1. Program Definition and Services Provided 

Adult health transportation services in Missouri are primarily part of the Non-Emergency Medical Transportation (NEMT) program, which provides transportation to eligible MO HealthNet participants for medical appointments and services covered by Medicaid. These services are crucial for ensuring that individuals with limited mobility or financial resources can access necessary healthcare. 

2. Regulations 

• Current regulations governing adult health transportation services in Missouri include: 

• 19 CSR 15-7.040: Transportation Service Standards, which outline requirements for providers receiving state or federal funds for transportation services. 

• MO HealthNet’s NEMT Program: Governed by the Missouri Department of Health and Senior Services and the Missouri Medicaid Audit and Compliance Unit. 

3. Licensing or Certification 

There is no specific license required to operate as an adult health transportation provider in Missouri. However, providers must comply with state regulations and may need certification for certain services, such as those reimbursed by Medicaid. 

4. Responsible State Agency 

The Missouri Department of Health and Senior Services and the Missouri Medicaid Audit and Compliance Unit are responsible for overseeing NEMT services. 

5. Application Process 

To become a provider of adult health transportation services, you typically need to establish a contract with the Missouri Medicaid Audit and Compliance Unit or its contracted brokers, such as MTM, Inc. There is no specific online application platform for becoming a provider. 

6. Required Documentation 

• Contract with State Agencies: Agreement with the Missouri Medicaid Audit and Compliance Unit or its brokers. 

• Proof of Business Registration: If applicable. 

• Insurance and Liability Coverage: Proof of adequate insurance, including commercial auto insurance. 

• Staff Qualifications: Documentation of staff experience in transportation or related fields. 

• Vehicle Inspections: Vehicles must meet safety standards and undergo regular inspections. 

7. Timeline for Approval 

The approval process can vary depending on the complexity of the services offered and the speed of contracting with state agencies. 

8. Pre-Application Process 

There is no formal pre-application process, but applicants should ensure they meet all eligibility criteria and have necessary documents ready. 

9. Pre-Application Training 

Drivers must complete training in defensive driving, passenger assistance, and wheelchair securement. Additional training in CPR, first aid, and HIPAA compliance is recommended. 

10. Additional Notes 

• Providers must maintain ongoing compliance with state regulations and ensure that all services are reliable and safe. 

• Transportation services must be coordinated through approved brokers like MTM, Inc., for Medicaid reimbursement.