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Texas Adult Health Transportation Services Policy Manual

$4,199.00Price
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The Texas Adult Health Transportation Services Policy Manual provides a comprehensive framework for the delivery of non-emergency medical transportation (NEMT) services to eligible adults in Texas. This manual aligns with federal and state regulations, including the Texas Administrative Code (§554.2320), Medicaid guidelines, and the policies set forth by the Texas Health and Human Services Commission (HHSC). It ensures compliance with standards for transportation services to support access to medical care for Medicaid beneficiaries and other eligible individuals.
The manual includes detailed policies and procedures for arranging and providing transportation services, ensuring that individuals can attend medical appointments, access pharmacy services, and receive other necessary healthcare services. It also addresses the roles of transportation providers, eligibility criteria, scheduling requirements, and reimbursement processes.
Key areas covered in the manual include:
  • Eligibility and Service Scope: Guidelines for determining eligibility for NEMT services under Medicaid programs such as STAR, STAR+PLUS, and STAR Kids.
  • Modes of Transportation: Policies on various transportation options, including mass transit, demand-response vehicles (e.g., taxis or wheelchair vans), mileage reimbursement for individual transportation participants (ITPs), and advanced funds for travel-related expenses.
  • Provider Requirements: Standards for transportation providers, including licensing, vehicle safety measures, and compliance with contractual obligations.
  • Scheduling and Coordination: Procedures for booking rides at least two business days in advance or under expedited timelines for urgent needs, such as hospital discharges or pharmacy visits.
  • Special Accommodations: Policies to address the needs of individuals requiring wheelchair-accessible vehicles or other specialized transportation services.
  • Documentation and Reimbursement: Requirements for maintaining accurate records to ensure proper billing and reimbursement through Medicaid or other funding sources.
  • Patient Rights and Safety: Provisions to ensure safe and respectful transportation, including restrictions on physical restraints unless medically necessary.
The Texas Adult Health Transportation Services Policy Manual serves as a vital resource to guide agencies in delivering high-quality transportation services while adhering to state and federal regulations. It supports equitable access to healthcare by addressing transportation barriers faced by vulnerable populations.
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