1. Program Definition and Services
Adult Health Transportation in Delaware provides non-emergency medical transportation (NEMT) services to eligible Medicaid and Delaware Healthy Children Program clients. Services include:
- Transportation to and from medical appointments
- Rides to pharmacies for prescription pick-up
- Transportation for non-medical needs like substance use disorder recovery support group meetings
2. Regulations
NEMT services are governed by Delaware Health and Social Services (DHSS) regulations and Medicaid guidelines.
3. Licensing or Certification
No specific licensing or certification requirements for transportation providers are mentioned.
4. Responsible State Agency
The Division of Medicaid & Medical Assistance (DMMA) within the Delaware Department of Health and Social Services oversees NEMT services.
5. Application Process
Eligible individuals can request transportation by contacting Modivcare, the state's contracted transportation broker, at 1-866-412-3778.
6. Required Documentation
While not explicitly stated, clients likely need to provide proof of Medicaid eligibility and medical appointment details when requesting transportation.
7. Timeline for Approval
Transportation arrangements should be made at least three days in advance of a scheduled appointment.
8. Pre-Application Process
There is no explicit pre-application process mentioned.
9. Pre-Application Training
No specific pre-application training is mentioned for transportation providers or recipients.
10. Additional Notes
- Emergency ambulance transportation (air and ground) is covered when medically necessary for all fully eligible Medicaid and CHIP clients.
- Delaware First Health provides additional transportation services through their Whole Health Transportation Value Added Benefit.
- Interpreter services are provided free of charge during any service or grievance process.
- As of February 28, 2025, Delaware continues to offer NEMT services to support access to medical care for eligible individuals.
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