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Massachusetts Adult Health Transportation Services Policy Manual

Massachusetts Adult Health Transportation Services Policy Manual

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The Massachusetts Adult Health Transportation Services Policy Manual provides a comprehensive framework for operating state-compliant agencies delivering transportation services to individuals accessing adult health programs in Massachusetts. This manual aligns with the Massachusetts Code of Regulations (130 CMR 404.413 and 130 CMR 407.411), MassHealth guidelines, and Department of Public Health (DPH) standards to ensure full regulatory compliance and safe, efficient service delivery.
Key Features of the Manual:
  • Regulatory Compliance: The manual adheres to state-specific regulations under 130 CMR (Adult Day Health Services) and MassHealth transportation utilization requirements. It ensures providers meet all operational, safety, and documentation standards while complying with local, state, and federal transportation laws.
  • Service Scope: Adult health transportation services involve transporting members from their residence (including temporary housing) to adult day health (ADH) providers and back. Services include assistance with entering/exiting vehicles, wheelchair securement, and ensuring safe transit for elderly individuals and persons with disabilities. Shared ride arrangements may be utilized when appropriate.
  • Eligibility Criteria: Transportation services are available to MassHealth members who require assistance traveling to adult health programs due to medical or functional limitations. 
  • Conditions of Payment: Payment for transportation services requires prior authorization from MassHealth. Determination of rates of payment methodology established by the Executive Office of Health and Human Services (EOHHS).
  • Operational Standards: Policies include requirements for licensed vehicles, trained drivers certified in CPR, first aid, and wheelchair securement procedures, as well as compliance with Criminal Offender Records Information (CORI) checks. 
  • Nonpayable Services: The manual specifies exclusions such as routine transportation unrelated to adult health services, trips exceeding authorized frequency or distance limits, and services that can be safely provided using public transportation or personal resources.
  • Quality Assurance: Robust quality assurance measures, including regular inspections of vehicles, driver training updates, incident reporting protocols, and participant satisfaction surveys. 
 
This policy manual serves as a guide for agencies seeking licensure or certification to provide adult health transportation services in Massachusetts. It supports the delivery of safe, reliable transit while ensuring adherence to the state's regulatory framework for adult day health programs and community-based care.
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