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Propensity of Chronic Illness Affecting Older Adults
Arthritis or Chronic Joint Symptoms
42.1% are 45 yrs-65 yrs
58.8% are 65 yrs or older
Cancer Incidence
Females
Ages 55-59 - 802.9 per 100,000 persons
Ages 65-69 - 1,353 per 100,000 persons
Ages 75-79 - 1,817 per 100,000 persons
Males
Ages 55-59 - 947.2 per 100,000
Ages 65-69 - 2,264.4 per 100,000
Ages 75-79 - 3,123.2 per 100,000
Diabetes
Age 20 or older - 8.7%
Age 60 or older - 18.3%
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Medicaid Transit Passes
Health and Human Service agencies have realized great savings
by shifting Medicaid eligible participants (who are able) from
costly paratransit services to less expensive fixed-route transit.
Agencies may purchase monthly bus passes and distribute them
to clients who have access to a bus route.
The Medicaid Pass program is a win-win program. The rider
gains greater mobility and increased independence that improves
his/her overall quality of life. The transit agency sees increased
ridership and revenues with few, if any, additional costs. And
finally, the human service agencies substantially increase the
cost-effectiveness of the transportation services purchased for
Medicaid beneficiaries.
Data from 2000 reports that 40 million people receive Medicaid
services at a cost of $126 billion. (This figure excludes such
Medicaid costs as nursing homes, hospitals, physicians, pre-
scriptions, and home health care, which make the overall total
$258.2 billion). However, it is projected that if 1% (400,000)
Medicaid beneficiaries were switched to bus passes, Medicaid
transportation could save an estimated $432 million. (This esti-
mate is calculated by using the average cost of a monthly bus
pass ($30) and an estimate of four paratransit trips per month
($120).
Source: Medicaid Transit Passes: A Winning Solution for All by
National Consortium on the Coordination of Human Services
Transportation ([email protected]).
Note: More information on Medicaid Transit Passes can be found
in Chapter 6 of the Medical Transportation Toolkit.
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Elder Services of Merrimack Valley, Inc. in Massachusetts
has started a Medical Advocacy Program that combines through-
the-door transportation furnished by a volunteer who can also act
as the older person’s medical advocate, if requested. The program
is targeted to older people and their spouses, working caregivers;
and long-distance caregivers.
The older person and the advocate prepare for the visit by going
over questions the older person might have. The volunteer sits
with the older person when the doctor or other medical personnel
explains what the older person needs to do, for instance, what
medications to take and how to take them, instructions on eating,
and setting up the next appointment. The volunteer advocate
makes sure the doctor or other medical personnel communicates
effectively and answers any questions the older person has. If
there is an adult child who is caretaker for the older person, the
volunteer advocate is also trained to take notes in a journal that
is left with the older person and informs the adult child of what the
parent needs to do. If there are any prescriptions to be filled, the
advocate will take the older person to the pharmacy.
The program consists of approximately 24 volunteers both under
and over age 60. Merrimack Valley identifies potential medical
advocates through its standard initial interview for general volun-
teers. Those who appear to be likely medical advocates are given
two two-hour specialized training sessions on topics such as an
overview of the aging process; building positive relationships and
business skills; confidentiality and ethics; guidelines for reducing
risk on volunteer assignments — ambulating with an older person
and preventing falls — and handling emergencies.
The annual cost of the program is approximately $22,500. Twenty
thousand dollars goes to the salary of one part-time coordinator.
Of the remaining $2,500, $2,100 is for reimbursing the medical
advocates for their travel at the rate of $0.375 per mile. (Not every
advocate submits a reimbursement claim.) With funding from the
National Family Caregiver Support Program, Merrimack Valley has
been able to implement the Medical Advocacy Program for the
twenty-three cities and towns in its service area. From December
2002 through December 2004, the medical advocates have filled
approximately 650 requests and completed almost 2,000 hours of
medical advocacy. Perhaps the greatest outcome of the program
is the improved communication between the older person and the
physician and health care provider.
Source: Rosanne DiStefano, Executive Director ([email protected]),
and Mary DeRoo, Home Care Director, RN, MS (MDeRoo@esmv.
org), Elder Services of Merrimack Valley, Inc.
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Example of Ridesharing for Medical Transportation
Western Community Action in Marshall, Minnesota, has a ride-
share program that uses volunteer drivers to take residents of its
multicounty rural service area located in the southwestern corner
of the state to medical appointments in Minneapolis, Rochester,
or across the state lines to Sioux Falls, South Dakota, as well as
Iowa and communities in between. These are long-distance trips
that take from two to four hours. Ride requests are scheduled us-
ing computer software through a central dispatch office. Without
ridesharing and volunteer drivers, the cost of transportation would
be prohibitive for many older rural residents or residents of any
age needing medical transportation.
Source: Jeanette Aguirre, Transit Director, Western Community
Action, Marshall, MN ([email protected]).
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The State of Florida’s Agency for Health Care Administration
(AHCA) and Miami Dade Transit agreed to expand Medicaid trans-
portation in an effort to reduce the rising costs of Medicaid Paratransit
(door-to-door) transportation. Miami Dade Transit began making bus
passes available to Medicaid eligible persons who could safely travel
by bus in 1993. It was determined by comparing costs of paratransit
trips and the cost of the monthly pass that savings would result after
the third one-way trip on the fixed-route service. So to the following
eligibility requirements were established...
-A Medicaid recipient must have three or more verifiable medical
appointments (6 or more round trips a month.
-If they qualify, they will receive a monthly pass for a $1 co-pay-
ment. The pass has unlimited trips for one month.
-To remain in the program, the Medicaid recipient must continue to
have three more verifiable medical appointments each month.
Once a person is accepted into the Medicaid Metropass Program,
they are no longer in the Medicaid paratransit program (door-to-door
service).
In the beginning, the program averaged 4,800 users per month, a
figure just over one percent of the total number of Medicaid recipients
in Dade County. Now, between 5,000 and 6,000 people — also just
over one percent of all Dade County Medicaid recipients — use the
Metropass program. In 2002, Bus pass instead of paratransit savings
for Medicaid came in at over $600,000 per month and revenues for
Miami Dade Transit at $202,000 month. This calculates to an esti-
mated annual Medicaid savings of $7.5 million per year and increased
transit revenues of $2.4 million. As of 2005, the Medicaid Metropass
program has accumulated savings in excess of $62,000,000.
Source: Medicaid Transit Passes: A Winning Solution for All by the
Consortium on the Coordination of Human Services Transportation
(2004) & Harry Rackard, Manager
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Coordinated Transportation Solutions, Inc. (CTS) in Connecticut
is a not-for-profit transportation brokerage that has worked with the
state’s Departments of Transportation and Social Services to develop
an innovative Medicaid Bus Pass program.
In 1998, CTS saw the opportunity to incorporate a bus pass program
into its Medicaid non-emergency medical transportation service be-
cause of the extensive public transit system. Connecticut’s public
transit services extended throughout its major cities and into most
of the state’s rural areas.
Dave White, CTS President, quickly identified a problem — the pass
was good for one person while the Medicaid population that CTS
served was predominately single adults with children.
CTS met with Connecticut’s Department of Transportation and sug-
gested implementing a family bus pass that would allow one adult
and up to three children under age 18 to use most of Connecticut’s
public transit options for the same price as an individual bus pass
(then $35, now $45). The Connecticut Departments of Transportation
and Social Services, along with Medicaid’s Managed Care companies
agreed to CTS’s proposal. The program was quickly adopted for all
Medicaid beneficiaries throughout the state.
As a result, transit seats have been filled and there has been a reduc-
tion in the cost of providing non-emergency medical transportation
services to the state’s Medicaid population. CTS estimates that
nearly one-half of all trips provided to its 110,000 covered Medicaid
recipients are provided by the state’s public transit operators.
Medicaid beneficiaries are receptive to the program because it not
only ensures their families’ access to medical appointments, but
provides unlimited travel options throughout the state.
Source: Interview with David White, CTS President, in April 2005
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The Healthy Community Alliance, a rural health net-
work, and LoveInC, a faith-based organization, part-
nered to meet the needs of the New York communities
they serve by sharing their transportation resources.
The Healthy Community Alliance is a health network that
serves 113,000 rural residents in portions of four West-
ern New York counties. The Alliance was established
in 1996 to provide services based entirely on identified
community need. Such services include health risk
assessments, mental health services, and transporta-
tion through a partnership with LoveInC. LoveInC is a
national non-denominational Christian ministry with 120
affiliates in 30 states that seek to help those in need.
The Alliance and LoveInC first crossed paths when both
participated in a rural transportation needs assessment
in 1998. This led to discussions of how they could work
together to fill a tremendous transportation service gap
in the communities served by both groups.
The Alliance had been able to secure funds and purchase
a van, but did not have the staff available to schedule
and operate a transportation service. LoveInC had the
volunteers to operate a vehicle, but did not have a ve-
hicle to operate. So, the Alliance and LoveInC partnered
with each other to create a vital community service that
continues to grow.
Residents of the community are the real beneficiaries of
the partnership. LoveInC provides people with rides to
medical appointments that are 40-50 miles away from
their homes, which include trips to and from dialysis and
chemotherapy treatments.
Source: Betty Accordino of Healthy Community Alliance,
email: [email protected]
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Rhode Island’s RIte Care/RIte Share Trans-
portation Program is an example of a state’s
coordination effort. The Rhode Island Department
of Human Services and the Rhode Island Public
Transit Authority (RIPTA) have partnered to pro-
vide accessible transportation for Rhode Island-
ers enrolled in the RIte Care/RIte Share health
insurance program, which is Rhode Island’s
Medicaid managed care program.
All beneficiaries enrolled in the state’s managed
care program are eligible for a bus pass, which is
available for pick-up at local supermarkets.
The Department of Health and Human Services
also has a paratransit agreement in place between
the state’s Transit Authority and its Medicaid man-
aged care plans to provide taxi cab and van rides
to medical appointments. A member is eligible for
the paratransit service if he/she lives at least 1
mile off of a bus route and the appointment must
be for medical visit. A RIte Care member arranges
for the transportation by calling his/her managed
care plan’s member services department. The
member service representative obtains informa-
tion regarding the transportation request, verifies
eligibility and forwards the request to the Transit
Authority.
Source: Sharon Reniere, Assistant Administrator
of Children’s and Family Services
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“I feel like a 1,000 pounds have been lifted off my
shoulders,” says Donna after discovering transpor-
tation options in her community. Like most people,
Donna wasn’t aware of the transit service until she
desperately needed it.
Living in Sanford, Maine, Donna, in her late 50s, had
been driving herself to and from her own dialysis
treatments three times each week. She receives
her dialysis treatments in Biddeford, 17 miles away
from her home.
A social worker at the dialysis center attempted to
arrange transportation for Donna through Medicaid,
the public health plan jointly funded by the state
and federal governments. Unfortunately, Donna’s
income surpassed the eligibility limit by $275.
Eventually, Donna was connected with York County
Community Action (YCCA). Transportation Director
Connie Garber made sure had a ride to and from
her dialysis treatments through the YCCA Volunteer
Driver Program.
Today, thanks to community transportation, Donna
no longer ahs to fear and can instead concentrate on
her health. She’s the first to acknowledge the power-
ful change this transportation has made on her life.
Source: Community Transportation: New Chal-
lenges, New Opportunities in Medical Transportation
(Winter 2004-2005)
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• 37 % of dialysis patients use a wheelchair
or a walker, compared with 13 % for other
county riders.
• 50 % of dialysis patients require some type
of mobility device.
• At least half of the patients were transporta-
tion dependent — meaning they are physi-
cally unable to drive themselves, have no
family members, volunteer group to provide
transportation, are unable to take fixed-
route public transit.
Riders with such difficulties obviously take lon-
ger to board and disembark which impacts the
efficiency of the transportation service.
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County Ride provides public transportation in
northeastern Colorado through the North East-
ern Colorado Association of Local Governments
(NECALG). County Ride provides service in an
area encompassing over 9,500 square miles.
There is only one dialysis center in northeast-
ern Colorado. This means that some dialysis
patients are traveling 180 miles round trip three
times per week for treatments. Fortunately,
Banner Health System, the provider of health
services in the area, recognizes the benefits
of partnering with community transportation.
Banner Health has contracted with NECALG to
provide transportation for its patients’. Improved
transportation has meant fewer complications in
treatment, which would be more expensive for
Banner to administer. Other areas of Banner’s
operations have benefited as well. Better dis-
charge planning and fewer “no shows” further
reduce administrative costs.
74
The St. Louis Veterans Administration (VA) Dialysis Center
changed the times of its treatment shifts to accommodate
the schedule of the local Disabled American Veterans (DAV)
volunteer driver program, which provided rides to some of
the dialysis center’s patients.
Veterans using the DAV to get to and from dialysis ran into
scheduling problems because the facility’s first treatment
shift began before the volunteer drivers began transporting
patients and the facility’s last shift ended after the volunteers
finished for the day. The facility remedied the problem
by scheduling its first treatment shift later in the morning.
This small change affected the entire facility’s schedule
— nurses and doctors work schedules and all the patients’
appointment schedules. The staff felt the adjustments to
their schedules were worth it if it meant that patient care
was more efficient.
So, prior to the initiation of treatment, a committee com-
prised of the VA Dialysis Center’s doctors, nurses, and
social workers meet to discuss each veteran’s treatment
plan. The committee attempts to coordinate all aspects of
the veteran’s treatment, which includes healthcare coverage
eligibility, scheduling and transportation. Veterans using the
transportation provided by the DAV, are scheduled for the
morning shift, which is now in synch with the DAV schedule.
Those using another means of transportation are scheduled
for the afternoon shift.
Source: Joseph Wildisen, the St. Louis VA Dialysis Center
social worker
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Medical Motor Service is a nonprofit provider and
broker of specialized medical transportation services
in Monroe County, New York. Besides transporting
patients to and from dialysis, Medical Motor Services
administers a program funded by Medicaid in which
patients are directly reimbursed for arranging their
own transportation through friends and relatives.
Patients are reimbursed $7.50 per one way trip as
opposed to the $12.50 it would cost for a medical taxi
cab. Currently, Medical Motor Services reimburses
for approximately 474 trips each month. After pro-
cessing and other administrative costs, this program
saves Medicaid about 10% off the cost of more tra-
ditional modes of dialysis transportation. The added
flexibility allowed under this arrangement expands
travel options, particularly for patients receiving
dialysis late at night or coming from hard to route
locations. Besides easing the burden on traditional
transit services, the patient reimbursement program
brings increased benefits for the patient’s drivers.
According to Bill McDonald, Executive Director of
Medical Motor Services, “It also provides a direct
transportation subsidy to the household, which can
help defray the cost of a car, for example. So it’s a
win/win proposition and growing in popularity.”
Source: Bill McDonald, Medical Motors Service
76
Rural Wayne County, New York, lacked dialysis transpor-
tation options for many of its most vulnerable citizens.
Several local organizations took action. With strong
support from the County Administrator, a grant was
secured through the Wayne County Rural Health Net-
work (WCRHN), which is sponsored by Wayne County
ViaHealth. Viahealth is a regional nonprofit affiliation
of hospitals, physicians and other health care provid-
ers. In January 2002, vehicles provided by Wayne Area
Transportation Services (WATS) began taking patients
to Geneva Dialysis at Geneva General Hospital. The
Service now transports patients to several other locations
with door through door service. In addition to help from
the ViaHealth, WCRHN, and WATS, volunteers from
the Retired Senior and Volunteer Program ride with the
patients and act as escorts. Because they were included
the planning process for the service, the area dialysis
providers were extremely cooperative in the schedul-
ing of treatment times. “This is a wonderful example of
several local agencies coming together to provide very
necessary assistance to Wayne County dialysis patients
and their families” says Antje Dirksen, Transportation
Planner for WCRHN.
77
Part F
PROVIDER AGREEMENT BY AND BETWEEN ANY HEALTH PLAN AND MEDICAL MOTOR
SERVICE OF ROCHESTER AND MONROE COUNTY, INC.
To access this sample contract, please contact Jordan Nichols at 800.527.8279 or
State Medicaid Contacts
Alabama Ms. Dorothy Powell
Associate Director of Non-emergency Transportation
501 Dexter Avenue
PO Box 5624
Montgomery, AL 36103-5624
Tel: 334.242.5151
Fax: 334.353.1777
Alaska Mr. Dwayne Peeples
Director
4501 Business Park Boulevard
Anchorage, AK 99503-7167
Tel: 907.334.2424
Fax: 907.561.1684
Arizona Mr. Anthony Rodgers
Director of Health Care Cost Containment System
801 East Jefferson Street
MD 4100
Phoenix, AZ 85034
Tel: 602.417.4680
Fax: 602.252.6536
Arkansas Mr. Roy Jeffus
Director
Division of Medical Services
PO Box 1437, S-401
Little Rock, AR 72203
Tel: 501.682.8292
Fax: 501.682.1197
California Dr. Fulton Lipscomb, MD
Chief
Medi-Cal Program
714 P Street, Room 1601
Sacramento, CA 95814
Tel: 916.657.1460
Fax: 916.657.1174
Colorado Mr. Brain Chadwick
Acute Care Benefits Section
1570 Grant Street
Third Floor
Denver, CO 80203
Tel: 303.866.5571
Fax: 303.866.2573
[email protected] Connecticut Mr. David Parrella
Director
25 Sigourney Street
Hartford, CT 06106
Tel: 860.424.5116
Fax: 860.424.5114
Delaware Ms. Joyce Pinkett
Administrator
PO Box 906
New Castle, DE 19720
Tel: 302.255.9616
Fax: 302.255.4425
District of Columbia Mr. Calvin Kearny
Chief of Program Operations
2100 Martin Luther King Jr. Ave, SE -Suite 302
Washington, DC 20020
Tel: 202.698.2000
Fax: 202.610.3209
[email protected] Florida Mr. John Austin
AHCA Administrator
Medicaid Program Development
2727 Mahan Drive, MS #20
Tallahassee, FL 32308
Tel: 850.922.7305
Fax: 850.922.7303
Georgia Ms. Janine Gardner
2 Peachtree Street, NW - 35th Floor
Atlanta, GA 30303
Tel: 404.651.6917
Fax: 404.657.0223
Hawaii Ms. Angie Payne
Acting Administrator of Med-Quest Division
PO Box 339
601 Kamokila Blvd., Room 518
Kapolei, HI 96707
Tel: 808.692.8050
Fax: 808.692.8173
Idaho Ms. Lynne Denne
Unit Supervisor
PO Box 83720
Boise, ID 83720
Tel: 208.287.1170
Fax: 800.296.0513
Illinois Dr. Anne Marie Murphy
Administrator
201 South Grand Avenue, East – 3rd Floor
Springfield, IL 62763
Tel: 217.782.2570
Fax: 217.782.5672
Indiana Ms. Melanie Bella
Assistant Secretary
402 West Washington Street, Room W382 – MS 07
Indianapolis, IN 46204
Tel: 317.233.4455
Fax: 317.232.7382
Iowa Ms. Sue Stairs
Program Manager
Hoover State Office Building
1305 East Walnut Street
Des Moines, IA 50319
Tel: 515.281.5233
Fax: 515.281.8512
[email protected] Kansas Mr. Scott Brunner
Director
Docking State Office Building
915 SW Harrison Street, Room 651 South
Topeka, KS 66612
Tel: 785.296.3981
Fax: 785.296.4813
Kentucky Mr. Russ Fendley
Commissioner
275 East Main Street, 6W-A
Frankfort, KY 40621
Tel: 502.564.4321
Fax: 502.564.0509
Louisiana Ms. Janet Womack
Program Manager
PO Box 91030
Baton Rouge, LA 70821
Tel: 225.342.0127
Fax: 225.342.1411
Maine Ms. Christine Gianopoulos
Acting Director
Statehouse Station #11
442 Civic Center Drive
Augusta, ME 04333
Tel: 207.287.2674
Fax: 207.287.2675
Maryland Ms. Judy Zeller
Transportation Coordinator
201 West Preston Street, Room 136
Baltimore, MD 21201
Tel: 410.767.2862
Fax: 410.333.5052
Massachusetts Mr. Perry Fong
Transportation Program Manager
600 Washington Street, Fifth Floor
Boston, MA 02111
Tel: 617.210.5324
Fax: 617. 210.5511
Michigan Mr. James MacPherson
Transportation Specialist
400 South Pine Street
PO Box 30479
Lansing, MI 48909
Minnesota Mr. John Kowalczyk
Policy Consultant
444 Lafayette Road
St. Paul, MN 55155
Tel: 651.297.5611
Fax: 651.282.9919
Mississippi Ms. Jan Larson
Director of Bureau of Compliance and Financial Review
239 North Lamar Street, Suite 801
Jackson, MS 39201
Tel: 601.987.3902
Fax: 601.987.3911
Missouri Ms. Kim Johnson
Medicaid Specialist
PO Box 6500
Jefferson City, MO 65102
Tel: 573.751.3277
Fax: 573.526.2041
Montana Ms. Gail Gray
Director
111 North Sanders Street
PO Box 4210
Helena, MT 59604
Tel: 406.444.5622
Fax: 406.444.1970
Nebraska Ms. Mary Steiner
Interim Medicaid Administrator
301 Centennial Mall South, 5th Floor
Lincoln, NE 68509
Tel: 402.471.9178
Fax: 402.471.9092
Nevada Ms. Julie Cryderman
Supervisor
1030 Bible Way
Reno, NV 89502
Tel: 775.688.2811
Fax: 775.688.1028
New Hampshire Mr. Andrew Love
Acting Transportation Coordinator
129 Pleasant Street
Concord, NH 33010
Tel: 603.271.3770
Fax: 603.271.4365
New Jersey Ms. Ann Clemency Kohler
Director
PO Box 712
Trenton, NJ 08625
Tel: 609.588.2600
Fax: 609.588.3583
New Mexico Ms. Rose Armijo
Transportation Program Manager
PO Box 2348
Santa Fe, NM 87504
Tel: 505.827.3189
Fax: 505.827.3185
New York Mr. Tim Perry-Coon
Program Research Specialist
99 Washington Avenue, Room 606
Albany, NY 12210
Tel: 518.457.2746
Fax: 518.457.6908
North Carolina Mr. Andy Wilson
Project Coordinator
2501 Mail Service Center
Raleigh, NC 27699
Tel: 919.857.4019
Fax: 919.715.8548
North Dakota Ms. Yvonne Smith
Deputy Director
600 East Boulevard Avenue
Bismarck, ND 58505
Tel: 701.328.2538
Fax: 701.328.1545
Ohio Mr. Don Sabol
Supervisor
30 East Broad Street, 27th Floor
Columbus, OH 43215
Tel: 614.466.6420
Fax: 614.466.2908
Oklahoma Ms. Linda Hughes
Program Manager
PO Box 25352
Oklahoma City, OK 73125
Tel: 405.521.4415
Fax: 405.521.4158
Oregon Mr. Luis Carabello
Dept of Human Services Transportation Coordination
500 Summer Street, E23
Salem, OR 97301
Tel: 503.945.5999
Fax: 503.378.2897
Pennsylvania Mr. Michael Noel
Medical Assistance Transportation Program Manager
PO Box 2675, Bertolino Building - 2nd Floor
Harrisburg, PA 17105
Tel: 717.772.2922
Fax: 717.772.2093
Puerto Rico Dr. Wendy Matos
Director
PO Box 70184
San Juan, PR 00936
Tel: 787.765.1230
Fax: 787.250.0990
Rhode Island Ms. Sharon Reniere
Medical Care Specialist
600 New London Avenue
Cranston, RI 02920
Tel: 401.462.2187
Fax: 401.462.6353
South Carolina Mr. Mumin Abdulrazzaaq
Medicaid Transportation Program Manager
PO Box 8206
Columbia, SC 29202
Tel: 803.898.2558
Fax: 803.255.8220
South Dakota Mr. Damian Prunty
Program Manager
700 Governors Drive
Pierre, SD 57501
Tel: 605.773.3495
Fax: 605.773.5246
Tennessee Mr. David Stockett
Senior Policy Analyst
729 Church Street
Nashville, TN 37247
Tel: 615.741.0066
Fax: 615.532.5236
Texas Ms. Linda Altenhoff
Director of Medical Transportation Transportation
1100 West 49th Street
Austin, TX 78756
Tel: 512.458.7519
Fax: 512.458.7256
Utah Dr. Scott Williams
Executive Director
PO Box 141000
Salt Lake City, UT 84114
Tel: 801.538.6111
Fax: 801.538.6306
Vermont Ms. Diana Carminati
Director
103 South Main Street
Waterbury, VT 05671
Tel: 802.241.2800
Fax: 802.241.2830
Virginia Mr. Bernie Pomfrey
Transportation Manager
600 East Broad Street
Richmond, VA 23219
Tel: 804.786.0161
Fax: 804.786.5799
Virgin Islands Ms. Karen Virgil
Assistant Director
3730 Estate Altona, Suite 302
St. Thomas, US Virgin Islands 00802
Tel: 340.774.4624
Fax: 340.774.4918
Washington Mr. Tom Gray
Transportation and Interpreter Services Section Manager
PO Box 45534
Olympia, WA 98504
Tel: 360.725.1314
Fax: 360.664.0261
West Virginia Mr. Jim Shedd
Director – Coordination Unit
350 Capitol Street, Room 251
Charleston, WV 25301
Tel: 304.558.1766
Fax: 304.558.1542
Wisconsin Ms. Emily Curtis
Coordinator
One West Wilson Street, Suite 550
Madison, WI 53708
Tel: 608.267.5149
Fax: 608.264.6750
Wyoming Ms. Iris Oleske
State Medicaid Agent
154 Hathaway Building
2300 Capitol Avenue
Cheyenne, WY 82002
Tel: 307.777.7848
Fax: 307.777.6964
Part I
TRANSPORTATION ATTACHMENTS TO MEDICAID STATE PLANS
INCLUDES: GEORGIA, MINNESOTA AND NEW JERSEY
To access this sample contract, please contact Maureen Hensley-Quinn at 202.415.9675 or
78
79
New Challenges, New Opportunities inMedical Transportation
Non-emergency Medical Transportation and the Transportation Disadvantaged:
A Critical Lack of Access to Needed Medical Care
The Finest Kind of Public Service in Medical Transportation
The
Res
pond
ing
Netw
ork
The
Res
pond
ing
Netw
ork
Join policymakers and practitioners from across the country in setting the agenda for the future of senior mobility at the Community Transportation Association’s National Conference on Trans-portation for America’s Elders: Mobility for Life. You’re invited — May 23 and 24 in St. Louis, Mo. — to come and participate in this vital dialogue on senior transportation issues and innovations where we’ll: • Analyze current senior transportation practices and policies; • Identify the strategies necessary to meet future senior transportation needs; • Build an issues platform and procedures document for implementing these strategies; and • Create the springboard for action at the upcoming White House Conference on Aging.
mobilityfor life
National Conference on Transportation for America’s Elders:
The National Conference on Transportation for America’s Elders: Mobility for Life, is being held as part of the Community Transportation EXPO 2005 and is co-sponsored by the Beverly Foundation.
Trends in Healthcare Impact Trends in
Medical Transportation
David Nevins
Timothy Beals
David Nevins
Timothy Beals
A Conversation with the Ambulance Industry
David Nevins
Timothy Beals
David Nevins
David Nevins
Timothy Beals
If there was additional investment in non-emergency medical transportation, I think people would be more likely to utilize them.
oices of the people...Marcella
DavidFloyd and Family
oices of the people...
Mary Gladys
Donna
