or, b. Other adverse changes to the composition of the STP's Transportation Provider network that impair or deny a Medicaid Beneficiary's access to adequate and appropriate Transportation. 3. The Commission shall notify the AHCA within seven (7) Calendar Days if the inclusion of a new category of Medicaid Beneficiaries eligible to receive Transportation Services will negatively impact the Transportation Provider network. B. Subcontractors 1. Service Standards a. The following standards are for all vehicles and drivers, excluding volunteer-owned vehicles: (1) Drug and Alcohol Testing - The STP and/or Transportation Providers shall in compliance with the Federal Transit Administration's (FTA) drug and alcohol regulations, and the Federal Highway Administration's drug and alcohol regulations, where applicable. (2) The FTA determines mandatory transportation safety standards based on the size and nature of the Transportation Provider. The STP can obtain full details of the FTA's safety standards from the Federal Transit Administration, Office of Safety and Security, 400 2008/2009 Medicaid Non-Emergency Transportation Subcontracted Transportation Provider Contract Page 40 of 117  7th Street, S.w., Washington D.C., 20590. While the Commission strongly recommends using the FTA's guidelines, it is the STP's responsibility to ensure that it and any transportation providers are in compliance with all applicable federal, State, and local regulations. (3) Driver Accountability - The STP shall ensure that all drivers have a valid driver's license and are covered by the STP's, or Transportation Provider's insurance plan, as required by law, before starting to provide Transportation Services. The STP shall ensure that all drivers meet the locally determined driver background screening standard before providing Transportation Services to Medicaid Beneficiaries. The STP must have ready access to all documentation of the above listed requirements. (a) If a particular driver is not properly licensed or insured, the STP shall remove the driver from all routes transporting Medicaid Beneficiaries. (4) Driver Conduct - The STP shall ensure that drivers act in a professional manner at all times and shall perform the minimum levels of service as explained in all Subcontracts. (a) If the Commission and/or STP receive Complaints and/or Grievances regarding a particular driver, and it is determined that the driver is not conducting himself/herself in a manner consistent with the minimum levels of service, and corrective action has not resulted in improved performance, the STP shall remove the driver .from all routes transporting Medicaid Beneficiaries .. (5) The STP and/or transportation providers shall use child safety restraints, if applicable, where the use of such devices would not interfere with the safety of a child (e.g., a child is in a wheelchair). (6) Where applicable, shall follow the rules and regulations of the Americans with Disabilities Act. 2. Standards for Commercial and Volunteer Drivers: a. Drivers and/or attendants shall not engage in activities including, but not limited to, the following: (1) Make sexually explicit comments towards, solicit sexual favors from, or engage in sexual activity with Medicaid beneficiaries; 2008/2009 Medicaid Non·EmergenOj Transportation Subcontracted Transportation Provider Contract Page 41 of 117  (2) Solicit or accept controlled substances, alcohol, or medications from Medicaid beneficiaries; (3) Solicit or accept money from Medicaid Beneficiaries other than authorized co-payments; (4) Use alcohol, narcotics, or controlled substances, or be under their influence, while on duty. A driver/attendant may use prescription medication so long as he/she can still perform his/her duties in a safe manner and the STP has written documentation that the driver's/attendant's medication will not impact his/her ability; (5) Eat or consume any beverage while operating the vehicle or while providing Transportation Services to Medicaid Beneficiaries; (6) Smoke or use smokeless tobacco products in the vehicle; (7) Wear any type of headphones while on duty; and/or, (8) Be responsible for passenger's personal items. b. At a minimum, drivers/attendants shall: (1) Wear, or have visible, easy to read identification that identifies the driver/attendant as an employee of the STP or Transportation Provider; (2) Unless the vehicle has a mechanism by which it can open and close the door from the inside of the vehicle, exit the vehicle to open and close. vehicle . doors when passengers. enter or exit the vehicle; (3) Properly identify and announce their presence at the entrance of the buildings, or with attending facility staff, at the specified pick- up location if a curbside pick-up is not appropriate; (4) Assist Medicaid beneficiaries in seating, including the fastening of the seat belt when necessitated by a Medicaid Beneficiary's condition; (5) Confirm, prior to allowing any vehicle to proceed, that wheelchairs and wheelchair passengers are properly secured; and that, when appropriate, passengers are properly secured in their seat belts; (6) Provide an appropriate level of assistance to Medicaid Beneficiaries when requested or as needed due to a Medicaid Beneficiary's condition. Such assistance shall also apply to the movement of wheelchairs and persons with limited mobility as 200B/2009 Medicaid Non·Emergency Transportation Subcontracted Transportation Provider Contract Page 42 of l17  they enter or exit the vehicle using the wheelchair lift and shall . include the driver stowing any mobility aids and folding wheelchairs; and, (7) Be clean and maintain an appearance while transporting Medicaid Beneficiaries. 3. Vehicle Requirements a. Maintenance - The STP and/or transportation providers shall maintain vehicles and equipment to meet the requirements of the Agreement. (1) Vehicles and all components shall meet or exceed the manufacturer, state, and federal safety and mechanical operating and maintenance standards for any and all vehicles and models used for transportation of Medicaid Beneficiaries under the terms of the Contract.