1. Program Definition and Services Provided
Adult Health Transportation Services in Minnesota involve non-emergency medical transportation (NEMT) for adults to and from medical appointments. These services are crucial for individuals who need assistance with transportation but do not require emergency care. NEMT services can include access transportation (e.g., public transit, mileage reimbursement) and special transportation services (e.g., taxi-style vehicles, wheelchair-accessible vehicles) for those who cannot use public transportation due to a disability or health condition.
2. Regulations
The primary regulations governing Adult Health Transportation Services are found in Minnesota Statutes Chapter 256B, which addresses Medical Assistance programs, and Minnesota Rules related to waiver services. Additionally, federal regulations under the Centers for Medicare and Medicaid Services (CMS) influence these services. MnDOT enforces standards for special transportation services under Minnesota Statutes 174.29 and 174.30
3. Licensing or Certification
To operate as an Adult Health Transportation Service provider in Minnesota, you must enroll with Minnesota Health Care Programs (MHCP) and comply with MnDOT regulations if providing special transportation services. Publicly operated transit systems, volunteers, and not-for-hire vehicles are exempt from MHCP enrollment
4. Responsible State Agency
The Minnesota Department of Human Services (DHS) oversees NEMT services under Medical Assistance programs, while the Minnesota Department of Transportation (MnDOT) is responsible for enforcing standards for special transportation services.
5. Application Process
Providers must enroll with MHCP using the Minnesota Provider Screening and Enrollment (MPSE) portal or by faxing required documents to the Provider Eligibility and Compliance unit
6. Required Documentation
The following documents are typically required for MHCP enrollment:
- Completed enrollment application
- Proof of business registration (e.g., articles of incorporation, EIN)
- Proof of liability insurance
- Background study for staff involved in direct-contact services
- Documentation of vehicle safety and maintenance records if applicable.
7. Timeline for Approval
The enrollment process typically takes several weeks after the application is deemed complete by MHCP.
8. Pre-Application Process
There is no formal pre-application process, but applicants are encouraged to review MHCP requirements and ensure they meet all standards before submitting their application.
9. Pre-Application Training
While there is no mandatory pre-application training, providers may benefit from familiarizing themselves with NEMT guidelines and standards. Drivers and attendants must meet specific training requirements under MnDOT regulations
10. Additional Notes
- Services must be medically necessary and authorized by a qualified professional.
- Providers must comply with specific standards for NEMT, including vehicle safety and driver qualifications.
- Funding for NEMT services can come from Medical Assistance and other health programs.
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