Your Transportation Management Solution

Transcription

1 Your Transportation Management Solution

2 A Broker must first and foremost enforce the terms of the Contract ensuring compliance with state rules and regulations regarding Non-Emergency Medical Transportation. Brokers have been demonstrated to: Increase ridership. Increase job growth and stabilization of revenues for transportation providers. Improve member satisfaction due to safer and more secure transportation. Improve access to health care. Decrease fraud and abuse of Medicaid transportation.

3 Brokers deny trips that we ve always done before CMS rules state that Medicaid is always the payer of last resort. Brokers must, by law, determine if the member has other means of transportation before scheduling a ride. 99.4% of all trips requested are scheduled. A Brokers only goal is to get the cheapest ride CMS rules state that Medicaid transports must be made with the least expensive modes of transportation that is appropriate for the member. To save money the Broker will deny rides if the member isn t going where the Broker wants them to go CMS rules state that they will only pay for transportation to the nearest qualified provider.

4 Ambulatory Person who is able to walk without assistance. This includes use of mobility assistant devices such as walkers or canes. Wheelchair Person who is confined to a wheelchair and is not able to ambulate or transfer into a vehicle. Stretcher Person who is bed confined and not able to ambulate or transfer into a wheelchair. Transit fixed route, demand response and paratransit services. Includes tickets, day passes and monthly passes as well as contracted services. Boat and air transport these requests are normally by prior authorization only.

5 Gross Trip Reservations Annually: over 29 million Total Covered Lives: over 6.9 million Completed Annual Trips: over 26 million Public Transit Trips Annually: over 7 million Contracted Transportation Providers: over 2,800 Total Vehicles: over 15,000

6 LogistiCare s National Footprint MONTANA WYOMING IDAHO WASHINGTON OREGON NEVADA UTAH CALIFORNIA ARIZONA NORTH DAKOTA SOUTH DAKOTA NEBRASKA COLORADO NEW MEXICO TEXAS OKLAHOMA KANSAS ARKANSAS LOUISIANA MISSOURI IOWA MINNESOTA WISCONSIN ILLINOIS INDIANA KENTUCKY TENNESSEE MISS ALABAMA GEORGIA FLORIDA SOUTH CAROLINA NORTH CAROLINA VIRGINIA WV OHIO MICHIGAN NEW YORK MARYLAND DELAWARE NEW JERSEY CONN RI MASS MAINE V T NH HAWAII

7 What are the key elements of a LogistiCare Brokerage? Gatekeeping: Determining the eligibility of the member as well as the service for which they are requesting in the most cost effective manner that meets the needs of the member. Centralized Call Center seamlessly blending communication and dispatch in one central facility. Network Development Partnering with public and private transportation providers that provides for all modes of transportation while maintaining strict standards of service. Administration Utilizing state of the art hardware and software that is specifically developed for transportation management. Safety cost effective and user friendly training programs that encompass all aspects of driver and vehicle safety. Quality Assurance Extensively trained mobility experts that provide service at the highest level with care and compassion to the member.

8 Many public transit providers began their service providing non-emergency, non-medicaid medical transportation so it s not new service. Seating capacities on public and human service transportation vehicles often exceed what is needed for its current transportation network, increasing the cost of providing the service. Adding Medicaid transports to the transit or human service agency vehicle can expand its revenue and reduce its cost per trip. Better use of shrinking tax base dollars while adding new riders to the system.

9 NEMT and transit have a lot in common: We transport many of the same people to many of the same places. We both provide origin to destination service. We both provide a high level of service in order to meet our mandate. Low or no fares are paid by the member to use our services. We both have been doing mobility management before it was cool!

10 Taking advantage of empty seats on transit and human service provider runs will reduce the cost per trip. Transit and human service agencies can focus on subscription trips, increasing ridership and revenues on low productivity runs. LogistiCare accepts training and background checks required by FTA. Most transit agencies have all the necessary credentials to immediately start providing NEMT rides. More opportunities for coordination of services utilizing existing equipment while generating additional revenue streams. More trips with same resources!

11 LogistiCare manages NEMT for the entire state of Oklahoma. LogistiCare purchases in bulk fixed route tickets and passes to mail to eligible clients who live within ¼ mile from a fixed route. There are four Assistant Transportation Coordinators that focus solely on transit. LogistiCare works with transit ADA complementary paratransit staff to determine eligibility of clients and purchase paratransit passes in bulk.

12 LogistiCare successfully assisted rural transit operators in coordinating their trips and services resulting in increased efficiencies which allowed them to absorb a state mandated funding cut without cutting service. LogistiCare received the Outstanding Community Partnership Award from Central Oklahoma Community Action Agency The Oklahoma Transit Association said LogistiCare has a local staff vested in our providers success and they have acted as a partner supporting us in the growth of the program they operate as well as our other programs.

13 LogistiCare manages NEMT for the entire State of South Carolina. South Carolina transits operate as rural transportation systems under city, county and human services aging rules. The State s transit system is predominantly demand response with some fixed route in larger cities. LogistiCare entered into contracts with all transit agencies for Medicaid rides.

14 Met individually with each agency at their operation in order to build a good partnership and to give them one point of contact. Identified opportunities for streamlining the contracting process in line with FTA and DOT regulations already followed. Identified opportunities for coordination of services between public agencies. Offered staff involvement in coordination planning on a local and regional level.

15 Attended the state transit association conference. LogistiCare GM was asked to work as a member of the associations coordination workgroup. LogistiCare Participated in a group session with State Human Services, DOT staff and CTAA staff to identify NEMT issues pertinent to public agency involvement in NEMT services. The CTAA Executive Director said it is the first time I ever saw a broker invite transit to discuss their concerns and to work to identify opportunities for improved coordination with transit and NEMT.

16 Worked with each transit agency throughout the contracting and credentialing process, identifying ways to streamline the contracting process in line with FTA and DOT guidelines. Conducted transit only orientation sessions geared towards the public agency needs. Committed to a meeting within 3 months of start up focused solely on coordination. Contacted the three urban transit systems in Denton County, Fort Worth and Dallas and received GPS coordinates for all fixed route stops. Attended the state transit association conference. Continue to provide one on one assistance with transit related issues.

17 LogistiCare began Medicaid Broker age operations in the Dallas/Ft. Worth area on April 16 th, Transit Director met on-site with each of the nine rural transits representing the 13 counties in February, Contracted with rural transit in all 13 counties and assisted them through the contracting, and vehicle and driver credentialing process. Met with the North Central Texas Council of Governments and TXDOT representative to discuss NEMT and opportunities for coordination.

18 Offered LogistiCare staff representation on the planned update of the region s Human Services Coordination plan. Is attending the Texas Transit Association Conference LogistiCare Safety Director met with and reviewed all training programs for compliance certification assisting where needed to provide cost effective training resources Sponsored a CTAA Train the Trainer PASS Certification in Dallas

19 LogistiCare is a Medical Transportation Management company that achieves success through partnerships with private, non-profit, and public transportation providers. LogistiCare has been providing medically necessary mobility management since 1996 and encourages improving coordination between all types of Human service Transportation Agencies and is committed to providing the Safest Ride in the Safest Vehicle being driven by the Safest Driver.

20 Contact Information: Kenneth L. Hoggard (Ken) Provider Relations Director 1275 Peachtree St. N.E. Atlanta, GA