Ala. Admin. Code r. 560-X-18-.16
Current through Register Vol. 43, No. 02, November 27, 2024
Section 560-X-18-.16 - Non-Emergency Transportation Program General(1) As the State Agency for administering the Non-Emergency Transportation Program, under Title XIX of the Social Security Act, the Alabama Medicaid Agency must ensure that transportation for Medicaid allowable medical services is available for all eligible recipients in the state who have no other means of transportation.(2) Medical transportation services include transportation of a Medicaid recipient to and from Medicaid allowable medical services for which a recipient has available benefits.(3) In order to eliminate or reduce transportation barriers for Medicaid recipients, Medicaid created the Non-Emergency Transportation Program (NET). NET is responsible for ensuring that necessary non-ambulance transportation services are provided in a manner that is:(a) similar in scope and duration state-wide, although there will be some variation depending on resources that are available in a particular geographical location of the state;(b) consistent with the best interest of recipients;(c) appropriate to available services, geographic location and limitations of recipients;(4) All payment for non-emergency transportation services must have prior authorization by the Alabama Medicaid Agency, with the exception of those services listed in Rule 560-X-18-.04(6), and those services requiring urgent care.(a) Urgent care is defined as medical care that is required after normal business hours.(b) Request for reimbursements for non-emergency transportation as a result of urgent care, must be made the first business day after the transportation need has occurred. R. Dale Boyles
Ala. Admin. Code r. 560-X-18-.16
Rule effective April 14, 1992. Repealed: Filed July 7, 1994; effective August 12, 1994. New Rule: Filed February 7, 1996; effective March 14, 1996.Statutory Authority: State Plan; 42 C.F.R. §431.53; Title XIX, Social Security Act.