Nursing Homes and Non-emergency Medical Transportation
|
|
|
- Ilene Burns
- 8 years ago
- Views:
Transcription
1 Nursing Homes and Non-emergency Medical Transportation
2 Agenda Modes of Non-emergency Medical Transportation. Non-emergency Medical Transportation Coordination (NEMT). Options for Common Carrier Transportation. Options for Specialized Medical Vehicle Transportation (SMV). Nursing Home Billing Non-emergency Medical Transportation. Resources. 1 1
3 What Types of NEMT transportation Whare available? Modes of Non-emergency Medical Transportation Modes of non-emergency medical transportation include: Common carrier transportation. Specialized medical vehicle transportation. Stretcher/non-emergency ambulance transportation. Common carrier transportation is any transportation service other than ambulance and SMV; however, SMVs can be used as a common carrier if the member does not require an SMV. 2 2
4 Non-emergency Medical Transportation Coordination On July 1, 2011, the Department of Health Services (DHS) implemented a new transportation management system that will coordinate NEMT services statewide. The DHS has contracted with LogistiCare Solutions, LLC, (LogistiCare) to provide NEMT management services for Medicaid and BadgerCare Plus members. LogistiCare is responsible for transporting a member to a nursing home if the member has not already been admitted. When discharged, LogistiCare is responsible for transporting a member from the nursing home to a noninstitutional setting. 3 3
5 Non-emergency Medical Transportation Coordination (Cont.) LogistiCare s Responsibility To nursing home for initial admission. Discharge from nursing home (to non-institutional setting such as the member s home). Nursing Home s Responsibility All other scenarios involving a nursing home (to or from). Including interfacility transfers. Note: Nursing home residents will continue to be eligible for transportation to their Medicaid covered services. If a nursing home resident is enrolled in Family Care, then the resident or the nursing home will work with the members managed care organization (MCO) to arrange transportation. The MCO will remain responsible for providing Medicaid transportation for their members. 4 4
6 Options for Common Carrier Transportation OPTION Utilize nursing home vehicle. Utilize volunteer driver. Utilize an SMV provider as a common carrier. Contract with LogistiCare, a county, or some other entity to provide transportation services. REIMBURSEMENT METHOD The nursing home should bill Medicaid fee-for-service as an ancillary charge for transportation provided to a resident Medicaid member at a rate of $10 per day of ride plus $1.00 per mile. The nursing home should bill Medicaid fee-for-service as an ancillary charge for transportation provided to a resident Medicaid member at a rate of $10 per day of ride plus $1.00 per mile. The nursing home should bill Medicaid fee-for-service as an ancillary charge for transportation provided to a resident Medicaid member at a rate of $10 per day of ride plus $1.00 per mile. The nursing home is responsible for the costs specified in their contract; however, the nursing home may continue to bill this as an ancillary fee-for-service charge. 5 5
7 Options for Specialized Medical Vehicle Transportation OPTION Utilize nursing home SMV that is Medicaid certified. REIMBURSEMENT METHOD The nursing home should bill the state directly for this service. Utilize nursing home SMV that is not Medicaid certified. Utilize a private SMV provider. Contract with LogistiCare, a county, or some other entity to provide transportation services. The nursing home should bill Medicaid fee-for-service as an ancillary charge for transportation provided to a resident Medicaid member at a rate of $10 per day of ride plus $1.00 per mile. The nursing home should instruct the SMV provider to bill the transportation to ForwardHealth on a fee-for-service basis. The nursing home is responsible for the costs specified in their contract; however, the nursing home may continue to bill this as an ancillary fee-for-service charge. 6 6
8 Nursing Home Billing Non-emergency Medical Transportation Claims for nursing home-provided NEMT must be submitted on the 1500 Health Insurance Claim Form or the 837 Health Care Claim: Professional transaction. Nursing home providers will submit claims using Healthcare Common Procedure Coding System (HCPCS) procedure codes for nursing homeprovided NEMT. Note: In order to submit claims to ForwardHealth for NEMT, it will be necessary for a Nursing Home Level of Care to be in the member s file. 7 7
9 Nursing Home Billing Non-emergency Medical Transportation (Cont.) Providers are required to use one or both of the following HCPCS procedure codes on claims for nursing home provided non-emergency transportation: Indicate procedure code A0120 (Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) to be reimbursed for a base rate. Indicate a unit of 1 to reflect one date of service (DOS). Providers will be reimbursed for only one base rate per DOS regardless of the number of trips or appointments a member had on that DOS. Indicate the usual and customary charge for the service. (The maximum amount nursing home providers will be reimbursed is $10.00 per DOS.) 8 8
10 Nursing Home Billing Non-emergency Medical Transportation (Cont.) Indicate procedure code S0215 (Non-emergency transportation; mileage per mile) to be reimbursed for mileage. Indicate the total miles traveled for the single DOS (1.0 mile = 1.0 unit). Indicate the usual and customary charge for the total mileage. (Providers will be reimbursed $1.00 per mile.) 9 9
11 Resources Webcast Nursing Home Online Handbook. February 2010 ForwardHealth Update ( ), titled Reimbursement and Claims Submission Changes for Nursing Home Provided Non-emergency Transportation for Nursing Home Residents. April 2011 Update ( ), titled New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members
12 Thank you! 11 11
New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members
The Online Handbook has not yet been revised to include information contained in this Update. Update April 2011 No. 2011-24 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other
Update July 2012. Introduction to Non-emergency Medical Transportation Management System. No. 2012-31
Update July 2012 No. 2012-31 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs Non-emergency Medical Transportation Management System Expands to HMO Enrollees
Reimbursement and Claims Submission Changes for Nursing Home Provided Non-emergency Transportation for Nursing Home Residents
Update February 2010 No. 2010-05 Affected Programs: BadgerCare Plus Standard Plan, BadgerCare Plus Benchmark Plan, Medicaid To: Nursing Homes, HMOs and Other Managed Care Programs Reimbursement and Claims
Non-Emergency Medical Transportation (NEMT) FAQ
Non-Emergency Medical Transportation (NEMT) Frequently Asked Questions What are NEMT services? The NEMT services are for members with full Medicaid benefits, who need travel reimbursement or a ride to
Welcome to the LogistiCare seminar on arranging non-emergency medical transportation (NEMT) services for Medicaid and BadgerCare Plus members, except
Welcome to the LogistiCare seminar on arranging non-emergency medical transportation (NEMT) services for Medicaid and BadgerCare Plus members, except those residing in a nursing home, or enrolled in the
New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members
Update April 2011 No. 2011-24 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Non-emergency Medical Transportation Management System for Wisconsin
Legislative Audit Bureau
Report 15-4 May 2015 Non-Emergency Medical Transportation Department of Health Services Legislative Audit Bureau Report 15-4 May 2015 Non-Emergency Medical Transportation Department of Health Services
Title XIX Non-Emergency Medical Transportation (NEMT)
Title XIX Non-Emergency Medical Transportation (NEMT) 02/2015 1 Title XIX Non-Emergency Medical Transportation (NEMT) The Title XIX Non-Emergency Medical Transportation (NEMT) program provides reimbursement
Running Head: Non Emergency Medical Transportation in Wisconsin
Running Head: Non Emergency Medical Transportation in Wisconsin Sally Richie and Maureen Garvey Social Work 999 May 18, 2012 Instructor: Eric Lock 2 Non Emergency Medical Transportation in Wisconsin Non
Exhausting Other Health Insurance Sources Before Submitting Nursing Home Claims to ForwardHealth
Exhausting Other Health Insurance Sources Before Submitting Nursing Home Claims to ForwardHealth Rose Klaben Third Party Liability Information Systems Business Automation Specialist August 24, 2015 DHS
Department Of Human Services. Medical Assistance Transportation Program. Request for Information (RFI)
Department Of Human Services Medical Assistance Transportation Program Request for Information (RFI) Date: October 21, 2015 Table of Contents PART 1: GENERAL INFORMATION... 3 1.1 Purpose of this Request
New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid
Update December 2009 No. 2009-96 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare
The Virginia Department of Medical Assistance Services. Division of Health Care Services. Emergency Air Ambulance Rates
The Virginia Department of Medical Assistance Services Division of Health Care Services Rates Effective with Dates of Service October 31, 2009 and Before Emergency Air Ambulance Rates (Fee For Service)
Transportation for health care appointments just got easier with
Transportation for health care appointments just got easier with Molina Medicare! With Molina Medicare Options Plus HMO SNP Plan, we offer the added benefit of non-emergency transportation to get you to
NON-EMERGENCY MEDICAL TRANSPORTATION
NON-EMERGENCY MEDICAL TRANSPORTATION Brief Coverage Statement Non-Emergency Medical Transportation (NEMT) is provided as an administrative service for Colorado Medical Assistance Program (Colorado Medicaid)
Wright County Health and Human Services Health Care Access Services
The policies defined in this document are effective 6/1/2015. Revision Date: 6/1/2015 Wright County Health and Human Services (WCHHS) has a Health Care Access Plan in place with the Minnesota Department
Chapter 27 Non-Emergency Transportation Services
Chapter 27 Non-Emergency Transportation Services Overview This chapter provides information on South Country Health Alliance s (SCHA) coverage for Transportation Services. Definitions Access Transportation
Changes to the Comprehensive Community Services Benefit as a Result of the Wisconsin 2013-15 Biennial Budget
Update June 2014 No. 2014-42 Affected Programs: BadgerCare Plus, Medicaid To: Adult Mental Health Day Treatment Providers, Advanced Practice Nurse Prescribers with Psychiatric Specialty, Child/Adolescent
Non-Emergency Medical Transportation Services Management
State of Wisconsin DOA-3261 (R08/2003) s.16.75, Wis. Statutes PROPOSALS MUST BE SEALED AND ADDRESSED TO: AGENCY ADDRESS: REQUEST FOR PROPOSAL THIS IS NOT AN ORDER PROPOSER (Name and Address) Remove from
New Non-emergency Medical Transportation Manager for Wisconsin Medicaid and BadgerCare Plus Members
Update June 2013 No. 2013-32 Affected Programs: BadgerCare Plus Standard Plan, BadgerCare Plus Benchmark Plan, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Non-emergency Medical
Minnesota Department of Human Services Health Care Access Services Biennial Plan
Minnesota Department of Human Services Health Care Access Services Biennial Plan Effective January 1, 2013 through December 31, 2014 Local Agency or Tribe: Steele County Human Services Person Responsible
What does LogistiCare do?
Hawaii Health Plans Who is LogistiCare? LogistiCare is a transportation management company with operation centers nationwide. LogistiCare is directly responsible for managing over 2 million transports
P;I~ MEDICAID COMMUNICATION NO. 09-15. DATE:september 21, 2009. CWA Directors Statewide Eligibility Determination. SUBJECT: Transportation Services
JON S. CORZINE Governor ~tate of jie\n 3f erse!, DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES P.O. Box 712 Trenton, NJ 08625-0712 Telephone 1-800-356-1561 JENNIFER VELEZ
Minnesota Department of Human Services Health Care Access Services Biennial Plan
ATTACHMENT A Minnesota Department of Human Services Health Care Access Services Biennial Plan Effective January 1, 2013, through December 31, 2014 Local Agency or Tribe: Metro County Consortium (MCC) -
Medical Coverage Policy Ambulance: Ground Transport
Medical Coverage Policy Ambulance: Ground Transport Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2001 Policy Last Updated: 6/19/2012 Prospective review is recommended/required.
Ambulance Policy. November 2007! No. 2007-75. Clarification of Wisconsin Medicaid Policy. Documentation Requirements
November 2007! No. 2007-75 To: Ambulance Providers HMOs and Other Managed Care Programs Ambulance Policy This Wisconsin Medicaid and BadgerCare Update clarifies existing policies and announces new Wisconsin
The State of Connecticut Department of Social Services. Non-Emergency Medical Transportation (NEMT) Program. Request for Information (RFI)
The State of Connecticut Department of Social Services Non-Emergency Medical Transportation (NEMT) Program Request for Information (RFI) Date: March 24, 2016 NEMT_RFI_032416 Table of Contents PART 1: GENERAL
Information for Eligible Professionals Regarding Program Year 2015 of the Wisconsin Medicaid Electronic Health Record Incentive Program
Update June 2015 No. 2015-24 ffected Programs: BadgerCare Plus, Medicaid To: Advanced Practice Nurse Prescribers with Psychiatric Specialty, Dentists, Federally Qualified Health Centers, Nurse Midwives,
Non-Emergency Medical Transportation in South Carolina. March 2009 Review of the South Carolina Legislative Audit Council
Non-Emergency Medical Transportation in South Carolina March 2009 Review of the South Carolina Legislative Audit Council Non-Emergency Medical Transportation (NEMT) Provides Medicaid clients rides to and
NON-EMERGENCY MEDICAL TRANSPORT of NEW YORK CITY FEE-FOR SERVICE MEDICAID and MANAGED MEDICAID ENROLLEES
NON-EMERGENCY MEDICAL TRANSPORT of NEW YORK CITY FEE-FOR SERVICE MEDICAID and MANAGED MEDICAID ENROLLEES WEBINAR PRESENTATION www.nycmedicaidride.net What is LogistiCare (LGTC)? 1. LGTC is a transportation
VENDOR QUESTIONS. Broker for NEMT Services for Fee for Service Population
RFI YH1-000 PAGE 1 Phoenix, Arizona 50 1. 2... 5. NA NA NA NA NA Background of Project Purpose NA In order to properly calculate the estimated annual Program expenditure, can provide the total number of
Final Adoption 6/26/08 114.3 CMR 27.00: AMBULANCE SERVICES. Section
114.3 CMR 27.00: AMBULANCE SERVICES Section 27.01: General Provisions 27.02: General Definitions 27.03: General Rate Provisions and Maximum Fees 27.04: Filing and Reporting Requirements 27.05: Severability
Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited
Your instructor Levels of Service National Academy of Ambulance Coding Steve Wirth Founding Partner, Page, Wolfberg & Wirth LLC Over 30 years experience as an EMT, Paramedic, Flight Medic, EMS Instructor,
Eligibility Molina Dual Options MyCare Ohio Medicare-Medicaid Plan Central West Central Southwest Southwest: West Central: Central:
Molina Dual Options MyCare Ohio Transportation Benefit Provider Services Molina Healthcare June 2015 Eligibility Molina Dual Options MyCare Ohio Medicare-Medicaid Plan is a health plan that contracts with
CHAPTER T-200 MEDICAL TRANSPORTATION SERVICES TABLE OF CONTENTS
Handbook for Transportation Providers Chapter T-200 Policy and Procedures CHAPTER T-200 MEDICAL TRANSPORTATION SERVICES TABLE OF CONTENTS FOREW0RD PURPOSE T-200 BASIC PROVISIONS T-201 PROVIDER PARTICIPATION.1
Non-Emergency Medical Transportation Management Services
DIVISION OF ENTERPRISE SERVICES Jim Doyle Governor Karen E. Timberlake Secretary State of Wisconsin Department of Health Services 1 WEST WILSON STREET P.O. BOX 7850 MADISON WI 53707-7850 Telephone: 608-266-8445
Molina Healthcare Dual Options Transportation Benefit 2014
Molina Healthcare Dual Options Transportation Benefit 2014 Eligibility Dual Options (MMP) is the name of Molina s Medicare-Medicaid and will be an option for consumers in the Central, West Central, and
February 26, 2015. Enclosed for your records is an approved copy of the following State Plan Amendment: --Effective Date: July 1, 2013
Department of Health & Human Services Centers for Medicare & Medicaid Services 233 North Michigan Avenue, Suite 600 Chicago, Illinois 60601-5519 February 26, 2015 Marie Zimmerman State Medicaid Director
Update January 2008. BadgerCare Plus Information for Providers. BadgerCare Plus Overview. Definition of the New Benefit. No.
Update January 2008 No. 2008-04 BadgerCare Plus Information for Providers To: All Providers, HMOs and Other Managed Care Programs Mental Health and Substance Abuse Screening, Preventive Mental Health Counseling,
FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION
FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION NYS Medicaid Transportation Schedule Ambulance A0422 A0420 A0424 A0425 A0426 A0427 A0428 A0429 A0430 A0431 A0432 A0433 A0434 A0435 A0436 A0999 Advanced
Frequently Asked Questions from Medical Practitioners
Frequently Asked Questions from Medical Practitioners How can the Facility Department help? LogistiCare maintains a Facility Services Department dedicated to handling the non-emergency medical transportation
Eligible Hospitals Reporting Meaningful Use for the Wisconsin Medicaid Electronic Health Record Incentive Program and Other Program Information
Update February 2012 No. 2012-05 Affected Programs: BadgerCare Plus, Medicaid To: Hospital Providers, HMOs and Other Managed Care Programs Eligible Hospitals Reporting Meaningful Use for the Wisconsin
Non-Emergency Transportation Services RFP #20091016. Responses to Submitted Questions
Non-Emergency Transportation Services RFP 20091016 s to Submitted s 1 1.29 40 Section 1.29 states that the Offeror must have two years experience in providing or brokering transportation services. Can
REV. JULY 23, 2014 NEBRASKA DEPARTMENT OF MEDICAID SERVICES MANUAL LETTER #64-2014 HEALTH AND HUMAN SERVICES 471 NAC 27-000
MANUAL LETTER #64-2014 HEALTH AND HUMAN SERVICES 471 NAC 27-000 27-000 NON-EMERGENCY TRANSPORTATION (NET) SERVICES 27-001 Service Definitions: the following words, terms and phrases when used in this section
No preference is given to New York based companies. The Funding Availability Solicitation (FAS) is a nationwide solicitation.
A. General 1. Is preference given to New York based companies? No preference is given to New York based companies. The Funding Availability Solicitation (FAS) is a nationwide solicitation. 2. Is the coordination
Certification and Ongoing Responsibilities
Certification and Ongoing Responsibilities 1 Page 1 of 286 Archive Date:04/02/2012 Certification and Ongoing Responsibilities:Certification Topic #1066 Air and Specialized Medical Vehicle Certification
New Comprehensive Care Coordination Benefit for Members with Human Immunodeficiency Virus or Acquired Immune Deficiency Syndrome
Update September 2012 No. 2012-52 Affected Programs: BadgerCare Plus Standard Plan, BadgerCare Plus Benchmark Plan, BadgerCare Plus Core Plan, Medicaid To: Case Management Providers, HMOs and Other Managed
Your New Non-emergency Medical Transportation Manager
Member Update June 2013 Spanish Si necesita ayuda para traducir o entender este texto, por favor llame al teléfono 1-800-362-3002 (V/TTY). Russian Если вам не всё понятно в этом документе, позвоните по
1. Section Modifications
Table of Contents 1. Section Modifications... 1 2.... 2 2.1. Introduction... 2 2.2. Definitions... 2 2.2.1. Non-Emergent Medical Transportation (NEMT)... 2 2.2.2. Non-Emergent Non-Medical Transportation...
Mental Health and Substance Abuse Services Under BadgerCare Plus
Update January 2008 No. 2008-05 BadgerCare Plus Information for Providers To: Advanced Practice Nurse Prescribers with Psychiatric Specialty, AODA Counselors, Community Support Programs, Comprehensive
Minnesota Department of Human Services Health Care Access Services Biennial Plan
ATTACHMENT A Minnesota Department of Human Services Health Care Access Services Biennial Plan Effective March 1, 2011, through December 31, 2012 Name of County or Tribe/ Band: Mower County Human Services
Chapter 1 Section 14
General Chapter 1 Section 14 Issue Date: August 26, 1985 Authority: 32 CFR 199.4(d)(3)(v), 32 CFR 199.14(j)(1)(i)(A), and 10 USC 1079(h)(1) 1.0 APPLICABILITY This policy is mandatory for reimbursement
Does Medicaid Cover ambulance Transportation?
SECTION 2 MEDICAL TRANSPORTATION Table of Contents 1 MEDICAL TRANSPORTATION SERVICES (Updated 7/1/13)... 3 1-1 Credentials for Transportation Providers... 3 1-2 Verifying Medicaid Eligibility... 4 1-3
Handbook for Providers of Transportation Services
Handbook for Providers of Transportation Services Chapter T-200 Policy and Procedures for Transportation Services Illinois Department of Healthcare and Family Services CHAPTER T-200 Medical Transportation
Division of Medicaid and Health Financing SECTION 2 MEDICAL TRANSPORTATION. Table of Contents
Division of Medicaid and Health Financing Updated July 2015 SECTION 2 MEDICAL TRANSPORTATION Table of Contents 1 MEDICAL TRANSPORTATION SERVICES... 3 1-1 Credentials for Transportation Providers... 3 1-2
Transportation Service Requirements in the Managed Medical Assistance Program. Overview
Transportation Service Requirements in the Managed Medical Assistance Program Overview The Statewide Medicaid Managed Care (SMMC) program consists of two components: the Managed Medical Assistance (MMA)
8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC, 1-1-14]
![8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC, 1-1-14]](/thumbs/24/3103096.jpg "8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC, 1-1-14]")
TITLE 8 SOCIAL SERVICES CHAPTER 324 ADJUNCT SERVICES PART 7 TRANSPORTATION SERVICES AND LODGING 8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC,
January March 31, 2015 Ambulance Fee Schedule Public Use Files
Background January March 31, 2015 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance
Chapter 27 Non-Emergency Medical Transportation Services
Chapter 27 Non-Emergency Medical Transportation Services Overview This chapter provides information on South Country Health Alliance s (SCHA) coverage for Transportation Services. Definitions Access Transportation
Changes for Master s-level Psychotherapists
Update December 2010 No. 2010-114 Affected Programs: BadgerCare Plus Standard Plan, BadgerCare Plus Benchmark Plan, Medicaid To: Advanced Practice Nurse Prescribers, HealthCheck Other Services Providers,
317:30-5-327. SoonerRide non-emergency non-ambulance transportation services for eligible Medicaid recipients residing in nursing facilities (a)
317:30-5-327. SoonerRide non-emergency non-ambulance transportation services for eligible Medicaid recipients residing in nursing facilities (a) Access to non-emergency non-ambulance transportation through
Medical Coverage Policy Ground Ambulance
Medical Coverage Policy Ground Ambulance Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2004 Policy Last Updated: 12/06/2011 Prospective review is recommended/required. Please check
Overview of the Connecticut Non-Emergency Medical Transportation Program
Supplement 4 to page 9(e) of ATTACHMENT 3.1-A Page 1 SERVICES PROVIDED TO THE CATEGORICALLY NEEDY Overview of the Connecticut Non-Emergency Medical Transportation Program 1. Introduction The Department
Ambulance Fees - Impact of the USAmbulance Fees
Background CY 2012 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance claims
Transportation for non-emergency medical purposes is funded through three different sources. These sources are:
NON-EMERGENCY MEDICAL TRANSPORTATION A. Introduction 1. Funding Sources Transportation for non-emergency medical purposes is funded through three different sources. These sources are: - Title XIX funds
Ambulance Transportation Service Requirements in the Managed Medical Assistance Program
Ambulance Transportation Service Requirements in the Managed Medical Assistance Program Ambulance Transportation - 09/23/2014 1 of 18 Table of Contents Overview... 3 Definitions... 4 Contract Language:
The Wisconsin Medicaid Electronic Health Record Incentive Program for Eligible Hospitals
Update July 2011 No. 2011-39 Affected Programs: BadgerCare Plus, Medicaid To: Hospital Providers, HMOs and Other Managed Care Programs The Wisconsin Medicaid Electronic Health Record Incentive Program
Handbook for Providers of Transportation Services
Handbook for Providers of Transportation Services Chapter T-200 Policy and Procedures for Transportation Services Illinois Department of Healthcare and Family Services CHAPTER T-200 Medical Transportation
Chapter 16. Medicaid Provider Manual
Chapter 16 Medicaid Provider Manual CHAPTER 16 Date Revised: TABLE OF CONTENTS 16.1 Emergency/Ambulance Services... 1 16.2 Non-Emergency Ground Transportation... 2 16.2.1 Taxi Services... 2 16.2.2 Curb-to-Curb
WV INCOME CHAPTER 19 - EMERGENCY AND SPECIAL ASSISTANCE PROGRAMS 19.3 MAINTENANCE MANUAL
WV INCOME CHAPTER 19 - EMERGENCY AND PECIAL AITANCE PROGRAM 19.3 19.3 NON-EMERGENCY MEDICAL TRANPORTATION A. Introduction Recipients of Medicaid and Children with pecial Health Care Needs (CHCN) may request
CY 2013 Ambulance Fee Schedule Public Use Files
Background CY 2013 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance claims
Florida Medicaid AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS HANDBOOK
Florida Medicaid AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS HANDBOOK Agency for Health Care Administration August 2013 UPDATE LOG AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS
TRANSPORTATION SERVICES
TRANSPORTATION SERVICES ADMINISTRATIVE POLICY Policy Number: TRANSPORT 002.15 T2 Effective Date: March 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS... COVERAGE RATIONALE...
TransLink Medical Transportation Brokerage Member Program Guide
TransLink Medical Transportation Brokerage Member Program Guide Updated January 2015 TransLink 239 E. Barnett Rd, Medford, Oregon 97501 (541) 842-2060 Toll Free 1-888-518-8160 Oregon Relay Service - 711
Effective Dates and Transition Information for ForwardHealth s Implementation of ICD-10 Code Sets
Update August 2015 No. 2015-39 Affected Programs: BadgerCare Plus, Medicaid, SeniorCare, Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, Wisconsin Well Woman Program To: All
THE ROAD TO COORDINATION
THE ROAD TO COORDINATION Vickie S. Bourne, Executive Director Kentucky Transportation Cabinet Office of Transportation Delivery (OTD) September 13-14, 2007 State Programs Meeting Before Coordination Non-Emergency
How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.
1 How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com 2 Training Objectives Provide an overview of the Florida Medicaid
Wisconsin Medicaid. Certification and Ongoing Responsibilities
Certification and Ongoing Responsibilities 1 Page 1 of 275 Archive Date:06/01/2011 Certification and Ongoing Responsibilities:Certification Topic #196 Border Status Providers A provider in a state that
Attachment C. Frequently Asked Questions. Department of Health Care Policy and Financing
Attachment C Frequently Asked Questions Department of Health Care Policy and Financing EMERGENCY AMBULANCE SERVICES Brief Coverage Statement Emergency ambulance service is a component of the Colorado Medicaid
NEMT Past, Present and Future
NEMT Past, Present and Future Stephen Borders, PhD, MSHP School of Public and Nonprofit Administration Grand Valley State University Big Picture for This Session Need for Non-Emergency Medical Transportation
Non-Medical Transportation For HARP enrollees in NYC. December 2015
Non-Medical Transportation For HARP enrollees in NYC December 2015 General Designation Information REMINDER: There has been new guidance regarding the BH HCBS Non-Medical Transportation. To provide this
Care Wisconsin ICD-10 FAQs
Care Wisconsin ICD-10 FAQs 1. What are the improvements to ICD-10-CM/PCS coding? Answer: The new classification system provides significant improvements greater detailed information and the ability to
MaineCare Non Emergency Medical Transportation System Redesign
MaineCare Non Emergency Medical Transportation System Redesign Stakeholder Forum April 25, 2011 http://www.maine.gov/dhhs/oms/nemt/nemt_index.html All documents and materials concerning the NEMT project
Arkansas Department Of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437
Arkansas Department Of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 Fax: 501-682-2480 TDD: 501-682-6789 Internet Website: www.medicaid.state.ar.us
Medical transportation is available to: Family Idependance Program (FIP) recipients. Supplemental Security Income (SSI) recipients.
BAM 825 1 of 20 MEDICAL TRANSPORTATION DEPARTMENT POLICY Each Michigan Department of Human Services (MDHS) office must furnish information in writing and orally, as appropriate, to all applicants and to
APPLICANT PROPOSAL For Non-Emergency Medical Transportation (NEMT) Coordination Services
1 APPLICANT PROPOSAL For Non-Emergency Medical Transportation (NEMT) Coordination Services INSTRUCTIONS: If you want to be considered to provide services in response to the Request for Proposals for NEMT
206 Capitol Street -3 rd Flr Charleston, WV 25301 P. 304-544-9733 chris@wvemscoalition.com
July 24, 2015 WV Bureau for Medical Services Transportation 350 Capitol Street, Room 251 Charleston, WV 25301 BMS.comments@wv.gov RE: Transportation, Chapter 524, and appendix To Whom It May Concern: The
Gundersen Health Plan. BadgerCare Plus. Member Handbook
Gundersen Health Plan BadgerCare Plus Member Handbook January 1, 2014 through December 31, 2015 Page 1 Contents Interpreter Services...3 Important Phone Numbers...3 Welcome to Gundersen Health Plan...3
STATE OF NEW YORK OFFICE OF THE MEDICAID INSPECTOR GENERAL 800 North Pearl Street Albany, New York 12204
ANDREW M. CUOMO GOVERNOR STATE OF NEW YORK OFFICE OF THE MEDICAID INSPECTOR GENERAL 800 North Pearl Street Albany, New York 12204 JAMES C. COX MEDICAID INSPECTOR GENERAL December 21,2012 Approved Transportation
PROTOCOLS FOR NON-EMERGENCY MEDICAL TRANSPORTATION PROVIDERS
PROTOCOLS FOR NON-EMERGENCY MEDICAL TRANSPORTATION PROVIDERS CenCal Health members may access Non-Emergency Medical Transportation services when the member does not require emergency services or equipment
Clinical Medical Policy Ambulance Transportation
The intent of this policy is to provide criteria to determine medical necessity for ambulance transportation when authorization is required. for Medicaid Products including: RIte Care, Substitute Care,
BULLETIN. Medical. Assis. Programs. ssistance. AMBULANCE PROVIDER Policy and Procedure Update ELIMINATION OF LOCAL CODES
July 2003 Kansas Medical Assis ssistance Programs AMBULANCE PROVIDER Policy and Procedure Update ELIMINATION OF LOCAL CODES BULLETIN Effective with dates of service on and after July 14, 2003, all Ambulance
NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) BROKERAGE OPERATIONS MANUAL
NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) BROKERAGE OPERATIONS MANUAL Division of Medical Assistance Programs July 2013 Contents DEFINITION OF TERMS... 1 PRIMARY OPERATING COMPONENTS... 3 Administrative
FEE-FOR-SERVICE PROVIDER MANUAL CHAPTER 14 TRANSPORTATION
REVISION DATES: 01/28/2015 clarification 14-10, 14-11, 08/28/2014, 04/17/2014, 03/18/2014, 12/11/2013 Emergency Transportation Services AHCCCS covers emergency ground and air ambulance transportation services,
P R O V I D E R B U L L E T I N B T 2 0 0 5 0 5 M A R C H 8, 2 0 0 5
P R O V I D E R B U L L E T I N B T 2 0 0 5 0 5 M A R C H 8, 2 0 0 5 To: All Transportation Providers Subject: Transportation Billing Guide Table of Contents Table of Contents... 1 Types of Transportation
NON-EMERGENCY MEDICAL TRANSPORTATION PROGRAM REQUEST FOR PROPOSAL NO. HSS-10-091
1 NON-EMERGENCY MEDICAL TRANSPORTATION PROGRAM REQUEST FOR PROPOSAL NO. HSS-10-091 1 2.13 20 Contractor Compensation - Can the agency share any insights or projections related to healthcare reform, which
HIPAA contingency plan: options for billing services and providers who will not be ready to submit HIPAA-compliant electronic claims
September 2003! No. 2003-146 PHC 1143 To: Billing Services and Providers HMOs and Other Managed Care Programs The information in this Wisconsin Medicaid and BadgerCare Update also applies to providers
Quick Reference Information: Coverage and Billing Requirements for Medicare Ambulance Transports
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Quick Reference Information: Coverage and Billing Requirements for Medicare Ambulance Transports ICN 909008 August 2014
Medical transportation is available to: Family Independence Program (FIP) recipients. Supplemental Security Income (SSI) recipients.
BAM 825 1 of 19 MEDICAL TRANSPORTATION DEPARTMENT POLICY Each Michigan Department of Health and Human Services (MDHHS) office must furnish information in writing and orally, as appropriate, to any requesting
Non Emergent Medical Transportation (NEMT) Approaches for Coordinated Care Organizations
Non Emergent Medical Transportation (NEMT) Approaches for Coordinated Care Organizations Case Studies: Trillium CCO and Lane Transit District RideSource InterCommunity Health Network (IHN) Coordinated