Transportation Services

Reimbursement for Health-Related Private Transportation

Provision of private health-related transportation for qualifying Pilot Enrollees through one or more of the following services                                                                              

• Community transportation options transportation or for private transportation by way of community transportation options, private.
• Direct transportation by a professional, private, or semi-private transportation vendor.        
• Account credits for taxis or ridesharing mobile applications for transportation.

Private transportation services may be utilized in areas where public transportation is not an available and/or not an efficient option (e.g., in rural areas).  Pilot transportation will not replace Non-Emergency Medical Transportation (NEMT) as required in Medicaid.

Reimbursement for Health-Related Public Transportation

Provision of health-related transportation for qualifying Pilot Enrollees through vouchers for public transportation. This service may be furnished to transport Pilot Enrollees to non-medical services that promote community engagement, health and well-being. The service may include transportation to locations indicated in an Enrollee’s care plan. Pilot transportation will not replace Non-Emergency Medical Transportation (NEMT) as required in Medicaid.

Transportation PMPM Add-On for Case Management Services

Reimbursement for coordination and provision of transportation for Pilot Enrollees provided by an organization delivering one or more of the following case management services:

• Housing Navigation, Support and Sustaining Services
• IPV Case Management
• Holistic High Intensity Enhanced Case Management