1. Program Definition and Services
Adult Health Transportation in Colorado, also known as Non-Emergent Medical Transportation (NEMT), provides transportation to and from medically necessary services covered by Health First Colorado (Colorado's Medicaid program) for members who have no other means of transportation. Services include:
- Mileage reimbursement
- Bus tokens and passes
- Public transportatio
- Private vehicle transportation
- Wheelchair van services
- Stretcher van services
- Mobility vehicle services
- Ground and air ambulance (non-emergency)
- Commercial plane transportation
- Train transportation
2. Regulations
NEMT services are governed by regulations outlined in 10 CCR 2505-10 8.014 of the Colorado Code of Regulations
3. Licensing or Certification
Providers must be enrolled as Health First Colorado providers and meet specific requirements based on the type of transportation provided. For example, wheelchair van providers must have a Common Carrier Permit.
4. Responsible State Agency
The Colorado Department of Health Care Policy and Financing (HCPF) oversees NEMT programs
5. Application Process
The application process is conducted through the Colorado Provider Enrollment system at https://www.colorado.gov/hcpf/provider-enrollment.
6. Required Documentation
Required documentation includes:
- Proof of enrollment as a Health First Colorado provider
- Appropriate licenses and permits for the type of transportation provided
- Proof of compliance with state and federal laws
- Documentation of medical necessity for the transportation service
7. Timeline for Approval
The timeline for approval is not specifically mentioned in the provided information.
8. Pre-Application Process
There is no specific pre-application process mentioned in the provided information.
9. Pre-Application Training
While not mandatory, providers should ensure staff are trained to carry out their duties efficiently and effectively.
10. Additional Notes
- NEMT is only available when a member has no other means of transportation
- Services must be to the closest qualified Health First Colorado provider willing and able to treat the member
- Urgent NEMT trips can be scheduled directly by medical facilities for eligible transportation providers
- Meals and lodging may be covered under NEMT in certain circumstances
- Transportation Network Companies (e.g., Uber, Lyft) are not covered or reimbursed under NEMT
- As of February 26, 2025, providers must comply with the most recent regulations and any updates implemented since the last major revision.
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