LocalCountyandTribalAgencyBiennialHealth CareAccess ServicesPlan
Effective:January1,2018,throughDecember31,2019
LocalAgencyorTribe:
SwiftCounty Human Services
PersonResponsibleforDevelopmentoftheHealthCareAccessServicesBiennialPlan:
Julie Jahn
TelephoneNumber:
320-843-6302
NameofPersonResponsibleforCoordinationofHealthCareNon-EmergencyMedicalTransportationandrelatedAncillaryServices:
StacyGrussing
TelephoneNumber:
320-843-3160
GeneralPurposeStatement
Toensurethatapplicants/recipientsofMedicalAssistance(MA),andMinnesotaCarepregnantwomen and children under21yearsofage are providedwithorreimbursed fortheappropriatelevel ofneeded transportation and othertravelrelatedexpensestoenablethemtoaccessnecessarymedicaltreatment.Countyandtriballocalagencynon-emergencymedicaltransportation(NEMT)servicesareavailabletotransporttherecipienttoandfrommedicallynecessaryservicesreceivedfromparticipatingprovidersofservicescoveredundertheMAandMinnesotaCareprograms.
Transportationtonon-participatinghealthcareprovidersshallalsobepaidunderthisplanif:
- themedicallynecessaryserviceiscoveredunderthe MA stateplan; and
- the non-participatingmedical/dentalprovidercouldbe aparticipatingproviderifapplicationwasmade;and
thetransport resultsintheproper, efficient, and costeffectiveadministration ofMinnesotaHealth Care Programsservices.
NOTICEOFACCESSSERVICEAVAILABILITYTOELIGIBLEMINNESOTAHEALTHCAREPROGRAMRECIPIENTS
Swift County Human Serivces, 410 21st St S, Benson MN 56215, 320-843-3160
Youmaybeabletogetpaidforexpensestohelpyougetmedicalcareortoattendanappealhearing.Youmayalsoreceivereimbursement whenyoureligibilityismaderetroactive.
Pleaseread thisinformationsheetcarefully.
TheSwift(COUNTY/TRIBE)HealthCareAccessPlanwillpayforthemostcosteffectiveformoftransportationtogetyoutoaprimarycareproviderwithin30milesofyourhomeandaspecialtycareproviderwithin60milesofyourhome.Transportbeyondthoserespectivedistanceswillrequirereferralbasedonmedicalnecessityorhealthplanreferralandapprovalfromthecounty/tribe.Ifyouhaveyourownvehicleandcandrive,youmustuseitwheneverpossible.
•Ifyoudriveyourcarorhaveafriend,someoneinyourhouseholdorarelativethatmaydriveyourcarforyou,youwillbepaidatarateof22centsamile.
•Ifavolunteerdriverprovidestransportation,thevolunteerdriverwillbepaiduptotheIRSbusinessdeductionrateeffectiveonthedatetheaccesstransportationservicewasprovided.
•Bus,lightrail,orothersimilarcommercialcarrierstandardriderfareswillbereimbursedattheratecharged.YouNEEDauthorizationfromyourworkerinordertoreceivereimbursementforthesetransportationcostsandancillaryservicecosts.
•Ifyourdoctorsaysthatyoumusthavemedicalcarewhichyoucannotgetwithin30milesofyourresidenceforprimarycareor60milesfromyourresidenceforspecialtycare,youmaybeeligiblefortransportation,meals,lodging,andparkingreimbursementstohelpyougetcare.Servicesmustnotbeavailablefromacloserprovidercapableof providingthelevelofcareneeded.Thiswouldincludetherenotbeinganotherproviderwithinthe30/60milelimitsfromyourresidencecapableof providingthelevelofcareneeded.
•Ifsomeonemustgowithyoutogetnecessarymedicalcare,theymayalsobereimbursedmealsandlodgingcostswhenalsoapprovedforyouatthesamerate
•Youmayalsobeeligibleforreimbursementoftransportationandrelatedexpensesduringthemonthsyouwerefoundtobeeligiblebeforethedateyouapplied.
•IfyouappealadecisiononyourMAorMinnesotaCarecase,youareeligibleforreimbursementoftransportation,relatedancillaryserviceexpensesand,if necessary,childcarecostsincurredwhileyouareattendingtheappealhearing.
TOGETPAID
Contact the number listed at the top of the Plan Monday through Friday from 8:00 AM to 4:30 PM to get a voucher for transportation nand related ancillary services costs. You will need prior approval for transport outside the 30 to 60 miles are form medical care or specialty care before you to your appointment. You will need to contact us three (3) working days, if possible, before your appointment. This is required for the appointments outside the 30 miles for any medical care and 60 miles radius from your home for specialty care.
Bringorsendyourappointmentslipandaletterfromyourdoctorthatsaysyouneedtoexceedthe30/60milelimitsformedicallynecessarycarebecausethereare“noproviderswithinthe30/60milesorcloserthanthe“referredto”providercapableofprovidingthemedicallynecessarylevelofcareneeded”bytherecipient.The appointment slipandlettermustbeprovidedtoyourfinancialworkerforpriortopaymentapproval.Attachtheappointmentsliptothesignedvoucher.
YOUMUSTPROVIDEreceiptsformeals,lodging,andparking,exceptforparkingmeters,withthesignedvoucher.Providemileageandstatewhetheryourcaroranotherperson'swasused.
•Mealsarepaiduptothefollowingamounts:Breakfast-$5.50,Lunch-$6.50,Dinner-
$8.00.
•Lodgingmustbepriorauthorizedandislimitedto$50.00pernightunlessauthorizedbythelocalagencyortribeforagreateramount.
•Parkingfeeswillbepaidatactualcost.Theleastcostlyparkingoptionmustbeutilized.Forexample:singleentry/exitratevsweeklypermitratevsmonthlypermitrate,etc.asnecessaryforthehealthcareappointmentorservices.
IFYOUCHOOSEtogetmedicalcarefromaprovider thatisnot within 30milesfor primaryor 60milesfor specialtycarefrom your home,youmayhavetopayforyourowntransportationandancillaryservicecosts.Thisincludesemergencieswhenyoucangettheservicesneededatacloser location.
IFYOUHAVEAMEDICALEMERGENCYcontactyourworkerimmediatelyaftertheemergencytomakearrangementsforreimbursementofallowedexpenses.
IMPORTANT REMINDER:Ifyouwanttobepaid,youmustgetauthorization to incurcostsbeforeyou getcertain non-emergencymedical transportationorrelatedancillaryservices that are outside the 30 miles for primary care and 60 miles for specialty care.Priorauthorizationtoincuratransportationorancillaryservicecostisnotrequiredforemergencies,retroactiveeligibility,andappealhearings.Reporting,billing,andreceiptdocumentationisstillrequired.
CostEffectiveness
PerFederalRegulations,transportationforeachtripmadebyarecipientmustbebythemostcosteffectivemeansavailablethatmeetstheneedsoftherecipient.
1.Thecountyandtriballocalagenciesshalldirectrecipientstoutilizeallavailablesourcesoffreetransportationservices(suchasrelatives,friends,otherpublicoptionsifavailable)ifitmeetstheneedsoftherecipient.
2.Thenextmostcosteffectivemeansof transportationunderthisplanistransportbytherecipient'svehicle.Includesvehiclesprovidedbyotherindividualswitha“vestedinterest”intherecipient.
3.Reimbursement willnotbemadetoarecipientorotherpersonifthemodeoftransportationusedorrelatedtravelexpensesarefurnishedatnocosttotherecipient.
4.Reimbursementwillnotbemadefortrips/mileagetraveledwithoutarecipientinthevehicle(noloadmiles).
5.Thelocalcounty/tribalagencymustdocumentordescribethemethodorprocessofestablishingthe“leastcostly”appropriatemethodoftransportation.
6.Thelocalcounty/tribalagencymustdocumentordescribetheprocessusedinestablishingtheappropriateleveloftransportandrelatedancillaryservicesapproved,authorized,ordeniedtotherecipient.
7.Transportforacoveredmedicalservicethatisobtainedfromaprimarycareproviderislimitedto30milesfromtherecipient’shome/residenceforlocalcounty/tribalagencyandstateadministeredNEMT.
8.Transportforacoveredmedicalserviceobtainedfromaspecialtycareproviderislimitedto60milesfromtherecipient’shome/residenceforlocalcounty/tribalagencyandstateadministeredNEMT.
9.Priorauthorizationtoexceedthe30or60miletransportlimitsforallNEMTmust:
•BerequestedbytheMHCPrecipientforreviewbythelocalagency;
•Beauthorizedordeniedbythecountyortriballocalagency;
•Bebasedonmedicalnecessitywithnootherprovidercapableofprovidingthelevelofcareneededcloserthantherequesteddestinationproviderlocation,and
•Mustbedocumentedanddocumentationmaintainedaspartofthetransportationrecordbythelocalcountyortribalagency.
PartI.TransportationandRelatedTravelCosts
Recipients/applicantsmustusethemostcosteffectivemethodof transportationavailabletothem.Wheneverappropriate, therecipient'sown vehiclemustbeused.
A.ServicesavailableforrecipientsreceivingmedicalcarefromaMAenrolledorotherappropriatenon-enrolled medical/dentalprovider:
1.Mileagereimbursement:
- 22centsperloaded(recipientinthevehicle)milewhentransportedinavehicleprovidedbyanindividualincludingbutnotlimitedtoafamilymember,self,neighbor,etc.orotherindividualwithvestedinterest.Billingcode“A0090”.
- ReimbursementforpersonalmileageincludesapossibleRuralUrbanCommutingArea(RUCA)add-onadjustmentbasedontheclient’sresidencezipcodeasruralor
superruralandthetransportdistancefromorigination(pick-up)todestination(dropoff)locations(onewaydistancesof1to17miles+25%,18to50miles+12.5%,and51milesormorenoRUCAadjustmentisapplied.
- Thelocalagencymust calculateallpersonalmileageRUCAadd-onadjustmentsusing thesamecriteriaandprocessfor allindividuals.
- Upto100percentoftheIRSBusinessMileagedeductionrateeffectiveforthedate-of-service(DOS)fornon-emergencytransportationusingavehicleprovidedbyavolunteerdriver(individualororganization) withnovestedinterest(billingcode“A0080”)andforlicensedfosterparents(billing code/modifier“A0090UC”).
- ReimbursementforpersonalmileageofthelicensedfosterparentandvolunteerdriverincludesapossibleRUCAadd-onadjustment basedontheclient’sresidencezipcodeasruralorsuperruralandthedistancefromorigination(pick-up)todestination(dropoff)locations.Foronewaytransportdistancesof1to17miles+25%,18to50miles+12.5%andfordistancesinexcessof50milesnoRUCAadjustmentisapplied.
- Thelocalagencymust calculatealllicensedfosterparentpersonalmileageandvolunteerdrivermileage RUCAadd-onadjustmentsusing thesamecriteriaandprocessforallindividuals.
2.Parkingfeesandtollsarereimbursedatactualcost(billingcode“A0170”).Receiptsarerequiredwhenavailabletotherecipient.
3.Swift
County/Tribelocalagencyreimbursesvolunteerdriversatthe
MHCP/DHSmaximumreimbursementrate,upto100%oftheIRSbusinessdeductionrateinplaceontheDOS.
4.UnassistedTransportincludingbus/lightrail(billingcode“A0110”ormonthlypass“A0110U7”)andothercommercialcarrierfaressuchasairtravel(billingcode“A0140”)arereimbursedthestandardriderfareofthetransportationprovider.Reimbursementisconsidered“atcost”withreductionforexcludedcostsrelatedtotransportation.
- Reimbursementforthe“standardfare”transportsDONOTincludeapossibleRUCAadd-onadjustment
5.UnassistedTransport (billingcodeA0100)isreimbursedthe standardrider fareor theMHCPallowable,whicheverisless.
- Reimbursementforunassistedtransport(A0100)curb-to-curbtransportsincludesapossibleRUCAadd-onadjustmentforthebase(pick-up)servicecodebasedontheclient’sresidencezipcodeclassificationassuperrural.
- TheRUCAadd-onadjustmentfortransportbaseservicechargesis11.3%.
6.ReimbursementforunassistedtransportsincludesapossibleRUCAadd-onadjustmentformileage(S0215)basedontheclient’sresidencezipcodeasruralorsuperruralandthedistancefromorigination(pick-up)todestination(drop-off)locations.Foronewaytransportdistancesof1to17miles+25%,18to50miles+12.5%andfordistancesinexcessof50milesnoRUCAadjustmentisapplied.
7.AssistedTransportincludesdoor-to-dooranddoor-thru-door ambulatorytransports
where the clienthasbeencertifiedbytheMHCP/DHSmedicalreviewagentasrequiringthisleveloftransport.
- ReimbursementforassistedtransportsincludesaRUCAadjustmentforthebase(pick-up)servicecode(T2003)basedontheclient’sresidencezipcodeassuperrural.
- TheRUCAadd-onadjustmentfortransportbaseservicechargesis11.3%.
- ReimbursementforassistedtransportsincludesaRUCAadjustmentformileage(S0215)basedontheclient’sresidencezipcodeasruralorsuperruralandthedistancefromoriginationtodestinationlocations.Foronewaytransportdistancesof1to17miles
+25%,18to50miles+12.5%,anddistancesinexcessof50milesnoRUCAadjustmentisapplied.
8.Meals: Themaximum reimbursement for meals (Billingcode“A0190”)is:
- Breakfast-$5.50;Mustbeintransitoratthemedicalappointmentpriorto6:00AM
- Lunch-$6.50;Mustbeintransitoratthemedicalappointment11:00AMto1:00PM
- Dinner-$8.00Mustbeintransitoratthemedicalappointmentafter7:00PM
- Timetakento“eatthemeal”isnotpartof “traveltime”consideration.
9.Lodging:Authorizationpriortoincurringthiscostisrequired.Limitedto$50.00 pernightunlessahigherrateispriorauthorizedbythelocalcounty/tribalagency (billingcode“A0180”).
10.Whenanotherindividualisnecessarytoaccompanytherecipientortobepresentatthesiteofahealthserviceinordertomakehealthcaredecisions,theaccompanyingindividualwillbereimbursedforthecostofmeals,transportation,andlodgingatthesamestandardastherecipient.Reimbursementmaybemadeformorethanonepersonif requiredbythehealthcareprovider’s writtentreatmentplan.
11.Transportationandotherrelatedtravelexpensesoffamilymembersofrecipientsincoveredtreatmentprograms,suchasmentalhealth,ifthefamilymember'sinvolvementispartoftherecipient'swrittentreatmentplan.
12.IftherecipienthadtravelandancillaryserviceexpensesandislaterfoundtobeMHCPeligible(couldincludeuptothreeretroactiveMAmonths),theymaybeeligibleforreimbursementof allowedtransportationandancillaryservicesatthereimbursementratesappropriatefortheDOSasindicatedinthisplan.
13.Transportationandrelatedtravelexpensestoout-of-statemedicallynecessaryservicesrequirespriorauthorizationbythecounty/tribelocalagencyforthefee-for-service(FFS)(straightMA)recipients.
- Transportandrelatedancillaryservicesareonlyprovidedorreimbursedwhenthefee-for-serviceout-of-statemedicalservicehasbeenauthorizedbytheDHScontractedmedicalreviewagent.Out-of-stateservicesaremedicallynecessaryservicesobtainedataprovider/facilitylocationthatisoutsideofMinnesotaoritslocaltradearea.NEMTtransportsandrelatedancillaryservicesareprovidedtotherecipientandwhennecessaryoneresponsiblepersonand/orattendant.
14.Transportationandotherrelatedtravelexpensestoout-of-statemedicallynecessaryservicesrequirepriorauthorization/referralofthemedicalservice(s)bytheHealthPlanforrecipientsenrolledinahealthplan.Transportandrelatedancillaryservicesareonlyprovidedor
reimbursedwhentheout-of-statemedicalservicehasbeenauthorizedbythehealthplan.Out-of-stateservicesaremedicallynecessaryservicesobtainedataprovider/facilitylocationthatisoutsideofMinnesotaoritslocaltradearea.NEMTtransportsandrelatedancillaryservicesareprovidedtotherecipientandwhennecessaryoneresponsiblepersonand/orattendant.
15.Counties/triballocalagenciesareresponsibleforallout-of-stateNEMTtransportsandrelatedancillaryservicesfortransportModes1thru4.
B.ProcedurestoObtainServices
1.AuthorizationtoincurNEMTandrelatedancillaryservicecostsmaybearrangedinwriting,bytelephoneoronlinedependinguponthespecificcounty/tribalagencyprocessestablished.Documentationof authorizationofNEMTandrelatedancillaryservicesmustbemaintained.Priorauthorizationtoincurtransportandancillaryservicecostsfromthecounty/tribeisrequiredfororwhen:
•LodgingandmealexpensesforanMArecipientand/orresponsiblepersonaccompanyingtheMArecipient
•Thelocalcounty/tribalagencyhasdeterminedtransportationandancillaryserviceshavebeenmisused.Example:Anable-bodiedindividuallivingatalocationwithaccesstoapublicbusrouteusesataxicabratherthanthebustoaccessmedicalservicesavailablebybustransport.
•Transportationand relatedcostsarenecessaryfortherecipient toreceiveDHSfee-for-servicecontracted reviewerorhealthplan authorizedout-of-statemedicallynecessaryservices.
2.NEMTtransportservicestotheprimarycareproviderwithin30milesoftheclient’sresidenceand60milesfromtheclient’sresidenceforspecialtycareDOESrequirepriorauthorizationby Swift county/tribelocalagencytoincur thetransportationservicecost(s).
C.EmergencyNeedsProcedure
AuthorizationtoincurNEMTandrelated ancillaryservicecostsisnotrequiredinemergencysituations.Inanemergencysituation,recipients/applicantsmustsecuretransportationandrelatedancillaryservicesusingthemostcosteffectiveandmedicallyappropriatetransportationandancillary
services.Recipients/applicantsarerequiredtonotify
Swift
county/tribe
localagencyimmediatelyaftertheemergencyforconsiderationofreimbursementoftheexpenses.Transportationandrelatedancillaryservicecoststhatwouldotherwiserequirereceiptsforreimbursementsdoapplyintheemergencysituations.
D.BillingandPaymentProcedures
1.Providersof transportationandothertravel-relatedservicesmustsubmitbillsforservicesto
Swift
county/tribalagencyforpayment.Thebillshouldincludedateof
service,origination(pick-up)anddestination(drop-off)points,andmileagebythemostdirectroute.Transportmustbetoacoveredserviceinorderforthebilltobepaidunderthisplan.
2.Recipientsandotherpersonseligibleforreimbursementforcostsof transportationandother
relatedservicesshallsubmittoSwift
county/tribalagencyactualreceipts,when
available,orsigned,dated,anditemizedstatementsofmileageand/orotherallowedexpenses.
3.Allbillswillbepaidby Swiftcounty/tribalagencywithin 30calendar/business(selectone)daysofreceipt.Financialworkersmaychoosetoprovidearecipientwithavoucherfortransportationorothertravel-relatedservice.
E.ServiceRestrictions
1.Paymentshallbemadeforthemostcost-effectiveavailablemeansoftransportationwhichissuitabletotherecipient'smedicalneeds.AsmentionedinSectionI.B.,priorauthorizationtoincurcostsoftransportationandotherrelatedtravelexpensesmayberequiredexceptwhenthereisanemergencyorincasesof retroactiveeligibility.
2.Whentherecipient'sattendingphysicianmakesareferralortherecipientrequeststobetransportedtoamedicalproviderlocationthatisnotwithinthe30/60miletransportlimits,priorauthorizationbythecounty/tribalagencyisrequired.
3.Whentherecipient'sattendingphysicianmakesareferralortherecipientrequeststransporttoamedicalproviderlocationnotwithinthe30/60miletransportlimitsorisnottheclosestprovidercapableofprovidingthelevelofcarebeyondthemileagelimits,priorauthorizationbythecounty/tribalagencyfortransportandancillaryservicesshouldnotbemade.
4.Thecounty/tribewillnotreimbursetherecipientfortransportationprovidedatnocosttotherecipient.
PartII.ADAMeaningfulAccess toServices
A.ServicesAvailable
Swiftcounty/tribalagencywillprovideinterpreterservicestoDeaf,blind,hardofhearingandDeaf/blindpersons,andindividualswithLimitedEnglishProficiency(LEP)whoareseekingorreceivingassistancefromthecounty/tribalagency.
Swiftcounty/tribalagencywillprovideotherassistanceorservicessuchastraining,videos,informationpamphletsorotherservicestoindividualsseekingorreceivingassistancefrom
Swift
county/tribalagency
MedicalAssistance(MA)orotherserviceproviders,regardlessofsize,shallprovideinterpreterservicestoDeaf,blind,hardofhearingandDeaf/blindpersons,andindividualswithLEPwhoareseekingorreceivingassistanceassoonastheDeaf,hardofhearing,Deaf/blindpersonorindividualwithLEPmakestherequestorthewhentheneedisdetermined.Ifsubsequentappointmentsarenecessary,interpreterservicesalsoneedtobearrangedpriortoappointment.
ProvidersmustofferthisserviceatnocostandinatimelymannertotherecipientinaccordancewithStateandFederallaws.Thisserviceonlyapplieswheninterpretationisprovidedinconjunctionwithanothercoveredservice,isprovidedduringthecompletionofthecash,foodsupport,medical,or
MnChoiceseligibilityorre-certificationmeetingswiththeapplicant.Interpreterservicesarenotavailableforschedulingorarrangingmedicalserviceappointments.
PARTIII.Procedures toObtain Services
A.AuthorizationofServices
Authorizationtoincuranon-emergencymedicaltransportationandrelatedancillaryservicecost maybearrangedinwriting,bytelephoneoronlinedependinguponthespecificcounty/tribalprocessestablished.Documentationof authorizationof transportationandrelatedancillaryservicesmustbemaintained.
Priorauthorizationtoincurtransportationandrelatedancillaryservicescostsfromthecounty/tribeisrequiredfor:
1.LodgingandmealexpensesforanMArecipientand/orresponsiblepersonaccompanyingtheMArecipient
2.Whentheagencyhasdeterminedtransportationandancillaryserviceshavebeenmisused.Example:Anable-bodiedindividuallivingatalocationwithaccesstoapublicbusrouteusesataxicabratherthanthebustoaccessmedicalservicesavailablebybustransport.
3.Transportationand relatedcoststoreceiveDHScontracted reviewerorhealthplanauthorizedout-of-statemedicallynecessaryservices.
CountyandtriballocalagencyadministeredandStateadministerednon-emergencymedicaltransportation(NEMT)andrelatedancillaryservicesfortheMAfee-forservicerecipientislimitedtoaPrimaryCareProviderwithin30milesoftherecipient’shomeandSpecialtyCareProviderwithin60milesoftherecipient’shome. Allfee-for-serviceNEMTtransportsandrelatedancillaryservicesbeyond the respective30/60miledistancesREQUIREprior authorizationby
Swift
county/tribalagency.Authorizationisbasedonmedicalnecessityand
havingnoprovidercapableofprovidingthe levelofcareneededwithinthemileagelimitsor aprovidercloser thantheproviderlocationrequested.
For the MA fee-for-servicerecipient,authorizationforstateadministerednon-emergencymedicaltransportation andrelatedancillaryservicebeyond therespective30or60miledistancesmustbeobtainedbytherecipient from thelocalcounty/tribalagency.Authorizationisbasedonmedicalnecessityandhavingnoprovidercapableof providingthelevelofcareneededwithin themileagelimitsoraprovidercloser thanthe providerlocationrequested.
HealthPlanrecipientsmustaccessprimarycareservicesfroma providerwithin30milesof theirresidenceandspecialtycareserviceswithin60milesoftheir residence.Authorizationfortransport andrelated ancillary servicesprovided and reimbursedbythecountyor triballocalagencytoaproviderlocationexceeding therespectivedistances, must beobtainedbytherecipient from the localcounty/tribalagency. Prior authorizationisbasedonreferralbythe healthplanfortherecipient to accesscoveredmedicalservicesfromtheproviderat thespecificlocationrequested.
B.EmergencyNeedsProcedure
PriorauthorizationtoincurNEMT andrelatedancillaryservicescostsisnotrequiredforemergencysituations.Inemergencysituations,recipients/applicantsmustsecuretransportationandrelatedexpenses,usingthemostcosteffectiveandmedicallyappropriatetransportationmethodandrelatedancillaryservices.Recipients/applicantsarerequiredtonotifythelocalcountyortribalagencyimmediatelyaftertheemergencytosecureconsiderationofreimbursementfortheexpenses.
Appropriatereceiptsarerequired.
C.BillingandPaymentProcedures
SwiftLocalcounty/tribalagencywillnegotiatefeeswiththereferralagencyorinterpreter. Swift county/tribalagencywillpaytheinterpreterfortheserviceandchargetheexpensetothe MAadministrativeaccountforreimbursementpurposes.Allbillswillbe
paidby
Swift
county/tribalagencywithin30daysof receipt.
D.ServiceRestrictions(Providesummaryof)
PartIV.Access toAppealHearingServices
A.ServicesAvailable
1.Reimbursementforreasonableandnecessaryexpensesofapplicants/recipientsattendanceatanappealhearing,suchasmeals,lodging,parking,transportation,andchildcarecosts.
2.Assistancefrom Swiftcounty/tribalagency'staffinlocatingtransportation.
B.ProcedurestoObtainServices
Applicants/recipientsshallcontacttheirworkerat
Swift
county/tribalagencyif
assistanceinlocatingtransportationorreimbursementfortransportationand/orchildcareexpenseswillbeneededtoensuretheapplicants/recipient'sattendanceatanappealhearing.
C.BillingandPaymentProcedures
TransportationexpenseswillbereimbursedaccordingtothesamecriteriaestablishedinPartI.Providersoftransportationservicesmustsubmitdated,itemizedbillsforserviceto
SwiftLocalcounty/tribalagencyforpayment.Applicants/recipientsandotherpersons
eligiblefor costoftransportationservicesshallsubmittoSwiftCountyHumanServices/TribalAgencyactualreceipts, whenavailable,orsigned,dated,anditemizedstatementsofmileage.Allbillswillbepaidby Swift county/tribalagencywithin30daysof receipt.
County/tribalstaffmaychoosetoprovidearecipientwithavoucherfortransportation.
Childcarecostsarereimbursabletotheapplicant/recipientforthetimedurationofthehearing,includingtraveltoandfromthechildcareprovider.Childcarewillbereimbursedatthecurrent"ChildCareProgram"hourlyrate. Swift county/tribalagencywillreimburseapplicants/recipientsdirectlyfortheirtransportationand/orchildcarecostsandthenchargetheexpensetotheMAProgramadministrativeaccountforreimbursement.
D.ServiceRestrictions
Swiftcounty/tribalagencywillnotpayforchildcareifservicesareprovidedatnochargetotheapplicant/recipient.
PartV.CountyVouchers
Whatisthecounty's/tribe'splanforrecipientswhocannotaffordtopayup-frontforabuspassortaxi?
Swift County will purchase punch cards forconsumers touse formedical appointments.
Doyouprovidebuspassesortaxivoucherstorecipients?
Swift County has the bus company keep thepunch cards assigned to a specific consumer touse when theyare traveling formedical appointments. They are used for people who live in the cities of Appleton or Benson and need to access medical services in their respective towns through the buses assigned to each of those communities.
PartVI. Administration ofCommonCarrier
Doyoucontractforcommoncarrierservices? Yes XX
No(selectone)
PartVII.Notification toMA Recipients ofHealthCareAccess Services
The Swift County Access Plan will be posted on the Agency’s website and in the lobby of Swift County Services for the public to view. The information sheet will also be given out when consumers ask for an application for Health Care. In addition the Notice of Access to Service Available to Eligible Minnesota Health Care Program Recipients and the Request for Medical Trip Reimbursement will be sent out with manual notices to households who are eligible for Medical Assistance.
When Medical Trip Reimbursements are sent out to the recipients, a blank voucher will be included with their payment so they have a new one for their next trip.
PartVIII.OtherCounty/Tribe Specific Policies,ProceduresandConditions
Whataretheidentifiedgaps,issues,and/orbarriersfortransportationservicesinyourarea?
Limited service hours; Limited weekend hours; Limited service area; scheduling conflicts with the bus during peak hours of use, lack of volunteer drivers, difficulty in finding rides for children and providing escorts
Whatcoordinationeffortsisthecounty/tribalagencyinvolvedintoprovidetransportationservicestoitsmemberssuchasRegionalTransportationPlanninginitiatives?
We have a steering committee for 6W made of members from the community, human services, health care facilities and transportation providers to identify areas of needs and some solutions that could be looked at to fill the gaps.
Inthespacebelow,pleasecommunicateanypoliciesandproceduresnotcoveredintheBiennialAccessPlanBulletinandattachmentdocumentsthatreflectcounty/tribalagencyadministrationofAccessServices.