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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Transportation

Page posted: 11/6/03

Page reviewed: 12/3/20

Page updated: 12/3/20

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Minn. Stat. §256B.0913, Minn. Stat. §174.29 to 174.315, Minn. Stat. Chapter 65B, Minn. R. 9505.0315

Definitions

Transportation: Transportation services necessary to meet the person’s needs and preferences in covered areas, as documented in their support plan.

Common carrier: Transportation provider type that includes buses, taxis, light rail transit, other commercial carriers and vehicles owned or leased by a lead agency.

Individual driver: Transportation provider type that includes natural supports such as family members, neighbors, friends, community agencies and volunteer driver programs.

Special transportation: Services required to transport people who, because of a physical or mental disability, are unable to use a common carrier and do not require ambulance transportation. It includes either ambulatory or non-ambulatory services.

Covered services

Transportation is covered when it is necessary for the person to gain access to:

  • · Waiver services
  • · Community services, activities and resources
  • · Employment.
  • Non-covered services

    This service does not cover transportation:

  • · That is duplicative of Medical Assistance state plan services, including transit to health care services (e.g., medical appointments) (see MHCP Provider Manual – Nonemergency medical transportation (NEMT) services)
  • · When alternate transportation is available free of charge (e.g., family, neighbors, friends, community agencies)
  • · When the rate for the waiver service includes transportation
  • · When the staff member providing transportation is also providing training support.
  • Provider standards and qualifications

    There are three types of transportation providers: common carrier, individual driver and special transportation. These transportation providers are regulated by entities outside of DHS.

    Qualifications

    All transportation providers must:

  • · Meet the person’s needs and preferences in a cost-effective way
  • · Meet all applicable state laws and rules, as well as local regulations
  • · Maintain a valid Minnesota driver’s license appropriate to the type of transportation provided and adequate automobile insurance coverage as required under Minn. Stat. Chapter 65B.
  • Common carrier

    Transportation provided by a commercial, common carrier is an approval-option: purchased-item service. Lead agencies are responsible to verify the provider qualifications listed above.

    Individual driver

    Transportation provided by a non-commercial individual driver is an approval-option: direct-delivery service. Lead agencies are responsible to verify the provider qualifications listed above.

    Special transportation

    Special transportation is a DHS enrollment-required service. Special transportation drivers must also be certified by the Minnesota Department of Transportation as required under Minn. Stat. §174.29 to 174.315, unless excluded in Minn. Stat. §174.30.

    Authorization, rates and billing

    The lead agency authorizes one-way transportation (T2003 UC) at the market rate. For information about setting a one-way trip rate, see CBSM – Market rate services (BI, CAC, CADI, DD) and CBSM – Rate methodologies for AC, ECS and EW service authorization.

    The lead agency authorizes mileage transportation (S0215 UC) at the mileage reimbursement rate. For information about mileage reimbursement, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Transportation cannot be billed:

  • · At the same time as other waiver services when both services are provided by the same enrolled provider
  • · Separately when transportation is included in the service rate.
  • Common carrier

    A common carrier provider, either commercial or non-commercial, may receive payment for a one-way trip or mileage.

    Individual driver

    An individual driver can provide transportation as a paid service provider (non-commercial common carrier) or in a volunteer capacity for mileage reimbursement. The reimbursement rate for volunteer drivers is the Internal Revenue Service (IRS) standard mileage rate.

    Special transportation

    A special transportation provider, either ambulatory or non-ambulatory, may receive payment for a one-way trip and mileage.

    People age 60 years and older

    The lead agency should only refer people to transportation services funded through the Older Americans Act when the service or amount of service the person needs cannot be authorized within the person’s monthly case mix budget cap.

    Additional information for BI, CAC, CADI and DD waivers

    For information about Rate Management System (RMS) framework services that include/do not include transportation as part of the rate, see RMS Manual – Quick reference guide on consumer transportation for framework services in DWRS.

    For information about authorization and billing for transportation and day and employment services, see CBSM – Briefcase resource document: Transportation and day and employment services.

    Additional resources

    CBSM – Waiver, AC and ECS general process and procedures
    CBSM – Briefcase resource document: Transportation and day and employment services
    CBSM – Rate methodologies for AC, ECS and EW service authorizationCBSM – Waiver/AC service provider overview
    MHCP Provider Manual – Nonemergency medical transportation (NEMT) services

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