Montana Adult Health Transportation Services Policy Manual

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The Montana Adult Health Transportation Services Provider Policy Manual establishes a comprehensive framework for delivering state-compliant transportation services to adults requiring access to healthcare, community resources, and essential services in Montana. This manual aligns with Montana Medicaid Non-Emergency Medical Transportation (NEMT) guidelines, the Administrative Rules of Montana (ARM), and federal Centers for Medicare & Medicaid Services (CMS) regulations to ensure compliance with state and federal standards while promoting safe, reliable, and accessible transportation.
The manual includes policies on:
Eligibility and Assessment:
Guidelines for determining client eligibility for transportation services based on Medicaid enrollment and medical necessity.
Scope of Services:
Policies outlining the types of transportation services provided, including:
Non-emergency medical transportation (NEMT) to Medicaid-covered appointments.
Assistance with scheduling rides and coordinating pick-up/drop-off times.
Transportation to pharmacies or durable medical equipment providers.
Specialized accommodations for individuals with disabilities, such as wheelchair-accessible vehicles.
Provider Requirements:
Standards for transportation providers, including:
Licensing and certification of drivers in compliance with Montana Department of Transportation (MDT) regulations.
Vehicle safety inspections and maintenance schedules.
Adequate insurance coverage for vehicles and operators.
Training in passenger assistance, cultural competency, and HIPAA compliance.
Service Delivery Standards:
Protocols for ensuring timely and reliable service delivery, including adherence to scheduled pick-up times and minimizing wait times for clients. 
Coordination of Care:
Requirements for collaborating with healthcare providers, case managers, and Medicaid administrators to ensure seamless service delivery. 
Documentation Standards:
Policies for maintaining accurate trip logs, including documentation of trip purpose, mileage, pick-up/drop-off locations, and client information. 
Quality Assurance:
Procedures for monitoring service quality through client feedback surveys, periodic vehicle inspections, and driver performance evaluations. 
Compliance with Medicaid Regulations:
Policies ensuring adherence to Montana Medicaid NEMT guidelines for billing, reporting, and service eligibility verification. 
 
This policy manual serves as an essential resource for adult health transportation service providers in Montana. It supports the delivery of safe, reliable transportation that enables individuals to access healthcare services while adhering to Montana’s regulatory framework for transportation providers.