VIII.D Client Transportation


1. Medical Transportation Overview

Transportation Services are provided to OHP-Plus clients for medical appointments when no other means of transportation is available. As a rule, Medicaid will pay for the least expensive form of transportation that will meet the client's needs. If a friend, family member, or volunteer can provide transportation, these methods should be used first.

Covered services include such things as scheduled doctor visits, dental appointments, physical therapy appointments, urgent care, hospital admissions, pharmacy visits (to pick up prescriptions), etc. Refer to the DMAP Worker Guide XXIII for specific eligibility and covered services. Contact the Medical Transportation Manager at (503) 945-5796 for questions not answered in the Guide.

Most rides can be obtained through the regional transportation brokerage. In some cases, such as clients who require an ambulance, brokers will be unable to provide a ride. When this occurs, the case worker can schedule directly with a transportation provider. For payment, the transportation provider must have an active provider number with DMAP for the type of transportation it provides. The following will be reimbursed according to DMAP's approved rate or schedule of maximum allowances: ambulance, air ambulance, stretcher car, wheelchair car/van; taxi; and, secured transport. Not all modes of transportation are available in all communities. Refer to DMAP's Medical Transportation Services Billing and Procedures Guide. The Guide is designed to assist providers in preparing claims for medical assistance clients.

Clients can be reimbursed or advanced funds to cover the costs of obtaining medical care. Follow your office's policy and procedure regarding frequency of reimbursement or advanced payment. Rates for transportation, lodging and food are found on the Medical Transportation Screening/Input Document (DMAP 409). A revolving fund check may be issued by terminal entry or hand written in the field office. See Section II-C of this Manual for the revolving fund procedure.

2. Ambulance Transportation

Refer to the DMAP Worker Guide XXIII for ambulance transportation instructions.

3. Non-Medical Transportation for Waivered Service Clients

Refer to Executive Letter 99-14, April 21, 1999: "Non-Medical Transportation for Waivered Service Clients."