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Transportation

Page posted: 11/6/03

Page reviewed: 12/26/13

Page updated: 6/29/18

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §174.29 to 174.30, Minn. R. 9505.0315

Definition

Transportation: Transportation necessary to gain access to community services, resources and activities.

Covered services

Covered services include transportation:

  • • Necessary to meet needs and preferences as stated in the care plan for the person to be included in the community
  • • To waiver services when the contracted rate for the waiver service does not include transportation.
  • Non-covered services

    The following are non-covered transportation services:

  • • Transportation to health care services available through MA state plan service
  • • Transportation when alternate transportation is available free of charge (e.g., family, neighbors, friends, community agencies).
  • Non-covered services for a personal vehicle include:

  • • Any payment beyond negotiated mileage or trip reimbursement
  • • Reimbursement to a person for the purpose of transporting self or the use of their own vehicle.
  • Secondary information

    The lead agency may designate private people to provide transportation when they meet the person’s needs and/or preferences in a cost-effective manner. Private people include natural supports such as family, neighbors, friends or community agencies.

    Provider standards and qualifications

    There are three types of transportation providers: specialized, individual driver and common-carrier.

    Specialized

    Specialized transportation is a DHS enrollment-required service. It includes either ambulatory or non-ambulatory services. The Minnesota Department of Transportation (Minn. Stat. §174.29 to 174.30) must certify specialized transportation providers who are not excluded in Minn. Stat. §174.30.

    Individual driver

    Transportation provided by a non-commercial, individual driver is an approval-option: direct-delivery service. An individual driver must:

  • • Meet the person’s needs and preferences in a cost-effective manner
  • • Meet all applicable state laws and rules, and local regulations
  • • Maintain a valid Minnesota driver’s license and adequate automobile insurance coverage, as required under Minnesota Statutes, Chapter 65B.
  • An individual driver can provide transportation as a paid service provider (non-commercial common carriers) or in a volunteer capacity for mileage reimbursement. The reimbursement rate is the Internal Revenue Service (IRS) standard mileage rate.

    Common-carrier

    Transportation provided by a commercial, common carrier is an approval-option: purchased-item service. Commercial common-carriers include buses, taxicabs and light rails. A common-carrier provider must meet all applicable state laws and rules, and local regulations. Commercial, common-carrier transportation must be cost-effect for the person and meet his/her needs.

    Authorization, rates and billing

    The lead agency authorizes transportation at the market rate. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Transportation cannot be billed for the same period of time that other waiver services are billed.

    Transportation cannot be covered separately for waiver services in which the cost is included in the service rate.

    Special transportation billing limitations

    A special transportation provider, either ambulatory or non-ambulatory, may bill both a one-way trip and the commercial per-mile rate. Payment for common carrier or private individual, either commercial or non-commercial, is for a one-way trip or mileage.

    Additional resources

    Briefcase resource document: Transportation and day and employment services
    CBSM – BI, CAC, CADI and DD waivers general process and procedures

    MHCP Provider Manual – Nonemergency medical transportation (NEMT) services

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    © 2018 Minnesota Department of Human Services Updated: 6/29/18 3:50 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 6/29/18 3:50 PM