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
24
25
26
The transportation provider provides the enrollee with boarding
assistance, if necessary or requested, to the seating portion of the vehicle.
Such assistance includes, but is not limited to, opening the vehicle door,
fastening the seat belt or wheelchair securing devices, storage of mobility
assistive devices and closing the vehicle door. In the door-through-door
paratransit service category, the driver opens and closes doors to
buildings, except in situations in which assistance in opening and/or
closing building doors would not be safe for passengers remaining in the
vehicle. The driver provides assisted access in a dignified manner.
Smoking, eating, and drinking are prohibited in any vehicle, except in
cases in which, as a medical necessity, the enrollee requires fluids or
sustenance during transport.
All vehicles are equipped with two-way communications, in good
working order and audible to the driver at all times, by which to
communicate with the transportation services hub or base of operations.
Y N N/A Exhibit 5
Y N N/A Exhibit 5
Y N N/A Exhibit 5
27 All vehicles have working air conditioners and heaters. Y N N/A Exhibit 5
28 Vehicle transfer points provide shelter, security, and safety of enrollees. Y N N/A Exhibit 5
29
30
31
The transportation provider maintains a passenger/trip database for each
enrollee it transports.
The health plan establishes a minimum 24-hour advance notification
policy to obtain transportation services, and the health plan communicates
the policy to its enrollees and the transportation providers.
The health plan establishes enrollee pick-up windows and communicates
those timeframes to enrollees and the transportation providers.
Y N N/A Exhibit 5
Y N N/A Exhibit 5
Y N N/A Exhibit 5
Managed Care Organizations Page 5
Transportation Audit Tool F1_03_10
Florida Medicaid