![]() ![]() “Generally, payment will be made only upon prior authorization for transportation services provided to an eligible medical assistance recipient. The complete list of contact phone numbers for the transportation vendors in each county is available here: Prior Authorization for Non-Emergency Transportationġ8 NYCRR §505.10 is the regulation governing transportation for medical care and services. LogistiCare continues to be the contractor for Nassau and Suffolk Counties. Medical Answering Services, LLC is handling New York City transportation as of April 23, 2017. State Contractors Handle Transportation for all in Mainstream Managed Care, Fee For Service, and in Feb. The carve out was expected to take place in Oct. HOWEVER, this service will be "carved out" and handled by a State contractor centrally. Transportation has remained a plan benefit for Managed Long Term Care (MLTC), requiring MLTC enrollees to arrange for non-emergency transportation through their plans. Managed Long Term Care ( MLTC) Members - change coming Feb. Medical Answering Services, LLC, which until recently managed transportation in all counties statewide except Nassau, Suffolk, and New York City, was recently awarded the contract for New York City transportation. Enrollees in mainstream Medicaid managed care plans do not access transportation services through their plans, but directly through private contractors. Non-emergency transportation was carved out of the Medicaid managed care benefit package as part of the 2011 Medicaid Redesign Team's Transportation Reform Initiative. All non-emergency transportation must be authorized prior to payment and only emergency ambulance transportation can be reimbursed without a prior authorization. Medicaid will pay for the most medically appropriate and cost-effective level of transportation to and from services covered by the Medicaid Program. However, for some Medicaid beneficiaries, their medical condition necessitates another form of transportation, such as an ambulette. Generally, this mode is public transit or a personal vehicle. When travelling to medical appointments, a Medicaid beneficiary is expected to use the same mode of transportation as the beneficiary would use to carry out the activities of daily life. §431.53) to assure necessary transportation to Medicaid beneficiaries to and from medical services. In 2020, transportation for City of New York Medicare members receiving dialysis may use Coordinated Transportation Solutions if transportation assistance is needed.States are required under federal regulations (42 C.F.R. Address where the appointment will take place.įor more information visit the eMedNY website.Ĭity of New York Medicare Members with End-Stage Renal Disease.Medicaid ID number (for example, AB12345C). ![]() ![]() If possible, the member or provider should call the above numbers at least 3 days prior to the member’s medical appointment and give the representative: New York City Members: Medical Answering Services (MAS) at 84.Westchester County members: Medical Answering Services (MAS) at 86.Nassau and Suffolk County members: LogistiCare at 84.To arrange for transportation, members/providers must call: Nonemergency medical transportation includes: personal vehicle, bus, taxi, ambulette, and public transportation. Medicaid FFS covers medically necessary nonemergency transportation for Medicaid, HARP, and Medicare HMO D-SNP members to obtain medical care and services. Members are instructed to dial 911 to obtain immediate assistance. Emergency transportation does not require a preauthorization. Medicaid FFS covers emergency medical transportation for Medicare HMO D-SNP, Medicaid, and HARP. In the event of a medical emergency, EmblemHealth covers emergency transportation to the nearest appropriate facility for Commercial and Medicare members. ![]()
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