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Illinois Adult Health Transportation Provider Policy Manual

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The Illinois Adult Health Transportation Provider Policy Manual establishes a comprehensive framework for agencies delivering non-emergency medical transportation (NEMT) and other transportation services to individuals with disabilities or older adults. These services are designed to ensure access to adult health programs, medical appointments, and community-based services necessary for maintaining health and independence. This manual aligns with the Illinois Administrative Code (Title 89, Part 140), Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and the Illinois Department of Healthcare and Family Services (IDHFS) NEMT standards, ensuring compliance with state and federal requirements.
The manual provides detailed guidance for implementing transportation services under programs administered by IDHFS and the Illinois Department on Aging (IDoA). 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals who are Medicaid-eligible or enrolled in HCBS Waiver programs, requiring transportation to access adult day health services, medical care, or other community-based supports. 
  • Service Delivery Standards: Transportation services include door-to-door or curb-to-curb assistance for individuals traveling to adult day health programs, medical appointments, therapy sessions, or other approved destinations.
  • Vehicle Requirements: Safety standards for all vehicles used for transportation established by IDHFS, including ADA compliance for accessible vehicles, routine maintenance checks, and proper equipment such as wheelchair lifts and securement systems.
  • Driver Qualifications and Training: Licensing requirements for  Drivers under Illinois law and complete training in passenger safety, client rights, cultural competency, emergency response procedures, and proper use of accessibility equipment.
  • Client Rights: Policies ensure that individuals receiving transportation services are treated with dignity and respect while maintaining autonomy over their travel arrangements.
  • Health and Safety: Guidelines emphasize infection control practices (e.g., cleaning vehicles between trips), safe driving protocols, emergency preparedness plans, and procedures for addressing adverse events during transport.
  • Funding and Reimbursement: This manual includes information on Medicaid reimbursement processes for transportation services, allowable expenses under HCBS Waivers, billing procedures, and reporting obligations for providers.
  • Quality Assurance: Implementation of quality improvement measurements on monitoring service reliability, client satisfaction, and compliance with regulatory standards.
  • Coordination with Other Services: Policies encourage collaboration between transportation providers and other service providers such as adult day health centers, case managers, personal assistance agencies, or healthcare professionals.
This manual serves as an essential resource for providers delivering adult health transportation services in Illinois.
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