1.Program Definition and Services
Adult Health Transportation in Iowa provides non-emergency medical transportation (NEMT) services to eligible Medicaid members. Services include:
- Rides to and from medical appointments
- Reimbursement for mileage when using personal vehicles
- Public transit passes
- Specialized transportation for those with mobility needs
2. Regulations
NEMT services are governed by federal regulations requiring states to ensure necessary transportation for Medicaid recipients to and from healthcare providers
3. Licensing or Certification
Providers must be enrolled through the Iowa Medicaid Enterprise (IME) to offer NEMT services. Specific certifications may be required depending on the type of transportation provided.
4. Responsible State Agency
The Iowa Department of Health and Human Services (HHS) oversees NEMT programs, with services coordinated through contracted transportation brokers
5. Application Process
Providers must enroll through the Iowa Medicaid Enterprise (IME) Provider Enrollment Unit to become Medicaid providers for NEMT services.
6. Required Documentation
Required documentation likely includes:
- Completed provider enrollment application
- Proof of liability insurance
- Vehicle inspection records
- Driver qualifications and background checks
- Business registration documents
- Federal Employer Identification Number (EIN)
7. Timeline for Approval
The exact timeline for approval is not specified in the provided information.
8. Pre-Application Process
There is no specific pre-application process mentioned.
9. Pre-Application Training
While no mandatory pre-application training is mentioned, drivers must meet specific qualifications and may require ongoing training.
10. Additional Notes
- Rides must be scheduled at least two working days before the medical appointment
- Urgent trips can sometimes be arranged with less than two days' notice
- Transportation brokers vary depending on whether members are in managed care or fee-for-service programs
- Services are available for full-benefit Medicaid members, excluding Hawki members
- Mileage reimbursement is available when friends or family provide transportation
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