Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Agency For Health Care Administration
Managed Care Organizations
Transportation Audit Tool
Transportation Review Tool
Item Number Standard Found in Handbook Reference Comments
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The health plan ensures that all transportation providers maintain vehicles
and equipment in accordance with state and federal safety standards and
the manufacturers’ mechanical operating and maintenance standards for
any and all vehicles used for transportation of Medicaid recipients.
The health plan ensures that all transportation providers comply with
applicable state and federal laws, including, but not limited to, the
Americans with Disabilities Act (ADA) and the Federal Transit
Administration (FTA) regulations.
The health plan ensures that transportation providers immediately remove
from service any vehicle that does not meet the FL Department of
Highway Safety and Motor Vehicles licensing requirements, safety
standards, ADA regulations, or Contract requirements and re-inspect the
vehicle before it is eligible to provide transportation services for Medicaid
recipients under this Contract. Vehicles will not carry more passengers
than the vehicle was designed to carry. All lift-equipped vehicles must
comply with ADA regulations.
The health plan ensures transportation services meet the needs of its
enrollees including use of multi-load vehicles, public transportation,
wheelchair vehicles, stretcher vehicles, private volunteer transport, overthe-road
bus service, or, where applicable, commercial air carrier
transport.
The health plan collects and submits encounter data, as required elsewhere
in this Contract.
The health plan ensures a transportation network of sufficient size so that
failure of any one component will not impede the ability to provide the
services required in this Contract.
The health plan ensures that any subcontracts for transportation services
meet the subcontracting requirements.
The health plan maintains policies and procedures, consistent with 42
CFR 438.12 to ensure there is no discrimination in serving high-risk
populations or people with conditions that require costly transportation.
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Managed Care Organizations Page 2
Transportation Audit Tool F1_03_10
Florida Medicaid
Exhibit 5
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