Skip to main content

Increasing need for non-emergency medical transportation - How is the state handling it?

The increased need for non-emergency medical transportation has led the state to devise new strategies to handle the demand more effectively. The governments in different states are organizing medical trips with other transportation providers who aim at serving similar individuals.

Several private and public agencies have been set up to administer or refer clients to human service transportation programs. They receive funds from different places; each resource comes with its own set of restrictions and rules. The accountability and eligibility standards, operating procedures, vehicle needs, routes and similar factors vary greatly across different organizations.

The greatest challenge for the state is to curb improper utilization of resources, customer inconvenience, varying safety standards, and insufficient transportation service due to the big number, dispersion and diversity of coordinated transportation programs. Fortunately, development in coordination and mobility management technology has helped in maximizing resources by managing eligibility standards and shared rides with several funding sources.

Non-Emergency Transportation: Delivery Options

After passing the DRA or Deficit Reduction Act of 2005, states have been given more choices to deliver NEMT. The DRA allows flexibility to states in how they deliver non-emergency medical transportation, without having to put together a troublesome administrative waiver process. However, all states have to submit a plan to the Centers for medicaid and medicare services (CMS) explaining thoroughly how they intend to provide NEMT services and how it shall be reimbursed—as either a medical cost or an administrative cost.

Requirements for non-emergency medical transportation under Medicaid regulations:


  • Provided with reasonable timeliness to every eligible citizen.
  • Provided to every single individual in the same duration, amount, and scope.
  • Citizen should be given the “freedom of choice” to choose their transportation provider.

Modes of delivering the service:

Following the Deficit Reduction Act of 2005, a lot of states chose to put in place a brokerage system, where either a state agency or a private company connects citizens with transportation providers in the most cost-effective and efficient way.

Public Brokerage

Some of the states in the country broker rides for citizens through state agencies. This does offer a unique challenge because if a public agency is brokering a ride using a public transportation entity, there are obstacles to providing the service.

Private Brokerage

States delivering non-emergency medical transportation through a private brokerage make use of a bidding process to acquire a private for-profit agency/business to work as an intermediate between eligible riders and transportation providers. States normally pay capitated payments to the intermediary for every eligible rider. This form of brokerage is actually the most popular as it offers financial certainty that the state only pays a set amount to the agency each year, rather than facing uncertain costs from using their own brokerage.

In some of the states that have thinly populated rural areas and concentrated urban regions, a mix of fee for service and brokered services models are used.

Conclusion

The state is continually looking for new technologies and NEMT programs to cost-effectively provide non-medical transportation services to attain better health outcomes.

Comments

  1. Thanks for sharing this blog. Your writing way is very impressive and helpful, i read something new today about non-emergency medical transportation. Actually I have searching these type blog. Thank you so much.

    ReplyDelete

Post a Comment

Popular posts from this blog

Transportation Options for the Elderly

When a person is no longer able to drive, the effect of the loss of mobility and freedom can be devastating. In the cases of the elderly, who may have been driving for half a century or more, the loss is often traumatic. The loss of freedom to access and participate in those activities that have been a staple of life for decades can result in stress, depression and a range of other problems, both physical and mental. The effect that this loss of mobility has, is often not noticed by friends and loved ones because the elderly are frequently too stubborn or proud to let others know how it affects them. Hiding the impact and bottling it up inside only makes the problem worse and the depression continues to grow unseen, often till it reaches a breaking point. A frequently asked question is - why can’t the elderly use other forms of transport? Image Courtesy: Pexels The Other Options Public transport would appear to be an option. However, for many seniors, a bus or subway journey is

Making Everyday Life Easier with Proper Wheelchairs

  In case you are suffering from a health issue or personal injury that constrains your capability to move, you can attain independence with the help of a wheelchair that will suit your needs. Some of the important elements you can take into account when choosing a wheelchair are the type of surface and the several climate conditions you may have to handle. You could also get wheelchair ramps, add-ons, and lifts that can make living easier, especially if you have to utilize a wheelchair long-term or temporarily. Manual Wheelchairs Are Easy to Handle and Lightweight Manual wheelchairs are the best for those who can propel the machine with their arms. This is the most cost-effective option with no recharge and batteries. Moreover, since it is extremely lightweight, it can be transported easily. 1.Most standard manual wheelchairs have a fixed footrest and armrest. However, the footrests can easily be moved up or down. 2. Detachable manual wheelchairs offer a removable footrest and armrest

Has Age Affected Your Driving?

For almost everyone, driving is an essential part of life. The ability to go where you want, when you want to, is important, but perhaps even more so is the feeling of independence that it creates. As long as we feel we can function independently, we are strong and confident. Take away this feeling of independence, and we feel weakened and insecure because we are dependent on others to take us where we want or need to go. Buses, taxis, and subways may not be workable alternatives because of mobility or other age-related problems, and the passenger does not feel he’s in control he when he’s not driving. This is something that many seniors feel when they stop driving . While there is no defined age at which a person must stop driving, there is no denying that increasing years and health issues affect a person’s ability to drive. The eyesight, strength, and reflexes of an 80 years old are not the same as when he/she was 18. Going to the DMV and getting a driving license renewed