Guide to Becoming an Adult Health Transportation Provider in Indiana


 

1.Program Definition and Services 

Adult Health Transportation in Indiana provides non-emergency medical transportation (NEMT) services to eligible adults for medical appointments and health-related needs. Services include: 

  • Transportation to medical appointments
  • Rides to pharmacies 
  • Transportation for other health-related services 

 

2. Regulations 

The program is governed by: 

  • Indiana Administrative Code for Transportation Services 
  • Federal regulations for NEMT services 

 

3. Licensing or Certification 

Providers must be enrolled with Indiana Health Coverage Programs (IHCP) and meet specific requirements for NEMT providers. 

 

4. Responsible State Agency 

The Indiana Family and Social Services Administration (FSSA) oversees adult health transportation services. 

 

5. Application Process 

Providers must: 

  • Enroll with Indiana Health Coverage Programs (IHCP) 
  • Contract with the state's NEMT broker, Verida (formerly Southeastrans) 

 

6. Required Documentation 

Providers need to submit: 

  • Proof of vehicle insurance 
  • Driver qualifications and background checks 
  • Vehicle inspection records 
  • Policies and procedures for service delivery 

 

7. Timeline for Approval 

The exact timeline for approval is not specified in the provided information. 

 

8. Pre-Application Process 

Before applying, providers should: 

  • Ensure compliance with state and federal NEMT regulations 
  • Develop policies for safe and reliable transportation 
  • Acquire appropriate vehicles and equipment 

 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, drivers must meet qualifications set by the state and NEMT broker. 

 

10. Additional Notes 

  • As of July 1, 2024, Medicaid members 60 and older enrolled in the PathWays for Aging program must schedule rides through their health plan 
  • Providers should be aware of the distinction between fee-for-service and managed care transportation services 
  • Advanced Life Support (ALS) and Basic Life Support (BLS) services are exempt from the NEMT brokerage system as of July 1, 2023 

 

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