1. Program Definition and Services Provided 

Adult Health Transportation services in Montana are designed to assist adults, particularly those with disabilities or seniors, in accessing necessary medical appointments and services. These services include non-emergency medical transportation (NEMT) provided by commercial, specialized, or personal vehicles. NEMT services are crucial for ensuring that individuals can receive medical care without barriers. 

2. Regulations 

Key regulations governing Adult Health Transportation services include: 

• Mont. Admin. r. 37.86.2401–2402: These regulations outline requirements for commercial transportation services, emphasizing prior authorization and the least costly mode of transportation. 

• Mont. Admin. r. 37.86.2501–2502: These rules specify requirements for specialized non-emergency transportation, including the need for a class B public service commission license for wheelchair-accessible vehicles. 

3. Licensing or Certification 

To provide Adult Health Transportation services, providers must meet specific requirements: 

• Commercial Transportation: Providers must be licensed by the Public Service Commission (PSC) if applicable. 

• Specialized Transportation: Providers must have a class B PSC license or be exempt (e.g., 5310/5311 funded organizations). 

• Drivers must have a valid driver's license and not be excluded from federal healthcare programs 

4. Responsible State Agency 

The Montana Department of Public Health & Human Services (DPHHS) oversees Medicaid-funded transportation services, including Adult Health Transportation. 

5. Application Process 

For Medicaid provider enrollment, agencies must submit an application through the state's Medicaid enrollment process. This includes registering with the Transportation Center for prior authorization of services. 

6. Required Documentation 

For Medicaid provider enrollment: 

• Completed application form 

• Proof of licensure (if applicable) 

• Proof of liability insurance 

• Staff training records 

• For clients seeking services: 

• Proof of Medicaid eligibility 

• Documentation of need for transportation services 

7. Timeline for Approval 

The timeline for Medicaid provider enrollment can vary, typically taking several weeks to a few months. 

8. Pre-Application Process 

There is no specific pre-license application process, but providers must ensure they meet Medicaid enrollment criteria. 

9. Pre-Application Training 

While not mandated, training in transportation management and safety protocols can enhance provider expertise. 

10. Additional Notes 

• Adult Health Transportation services are essential for ensuring access to medical care for vulnerable populations. 

• Programs like Mountain Pacific's Transportation Management assist in coordinating these services for Medicaid members