Medical Transportation Toolkit and Best Practices - ctaa. · PDF filegency medical transportation 4he ... emergency medical transportation needs we need to build new in ... !s part

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Propensity of Chronic Illness Affecting Older Adults

Arthritis or Chronic Joint Symptoms

42.1% are 45 yrs-65 yrs

58.8% are 65 yrs or older

Cancer Incidence

Females

Ages 55-59 - 802.9 per 100,000 persons

Ages 65-69 - 1,353 per 100,000 persons

Ages 75-79 - 1,817 per 100,000 persons

Males

Ages 55-59 - 947.2 per 100,000

Ages 65-69 - 2,264.4 per 100,000

Ages 75-79 - 3,123.2 per 100,000

Diabetes

Age 20 or older - 8.7%

Age 60 or older - 18.3%

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Medicaid Transit Passes

Health and Human Service agencies have realized great savings

by shifting Medicaid eligible participants (who are able) from

costly paratransit services to less expensive fixed-route transit.

Agencies may purchase monthly bus passes and distribute them

to clients who have access to a bus route.

The Medicaid Pass program is a win-win program. The rider

gains greater mobility and increased independence that improves

his/her overall quality of life. The transit agency sees increased

ridership and revenues with few, if any, additional costs. And

finally, the human service agencies substantially increase the

cost-effectiveness of the transportation services purchased for

Medicaid beneficiaries.

Data from 2000 reports that 40 million people receive Medicaid

services at a cost of $126 billion. (This figure excludes such

Medicaid costs as nursing homes, hospitals, physicians, pre-

scriptions, and home health care, which make the overall total

$258.2 billion). However, it is projected that if 1% (400,000)

Medicaid beneficiaries were switched to bus passes, Medicaid

transportation could save an estimated $432 million. (This esti-

mate is calculated by using the average cost of a monthly bus

pass ($30) and an estimate of four paratransit trips per month

($120).

Source: Medicaid Transit Passes: A Winning Solution for All by

National Consortium on the Coordination of Human Services

Transportation (www.coordination@ctaa.org).

Note: More information on Medicaid Transit Passes can be found

in Chapter 6 of the Medical Transportation Toolkit.

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Elder Services of Merrimack Valley, Inc. in Massachusetts

has started a Medical Advocacy Program that combines through-

the-door transportation furnished by a volunteer who can also act

as the older person’s medical advocate, if requested. The program

is targeted to older people and their spouses, working caregivers;

and long-distance caregivers.

The older person and the advocate prepare for the visit by going

over questions the older person might have. The volunteer sits

with the older person when the doctor or other medical personnel

explains what the older person needs to do, for instance, what

medications to take and how to take them, instructions on eating,

and setting up the next appointment. The volunteer advocate

makes sure the doctor or other medical personnel communicates

effectively and answers any questions the older person has. If

there is an adult child who is caretaker for the older person, the

volunteer advocate is also trained to take notes in a journal that

is left with the older person and informs the adult child of what the

parent needs to do. If there are any prescriptions to be filled, the

advocate will take the older person to the pharmacy.

The program consists of approximately 24 volunteers both under

and over age 60. Merrimack Valley identifies potential medical

advocates through its standard initial interview for general volun-

teers. Those who appear to be likely medical advocates are given

two two-hour specialized training sessions on topics such as an

overview of the aging process; building positive relationships and

business skills; confidentiality and ethics; guidelines for reducing

risk on volunteer assignments — ambulating with an older person

and preventing falls — and handling emergencies.

The annual cost of the program is approximately $22,500. Twenty

thousand dollars goes to the salary of one part-time coordinator.

Of the remaining $2,500, $2,100 is for reimbursing the medical

advocates for their travel at the rate of $0.375 per mile. (Not every

advocate submits a reimbursement claim.) With funding from the

National Family Caregiver Support Program, Merrimack Valley has

been able to implement the Medical Advocacy Program for the

twenty-three cities and towns in its service area. From December

2002 through December 2004, the medical advocates have filled

approximately 650 requests and completed almost 2,000 hours of

medical advocacy. Perhaps the greatest outcome of the program

is the improved communication between the older person and the

physician and health care provider.

Source: Rosanne DiStefano, Executive Director (ro@esmv.org),

and Mary DeRoo, Home Care Director, RN, MS (MDeRoo@esmv.

org), Elder Services of Merrimack Valley, Inc.

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Example of Ridesharing for Medical Transportation

Western Community Action in Marshall, Minnesota, has a ride-

share program that uses volunteer drivers to take residents of its

multicounty rural service area located in the southwestern corner

of the state to medical appointments in Minneapolis, Rochester,

or across the state lines to Sioux Falls, South Dakota, as well as

Iowa and communities in between. These are long-distance trips

that take from two to four hours. Ride requests are scheduled us-

ing computer software through a central dispatch office. Without

ridesharing and volunteer drivers, the cost of transportation would

be prohibitive for many older rural residents or residents of any

age needing medical transportation.

Source: Jeanette Aguirre, Transit Director, Western Community

Action, Marshall, MN (jeannette.aguirre@wcainc.org).

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The State of Florida’s Agency for Health Care Administration

(AHCA) and Miami Dade Transit agreed to expand Medicaid trans-

portation in an effort to reduce the rising costs of Medicaid Paratransit

(door-to-door) transportation. Miami Dade Transit began making bus

passes available to Medicaid eligible persons who could safely travel

by bus in 1993. It was determined by comparing costs of paratransit

trips and the cost of the monthly pass that savings would result after

the third one-way trip on the fixed-route service. So to the following

eligibility requirements were established...

-A Medicaid recipient must have three or more verifiable medical

appointments (6 or more round trips a month.

-If they qualify, they will receive a monthly pass for a $1 co-pay-

ment. The pass has unlimited trips for one month.

-To remain in the program, the Medicaid recipient must continue to

have three more verifiable medical appointments each month.

Once a person is accepted into the Medicaid Metropass Program,

they are no longer in the Medicaid paratransit program (door-to-door

service).

In the beginning, the program averaged 4,800 users per month, a

figure just over one percent of the total number of Medicaid recipients

in Dade County. Now, between 5,000 and 6,000 people — also just

over one percent of all Dade County Medicaid recipients — use the

Metropass program. In 2002, Bus pass instead of paratransit savings

for Medicaid came in at over $600,000 per month and revenues for

Miami Dade Transit at $202,000 month. This calculates to an esti-

mated annual Medicaid savings of $7.5 million per year and increased

transit revenues of $2.4 million. As of 2005, the Medicaid Metropass

program has accumulated savings in excess of $62,000,000.

Source: Medicaid Transit Passes: A Winning Solution for All by the

Consortium on the Coordination of Human Services Transportation

(2004) & Harry Rackard, Manager

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Coordinated Transportation Solutions, Inc. (CTS) in Connecticut

is a not-for-profit transportation brokerage that has worked with the

state’s Departments of Transportation and Social Services to develop

an innovative Medicaid Bus Pass program.

In 1998, CTS saw the opportunity to incorporate a bus pass program

into its Medicaid non-emergency medical transportation service be-

cause of the extensive public transit system. Connecticut’s public

transit services extended throughout its major cities and into most

of the state’s rural areas.

Dave White, CTS President, quickly identified a problem — the pass

was good for one person while the Medicaid population that CTS

served was predominately single adults with children.

CTS met with Connecticut’s Department of Transportation and sug-

gested implementing a family bus pass that would allow one adult

and up to three children under age 18 to use most of Connecticut’s

public transit options for the same price as an individual bus pass

(then $35, now $45). The Connecticut Departments of Transportation

and Social Services, along with Medicaid’s Managed Care companies

agreed to CTS’s proposal. The program was quickly adopted for all

Medicaid beneficiaries throughout the state.

As a result, transit seats have been filled and there has been a reduc-

tion in the cost of providing non-emergency medical transportation

services to the state’s Medicaid population. CTS estimates that

nearly one-half of all trips provided to its 110,000 covered Medicaid

recipients are provided by the state’s public transit operators.

Medicaid beneficiaries are receptive to the program because it not

only ensures their families’ access to medical appointments, but

provides unlimited travel options throughout the state.

Source: Interview with David White, CTS President, in April 2005

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The Healthy Community Alliance, a rural health net-

work, and LoveInC, a faith-based organization, part-

nered to meet the needs of the New York communities

they serve by sharing their transportation resources.

The Healthy Community Alliance is a health network that

serves 113,000 rural residents in portions of four West-

ern New York counties. The Alliance was established

in 1996 to provide services based entirely on identified

community need. Such services include health risk

assessments, mental health services, and transporta-

tion through a partnership with LoveInC. LoveInC is a

national non-denominational Christian ministry with 120

affiliates in 30 states that seek to help those in need.

The Alliance and LoveInC first crossed paths when both

participated in a rural transportation needs assessment

in 1998. This led to discussions of how they could work

together to fill a tremendous transportation service gap

in the communities served by both groups.

The Alliance had been able to secure funds and purchase

a van, but did not have the staff available to schedule

and operate a transportation service. LoveInC had the

volunteers to operate a vehicle, but did not have a ve-

hicle to operate. So, the Alliance and LoveInC partnered

with each other to create a vital community service that

continues to grow.

Residents of the community are the real beneficiaries of

the partnership. LoveInC provides people with rides to

medical appointments that are 40-50 miles away from

their homes, which include trips to and from dialysis and

chemotherapy treatments.

Source: Betty Accordino of Healthy Community Alliance,

email: betty@communityalliance.org

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Rhode Island’s RIte Care/RIte Share Trans-

portation Program is an example of a state’s

coordination effort. The Rhode Island Department

of Human Services and the Rhode Island Public

Transit Authority (RIPTA) have partnered to pro-

vide accessible transportation for Rhode Island-

ers enrolled in the RIte Care/RIte Share health

insurance program, which is Rhode Island’s

Medicaid managed care program.

All beneficiaries enrolled in the state’s managed

care program are eligible for a bus pass, which is

available for pick-up at local supermarkets.

The Department of Health and Human Services

also has a paratransit agreement in place between

the state’s Transit Authority and its Medicaid man-

aged care plans to provide taxi cab and van rides

to medical appointments. A member is eligible for

the paratransit service if he/she lives at least 1

mile off of a bus route and the appointment must

be for medical visit. A RIte Care member arranges

for the transportation by calling his/her managed

care plan’s member services department. The

member service representative obtains informa-

tion regarding the transportation request, verifies

eligibility and forwards the request to the Transit

Authority.

Source: Sharon Reniere, Assistant Administrator

of Children’s and Family Services

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“I feel like a 1,000 pounds have been lifted off my

shoulders,” says Donna after discovering transpor-

tation options in her community. Like most people,

Donna wasn’t aware of the transit service until she

desperately needed it.

Living in Sanford, Maine, Donna, in her late 50s, had

been driving herself to and from her own dialysis

treatments three times each week. She receives

her dialysis treatments in Biddeford, 17 miles away

from her home.

A social worker at the dialysis center attempted to

arrange transportation for Donna through Medicaid,

the public health plan jointly funded by the state

and federal governments. Unfortunately, Donna’s

income surpassed the eligibility limit by $275.

Eventually, Donna was connected with York County

Community Action (YCCA). Transportation Director

Connie Garber made sure had a ride to and from

her dialysis treatments through the YCCA Volunteer

Driver Program.

Today, thanks to community transportation, Donna

no longer ahs to fear and can instead concentrate on

her health. She’s the first to acknowledge the power-

ful change this transportation has made on her life.

Source: Community Transportation: New Chal-

lenges, New Opportunities in Medical Transportation

(Winter 2004-2005)

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• 37 % of dialysis patients use a wheelchair

or a walker, compared with 13 % for other

county riders.

• 50 % of dialysis patients require some type

of mobility device.

• At least half of the patients were transporta-

tion dependent — meaning they are physi-

cally unable to drive themselves, have no

family members, volunteer group to provide

transportation, are unable to take fixed-

route public transit.

Riders with such difficulties obviously take lon-

ger to board and disembark which impacts the

efficiency of the transportation service.

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County Ride provides public transportation in

northeastern Colorado through the North East-

ern Colorado Association of Local Governments

(NECALG). County Ride provides service in an

area encompassing over 9,500 square miles.

There is only one dialysis center in northeast-

ern Colorado. This means that some dialysis

patients are traveling 180 miles round trip three

times per week for treatments. Fortunately,

Banner Health System, the provider of health

services in the area, recognizes the benefits

of partnering with community transportation.

Banner Health has contracted with NECALG to

provide transportation for its patients’. Improved

transportation has meant fewer complications in

treatment, which would be more expensive for

Banner to administer. Other areas of Banner’s

operations have benefited as well. Better dis-

charge planning and fewer “no shows” further

reduce administrative costs.

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The St. Louis Veterans Administration (VA) Dialysis Center

changed the times of its treatment shifts to accommodate

the schedule of the local Disabled American Veterans (DAV)

volunteer driver program, which provided rides to some of

the dialysis center’s patients.

Veterans using the DAV to get to and from dialysis ran into

scheduling problems because the facility’s first treatment

shift began before the volunteer drivers began transporting

patients and the facility’s last shift ended after the volunteers

finished for the day. The facility remedied the problem

by scheduling its first treatment shift later in the morning.

This small change affected the entire facility’s schedule

— nurses and doctors work schedules and all the patients’

appointment schedules. The staff felt the adjustments to

their schedules were worth it if it meant that patient care

was more efficient.

So, prior to the initiation of treatment, a committee com-

prised of the VA Dialysis Center’s doctors, nurses, and

social workers meet to discuss each veteran’s treatment

plan. The committee attempts to coordinate all aspects of

the veteran’s treatment, which includes healthcare coverage

eligibility, scheduling and transportation. Veterans using the

transportation provided by the DAV, are scheduled for the

morning shift, which is now in synch with the DAV schedule.

Those using another means of transportation are scheduled

for the afternoon shift.

Source: Joseph Wildisen, the St. Louis VA Dialysis Center

social worker

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Medical Motor Service is a nonprofit provider and

broker of specialized medical transportation services

in Monroe County, New York. Besides transporting

patients to and from dialysis, Medical Motor Services

administers a program funded by Medicaid in which

patients are directly reimbursed for arranging their

own transportation through friends and relatives.

Patients are reimbursed $7.50 per one way trip as

opposed to the $12.50 it would cost for a medical taxi

cab. Currently, Medical Motor Services reimburses

for approximately 474 trips each month. After pro-

cessing and other administrative costs, this program

saves Medicaid about 10% off the cost of more tra-

ditional modes of dialysis transportation. The added

flexibility allowed under this arrangement expands

travel options, particularly for patients receiving

dialysis late at night or coming from hard to route

locations. Besides easing the burden on traditional

transit services, the patient reimbursement program

brings increased benefits for the patient’s drivers.

According to Bill McDonald, Executive Director of

Medical Motor Services, “It also provides a direct

transportation subsidy to the household, which can

help defray the cost of a car, for example. So it’s a

win/win proposition and growing in popularity.”

Source: Bill McDonald, Medical Motors Service

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Rural Wayne County, New York, lacked dialysis transpor-

tation options for many of its most vulnerable citizens.

Several local organizations took action. With strong

support from the County Administrator, a grant was

secured through the Wayne County Rural Health Net-

work (WCRHN), which is sponsored by Wayne County

ViaHealth. Viahealth is a regional nonprofit affiliation

of hospitals, physicians and other health care provid-

ers. In January 2002, vehicles provided by Wayne Area

Transportation Services (WATS) began taking patients

to Geneva Dialysis at Geneva General Hospital. The

Service now transports patients to several other locations

with door through door service. In addition to help from

the ViaHealth, WCRHN, and WATS, volunteers from

the Retired Senior and Volunteer Program ride with the

patients and act as escorts. Because they were included

the planning process for the service, the area dialysis

providers were extremely cooperative in the schedul-

ing of treatment times. “This is a wonderful example of

several local agencies coming together to provide very

necessary assistance to Wayne County dialysis patients

and their families” says Antje Dirksen, Transportation

Planner for WCRHN.

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Part F

PROVIDER AGREEMENT BY AND BETWEEN ANY HEALTH PLAN AND MEDICAL MOTOR

SERVICE OF ROCHESTER AND MONROE COUNTY, INC.

To access this sample contract, please contact Jordan Nichols at 800.527.8279 or

nichols@ctaa.org

State Medicaid Contacts

Alabama Ms. Dorothy Powell

Associate Director of Non-emergency Transportation

501 Dexter Avenue

PO Box 5624

Montgomery, AL 36103-5624

Tel: 334.242.5151

Fax: 334.353.1777

dpowell@medicaid.state.al.us

Alaska Mr. Dwayne Peeples

Director

4501 Business Park Boulevard

Anchorage, AK 99503-7167

Tel: 907.334.2424

Fax: 907.561.1684

dwayne_peeples@health.state.ak.us

Arizona Mr. Anthony Rodgers

Director of Health Care Cost Containment System

801 East Jefferson Street

MD 4100

Phoenix, AZ 85034

Tel: 602.417.4680

Fax: 602.252.6536

Arkansas Mr. Roy Jeffus

Director

Division of Medical Services

PO Box 1437, S-401

Little Rock, AR 72203

Tel: 501.682.8292

Fax: 501.682.1197

roy.jeffus@medicaid.state.are.us

California Dr. Fulton Lipscomb, MD

Chief

Medi-Cal Program

714 P Street, Room 1601

Sacramento, CA 95814

Tel: 916.657.1460

Fax: 916.657.1174

flipscomb@dhs.ca.gov

Colorado Mr. Brain Chadwick

Acute Care Benefits Section

1570 Grant Street

Third Floor

Denver, CO 80203

Tel: 303.866.5571

Fax: 303.866.2573

brain.chadwick@state.co.us Connecticut Mr. David Parrella

Director

25 Sigourney Street

Hartford, CT 06106

Tel: 860.424.5116

Fax: 860.424.5114

david.parrella@po.state.ct.us

Delaware Ms. Joyce Pinkett

Administrator

PO Box 906

New Castle, DE 19720

Tel: 302.255.9616

Fax: 302.255.4425

joyce.pinkett@state.de.us

District of Columbia Mr. Calvin Kearny

Chief of Program Operations

2100 Martin Luther King Jr. Ave, SE -Suite 302

Washington, DC 20020

Tel: 202.698.2000

Fax: 202.610.3209

ckearney@dchealth.org Florida Mr. John Austin

AHCA Administrator

Medicaid Program Development

2727 Mahan Drive, MS #20

Tallahassee, FL 32308

Tel: 850.922.7305

Fax: 850.922.7303

austinj@fdhc.state.fl.us

Georgia Ms. Janine Gardner

2 Peachtree Street, NW - 35th Floor

Atlanta, GA 30303

Tel: 404.651.6917

Fax: 404.657.0223

jgardner@dch.state.ga.us

Hawaii Ms. Angie Payne

Acting Administrator of Med-Quest Division

PO Box 339

601 Kamokila Blvd., Room 518

Kapolei, HI 96707

Tel: 808.692.8050

Fax: 808.692.8173

Idaho Ms. Lynne Denne

Unit Supervisor

PO Box 83720

Boise, ID 83720

Tel: 208.287.1170

Fax: 800.296.0513

dennel@idhw.state.id.us

Illinois Dr. Anne Marie Murphy

Administrator

201 South Grand Avenue, East – 3rd Floor

Springfield, IL 62763

Tel: 217.782.2570

Fax: 217.782.5672

medicaiddirector@mail.idpa.state.il.us

Indiana Ms. Melanie Bella

Assistant Secretary

402 West Washington Street, Room W382 – MS 07

Indianapolis, IN 46204

Tel: 317.233.4455

Fax: 317.232.7382

mbella@fssa.state.in.us

Iowa Ms. Sue Stairs

Program Manager

Hoover State Office Building

1305 East Walnut Street

Des Moines, IA 50319

Tel: 515.281.5233

Fax: 515.281.8512

sstaris@dhs.state.ia.us Kansas Mr. Scott Brunner

Director

Docking State Office Building

915 SW Harrison Street, Room 651 South

Topeka, KS 66612

Tel: 785.296.3981

Fax: 785.296.4813

scxb@srskansas.org

Kentucky Mr. Russ Fendley

Commissioner

275 East Main Street, 6W-A

Frankfort, KY 40621

Tel: 502.564.4321

Fax: 502.564.0509

Louisiana Ms. Janet Womack

Program Manager

PO Box 91030

Baton Rouge, LA 70821

Tel: 225.342.0127

Fax: 225.342.1411

jwomack@dhs.la.us

Maine Ms. Christine Gianopoulos

Acting Director

Statehouse Station #11

442 Civic Center Drive

Augusta, ME 04333

Tel: 207.287.2674

Fax: 207.287.2675

christine.gianopoulos@maine.gov

Maryland Ms. Judy Zeller

Transportation Coordinator

201 West Preston Street, Room 136

Baltimore, MD 21201

Tel: 410.767.2862

Fax: 410.333.5052

zellerj@dhmh.state.md.us

Massachusetts Mr. Perry Fong

Transportation Program Manager

600 Washington Street, Fifth Floor

Boston, MA 02111

Tel: 617.210.5324

Fax: 617. 210.5511

pfong@nt.dma.state.ma.us

Michigan Mr. James MacPherson

Transportation Specialist

400 South Pine Street

PO Box 30479

Lansing, MI 48909

MacPherson@michigan.gov

Minnesota Mr. John Kowalczyk

Policy Consultant

444 Lafayette Road

St. Paul, MN 55155

Tel: 651.297.5611

Fax: 651.282.9919

john.kowalczyk@state.mn.us

Mississippi Ms. Jan Larson

Director of Bureau of Compliance and Financial Review

239 North Lamar Street, Suite 801

Jackson, MS 39201

Tel: 601.987.3902

Fax: 601.987.3911

cfjgl@medicaid.state.ms.us

Missouri Ms. Kim Johnson

Medicaid Specialist

PO Box 6500

Jefferson City, MO 65102

Tel: 573.751.3277

Fax: 573.526.2041

Kimberly.a.johnson@dss.mo.gov

Montana Ms. Gail Gray

Director

111 North Sanders Street

PO Box 4210

Helena, MT 59604

Tel: 406.444.5622

Fax: 406.444.1970

ggray@state.mt.us

Nebraska Ms. Mary Steiner

Interim Medicaid Administrator

301 Centennial Mall South, 5th Floor

Lincoln, NE 68509

Tel: 402.471.9178

Fax: 402.471.9092

mary.steiner@hhss.state.ne.us

Nevada Ms. Julie Cryderman

Supervisor

1030 Bible Way

Reno, NV 89502

Tel: 775.688.2811

Fax: 775.688.1028

jcryderman@dhcfp.state.nv.us

New Hampshire Mr. Andrew Love

Acting Transportation Coordinator

129 Pleasant Street

Concord, NH 33010

Tel: 603.271.3770

Fax: 603.271.4365

alove@dhhs.state.nh.us

New Jersey Ms. Ann Clemency Kohler

Director

PO Box 712

Trenton, NJ 08625

Tel: 609.588.2600

Fax: 609.588.3583

ann.c.kohler@dhs.state.nj.us

New Mexico Ms. Rose Armijo

Transportation Program Manager

PO Box 2348

Santa Fe, NM 87504

Tel: 505.827.3189

Fax: 505.827.3185

rose.armijo@state.nm.us

New York Mr. Tim Perry-Coon

Program Research Specialist

99 Washington Avenue, Room 606

Albany, NY 12210

Tel: 518.457.2746

Fax: 518.457.6908

tjp03@health.state.ny.us

North Carolina Mr. Andy Wilson

Project Coordinator

2501 Mail Service Center

Raleigh, NC 27699

Tel: 919.857.4019

Fax: 919.715.8548

andy.wilson@ncmail.net

North Dakota Ms. Yvonne Smith

Deputy Director

600 East Boulevard Avenue

Bismarck, ND 58505

Tel: 701.328.2538

Fax: 701.328.1545

sosmiy@state.nd.us

Ohio Mr. Don Sabol

Supervisor

30 East Broad Street, 27th Floor

Columbus, OH 43215

Tel: 614.466.6420

Fax: 614.466.2908

Oklahoma Ms. Linda Hughes

Program Manager

PO Box 25352

Oklahoma City, OK 73125

Tel: 405.521.4415

Fax: 405.521.4158

linda.hughes@okdhs.org

Oregon Mr. Luis Carabello

Dept of Human Services Transportation Coordination

500 Summer Street, E23

Salem, OR 97301

Tel: 503.945.5999

Fax: 503.378.2897

Luis.b.carabello@state.or.us

Pennsylvania Mr. Michael Noel

Medical Assistance Transportation Program Manager

PO Box 2675, Bertolino Building - 2nd Floor

Harrisburg, PA 17105

Tel: 717.772.2922

Fax: 717.772.2093

janoel@state.pa.us

Puerto Rico Dr. Wendy Matos

Director

PO Box 70184

San Juan, PR 00936

Tel: 787.765.1230

Fax: 787.250.0990

wematos@salud.gov.pr

Rhode Island Ms. Sharon Reniere

Medical Care Specialist

600 New London Avenue

Cranston, RI 02920

Tel: 401.462.2187

Fax: 401.462.6353

sreniere@gw.dhs.state.ri.us

South Carolina Mr. Mumin Abdulrazzaaq

Medicaid Transportation Program Manager

PO Box 8206

Columbia, SC 29202

Tel: 803.898.2558

Fax: 803.255.8220

abdulraz@dhhs.state.sc.us

South Dakota Mr. Damian Prunty

Program Manager

700 Governors Drive

Pierre, SD 57501

Tel: 605.773.3495

Fax: 605.773.5246

damian.prunty@state.sd.us

Tennessee Mr. David Stockett

Senior Policy Analyst

729 Church Street

Nashville, TN 37247

Tel: 615.741.0066

Fax: 615.532.5236

dstockett@mail.state.tn.us

Texas Ms. Linda Altenhoff

Director of Medical Transportation Transportation

1100 West 49th Street

Austin, TX 78756

Tel: 512.458.7519

Fax: 512.458.7256

linda.altenhoff@tdh.state.tx.us

Utah Dr. Scott Williams

Executive Director

PO Box 141000

Salt Lake City, UT 84114

Tel: 801.538.6111

Fax: 801.538.6306

swilliams@utah.gov

Vermont Ms. Diana Carminati

Director

103 South Main Street

Waterbury, VT 05671

Tel: 802.241.2800

Fax: 802.241.2830

dianac@path.state.vt.us

Virginia Mr. Bernie Pomfrey

Transportation Manager

600 East Broad Street

Richmond, VA 23219

Tel: 804.786.0161

Fax: 804.786.5799

bernie.pomfrey@dmas.virigina.gov

Virgin Islands Ms. Karen Virgil

Assistant Director

3730 Estate Altona, Suite 302

St. Thomas, US Virgin Islands 00802

Tel: 340.774.4624

Fax: 340.774.4918

Washington Mr. Tom Gray

Transportation and Interpreter Services Section Manager

PO Box 45534

Olympia, WA 98504

Tel: 360.725.1314

Fax: 360.664.0261

graytr@dshs.wa.gov

West Virginia Mr. Jim Shedd

Director – Coordination Unit

350 Capitol Street, Room 251

Charleston, WV 25301

Tel: 304.558.1766

Fax: 304.558.1542

jimshedd@wvdhhr.org

Wisconsin Ms. Emily Curtis

Coordinator

One West Wilson Street, Suite 550

Madison, WI 53708

Tel: 608.267.5149

Fax: 608.264.6750

curtie@dhfs.state.wi.us

Wyoming Ms. Iris Oleske

State Medicaid Agent

154 Hathaway Building

2300 Capitol Avenue

Cheyenne, WY 82002

Tel: 307.777.7848

Fax: 307.777.6964

ioleske@state.wy.us

Part I

TRANSPORTATION ATTACHMENTS TO MEDICAID STATE PLANS

INCLUDES: GEORGIA, MINNESOTA AND NEW JERSEY

To access this sample contract, please contact Maureen Hensley-Quinn at 202.415.9675 or

hensley_quinn@ctaa.org

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New Challenges, New Opportunities inMedical Transportation

Non-emergency Medical Transportation and the Transportation Disadvantaged:

A Critical Lack of Access to Needed Medical Care

The Finest Kind of Public Service in Medical Transportation

The

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The

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Join policymakers and practitioners from across the country in setting the agenda for the future of senior mobility at the Community Transportation Association’s National Conference on Trans-portation for America’s Elders: Mobility for Life. You’re invited — May 23 and 24 in St. Louis, Mo. — to come and participate in this vital dialogue on senior transportation issues and innovations where we’ll: • Analyze current senior transportation practices and policies; • Identify the strategies necessary to meet future senior transportation needs; • Build an issues platform and procedures document for implementing these strategies; and • Create the springboard for action at the upcoming White House Conference on Aging.

mobilityfor life

National Conference on Transportation for America’s Elders:

The National Conference on Transportation for America’s Elders: Mobility for Life, is being held as part of the Community Transportation EXPO 2005 and is co-sponsored by the Beverly Foundation.

Trends in Healthcare Impact Trends in

Medical Transportation

David Nevins

Timothy Beals

David Nevins

Timothy Beals

A Conversation with the Ambulance Industry

David Nevins

Timothy Beals

David Nevins

David Nevins

Timothy Beals

If there was additional investment in non-emergency medical transportation, I think people would be more likely to utilize them.

oices of the people...Marcella

DavidFloyd and Family

oices of the people...

Mary Gladys

Donna