Subsection 144-101-II-113.01 - DEFINITIONS113.01-1Attendant: An employee of an Agency Transporter or Broker, approved and reimbursed by the Broker, who assists the driver and accompanies a Member or group of Members during transport in order to ensure the safe operation of the vehicle and the safety of the Members. Attendants must be at least 18 years of age.113.01-2Broker: An entity with which the Department has contracted to manage, authorize, coordinate, and reimburse the provision of necessary Non-Emergency Transportation for eligible MaineCare Members.113.01-3Department: The Maine Department of Health and Human Services, acting through the Office of MaineCare Services.113.01-4Escort: A personal assistant, family member, friend, volunteer or facility employee who accompanies a Member for the entire trip and stays with the Member at the destination. 113.01-5Incident:Any unanticipated event, other than a motor vehicle accident, which results in a disruption of services.113.01-6Late: More than 15 minutes after the scheduled pick-up time from a Point of Origin, more than 5 minutes after the scheduled drop-off time for an appointment/ MaineCare covered service, or more than 30 minutes after the scheduled pick-up time from an appointment/MaineCare covered service.113.01-7MaineCare Covered Services: Services covered and reimbursed through MaineCare, as provided in the MaineCare Benefits Manual.113.01-8Member: Any person certified as eligible for services under the MaineCare program.113.01-9NET: Non-Emergency Transportation.113.01-10No Show: A failure by the Member to utilize previously scheduled transportation without contacting the Broker in advance of the trip to cancel it. This includes the Member failing to be at the agreed upon Point of Origin no later than 10 minutes after the scheduled pick up time or canceling with the Transporter at its arrival at the Point of Origin location.113.01-11On Time: From thirty (30) minutes before until fifteen (15) minutes after the scheduled pick-up time from a Point of Origin; from thirty (30) minutes before until five (5) minutes after the scheduled drop-off time at an appointment/MaineCare covered service; and until thirty (30) minutes after the scheduled pick-up time from an appointment/MaineCare covered service. For an unscheduled pick-up (e.g., when the Member will call after a medical appointment), "on time" is within two (2) hours of the time the Broker is notified that the Member is ready to be picked up in a rural area, and within (1) hour of the call to a Broker in an urban area.113.01-12Personal Assistant: A person who is designated by a Member to assist with one or more daily life functions, including helping the Member use transportation services. A fare is not charged for the Personal Assistant to ride with the Member. Personal assistants are not provided by the Broker.113.01-13Point of Origin: Location (usually, but not always, a residence) where a Member first boards a ride.113.01-14Public Transportation: Buses, trains, ferries, and other forms of transportation that charge set fares, run on fixed routes, and are available to the public.113.01-15Records: All documents relating to the services performed by the Broker or Transporter, including but not limited to books, notes, meeting agendas, schedules, phone records, voicemail messages, email and other communications, payrolls, papers, accounting records and other documents that contain information regarding the subject matter of this Section. 113.01-16Related Travel Expenses: Expenses incurred by the Transporter, Member, or Escort during the provision of NET services that are necessary to ensure Member access to MaineCare covered services. These expenses may include overnight lodging and meal expenses.113.01-17Reports: Regularly scheduled submissions that the Broker is contractually required to submit to the Department so that the Department can monitor the Broker's performance.113.01-19Standing Orders: Recurring or repetitive trips that occur one (1) or more days a week with the same Point of Origin, MaineCare covered service destination and return.113.01-20Transporters: Any entity, organization or individual that provides transportation services reimbursable by a Broker under the NET program. This includes agents of the Broker with which the Broker has entered a Service Agreement ("Agency Transporters"), public transportation, commercial taxis, volunteers, and friends and family.113.01-21Urban: Areas defined as Urban by the Maine Department of Transportation. These include those areas in which, according to the last United States census, the population (1) exceeds 7,500 inhabitants or (2) is less than 7,500 inhabitants but more than 2,499 inhabitants, and the ratio of people whose place of employment is in a given municipality to employed people residing in that same municipality is 1.0 or greater, and when the municipality has not exercised the opt-out provision as set forth by the Maine Department of Transportation. A current list of urban areas can be found at http://www.maine.gov/mdot/csd/mts/stateurbancompact.htm..113.01-22Urgent Trip: An unscheduled and irregular situation in which there is no immediate threat to life or limb but the Member must be seen on the day of request and treatment cannot be delayed until the next day (e.g. follow-up); appointments scheduled less than 5 days after the last appointment; unexpected pre-operative appointments; hospital discharges; appointments for new medical conditions or tests when the Member must be seen; dialysis; and urgent pharmacy trips. 113.01-23Wheelchair Accessible Vehicle: A motorized vehicle equipped specifically with certified wheelchair lifts or other equipment designed to allow persons in wheelchairs or other mobility devices to safely enter a vehicle and secure their wheelchair or device for transportation in accordance with national safety standards. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-113, subsec. 144-101-II-113.01