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

(2) The STP and Transportation Providers shall comply with all applicable state and federal laws including, but not limited to, the Americans with Disabilities Act (ADA) and the Federal Transit Administration (FTA) regulations. (3) The STP and/or Transportation Providers shall immediately remove from service any vehicle that does not meet or exceed the Florida Department of Highway Safety and Motor Vehicles (DHSMV) licensing requirements, safety standards, ADA regulations, or Agreement requirements and shall re-inspect such vehicle before using it to provide Transportation Services to Medicaid. beneficiaries. (4) The STP and/or Transportation Providers shall not allow vehicles to transport more passengers than the vehicle was designed to carry. (5) All lift-equipped vehicles shall comply with ADA regulations. 4. Vehicle Inspections a. The STP shall submit annual documentation certifying that all vehicles meet the regulatory requirements. If it is determined during an inspection, filed Complaint and/or Grievance, or other means, that a vehicle does not meet the regulatory requirements, the STP or Transportation Provider, as applicable, must immediately remove the vehicle from service. The STP must provide documentation to the Commission ensuring that the manufacturer or a mechanic, certified by the National Institute for Automotive Service Excellence (ASE), has 2008/2009 Medicaid Non-Emergency Transportation Subcontracted Transportation provider Contract Page 43 of 117  corrected all deficiencies before the STP or Transportation Provider can use the vehicle to transport Medicaid Beneficiaries. b. All commercial vehicles shall meet or exceed the following requirements: (1) All commercial Transportation Providers shall use a two-way communication system linking all vehicles used in delivering Transportation Services to Medicaid Beneficiaries with the Transportation Provider's major place of business (dispatcher). (2) The Transportation Provider shall use the two-way communication system in such a manner as to facilitate communication and to minimize the time in which it can replace or repair out-of-service vehicles. (3) Pagers are not an acceptable substitute for a two-way communication system. Transportation Providers shall immediately remove from service any vehicle with an inoperative two-way communication system until it repairs or replaces the two-way communication system. (4) The STP .shall ensure that: (a) All vehicles are equipped with climate control systems adequate for the heating and ventilation needs of both driver and passengers. The STP shall remove from service immediately any vehicle with a non-functioning climate control system until it repairs or replaces the system; (b) All vehicles have functioning, clean, and accessible seat belts; wliere -appiiCable,for each passenger seat position and that the seat belts are stored off the floor when not in use; (c) Each vehicle utilizes child safety seats, where applicable, that meet all State and federal guidelines. Each STP must show proof that it has trained its drivers in the proper installation and use of child safety seats; (d) All vehicles shall have functional door handles on all doors; (e) All vehicles shall have an accurate speedometer and odometer; (f) All vehicles shall have functioning interior light(s) within the passenger compartment; 2008/2009 Medicaid NonMEmergency Transportation Subcontracted Transportation Provider Contract Page 44 of 117  (g) All vehicles shall have adequate sidewall padding and ceiling covering; (h) All vehicles shall have two (2) exterior rear view mirrors, one (1) on each side of the vehicle; (i) All vehicles shall have at least one (1) interior mirror for monitoring the passenger compartment; (j) All vehicle interiors and exteriors are clean and free of broken mirrors or windows, excessive grime, rust, chipped paint, or major dents that detract from the overall appearance of the vehicle; (k) All vehicles have passenger compartments that are clean, free from torn upholstery or floor coverings, damaged or broken seats, or protruding sharp edges and shall also be free of dirt, oil, grease, or litter. C. Minimum Standards 1. Access for Persons with Disabilities -All transportation facilities open to the public have access for persons with disabilities. 2. Health, Cleanliness, and Safety -All transportation facilities (or services) owned, operator and/or provided by the STP and/or Transportation Providers shall adequate space, supplies, proper sanitation, and smoke-free transportation facilities with proper fire and safety procedures in operation . . O. . . Coverage Proyisiol15 1. The STP shall provide Transportation Services twenty-four (24) hours per day, seven (7) days per week, as set forth below. The coverage shall consist of an answering machine, call forwarding, or STP call coverage. The STP shall obtain the Commission's written approval for any other means used to ensure call coverage before implementation. Trip Scheduling Time Standards Trip Type Reservation Period Acknowledgement Pick Up Period Period Routine Three (3) Business Days At Time of Call As Scheduled Hospital/Facility Discharges At Ti me of Call Within One (1) Hour Within Three (3) Hours From Time of Call From Time of Call* Urgent Care AtTime of Call Within One (1) Hour Within Three (3) Hours From Time of Call From Time of Call* Emergency Room/Facility Discharges At Time of Call Within One (1) Hour Within Three (3) Hours From Time of Call From Time of Call* 2008/2009 Medicaid Non-Emergency Transportation Subcontracted Transportation Provider Contract Page 45 of 117 Will Call At Time of Call Within One (1) Hour N/A From Time of Call *Unless otherwise specified in this Contract. 2. Transportation Services shall be available on a timely basis, as follows: a. Routine Trips (1) Unless as otherwise set forth in this Contract, a Medicaid Beneficiary must contact the STP before the close of business at least three (3) Business Days before the Medicaid Beneficiary needs to receive Transportation Services. The three (3) Business Days includes the day the Medicaid Beneficiary calls the STPs, but not the day of the Medicaid Beneficiary's medical appointment. b. Hospital/Facility Discharges (1) The STP must acknowledge and schedule all Hospital/facility discharge requests for Transportation Services within one (1) hour of the time the Hospital/facility makes the request. (2) The STP shall provide Hospital/facility discharge staff with contact information, procedures, and other appropriate information to access and schedule Transportation Services for all Medicaid Beneficiaries. (3) Transportation Services shall be provided to a Medicaid Beneficiary within three (3) hours of when the Hospital/facility makes the request. If the Hospital/facility is located in a county other than the Medicaid Beneficiary's county of residence, the STP mayaddadditicinar time tcithethree (3) hourtime limit at the . rate of