130 CMR, § 404.413

Current through Register 1536, December 6, 2024
Section 404.413 - Transportation Services
(A)Transportation Service. Transportation service provides for transporting members from the member's home to the ADH provider or from the ADH provider to the member's home, including assisting the member while entering and exiting the vehicle, as appropriate. For the purposes of this section, a home includes a temporary housing environment where the member is being sheltered.
(B)Provision of Transportation.
(1) ADH providers may provide transportation as required at 130 CMR 404.414(C)(4) either directly or through a subcontractor;
(2) The transportation plan must be documented in the participant's enrollment agreement pursuant to 105 CMR 158.034(D)(5): Participant Enrollment Agreement.
(C)Rates of Payment. The MassHealth agency pays ADH providers for transportation in accordance with the applicable payment methodology and rate schedule established by EOHHS.
(D)Other Requirements. The ADH provider must ensure that all transportation provided by the ADH program or its subcontractor meets the following criteria:
(1) all vehicles used for transporting members are licensed by the Massachusetts Registry of Motor Vehicles;
(2) the operation of these vehicles is in accordance with all local, state, and federal statutes and ordinances; and
(3) drivers of these vehicles
(a) possess valid Massachusetts driver's licenses;
(b) have undergone a Criminal Offender Records Information (CORI) check and drug and alcohol testing;
(c) are certified in cardiopulmonary resuscitation (CPR) and first aid;
(d) have experience with or demonstrated competence in safely transporting people;
(e) have received training in meeting the needs, including the transportation-related needs of elderly persons and persons with disabilities;
(f) have received training in wheelchair securement and tie down procedures;
(g) have received training prior to contact with MassHealth members of the rules and procedures for the mandated reporting of abuse or neglect of members; and
(h) have received training on universal precautions and first aid, prior to contact with MassHealth members.
(E)Travel Distance and Time. The ADH provider and the transportation provider should attempt to minimize travel distance and travel time.
(F)Critical Incident Reporting. In addition to critical incident reports required by the Department of Public Health, the ADH provider is responsible for reporting critical incidents related to transportation, or that occur during transportation, to the MassHealth agency or its designee in the form and format requested by the MassHealth agency.

130 CMR, § 404.413

Amended by Mass Register Issue 1370, eff. 7/27/2018.