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From page 35... ... 35 Human services transportation refers to a range of transportation services designed to meet the needs of individuals who have difficulty providing their own transportation due to age, dis ability, or income. The purpose of this chapter is to provide information about human services transportation and public transportation. Read the entire page →
From page 36... ... 36 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination The following are some examples of the federal programs that provide funding for transportation services for transportation-disadvantaged populations: • DHHS's Medicaid NEMT; • The Department of Energy's Head Start; • The Department of Labor's Job Corps; • HUD's Community Development Block Grants, Entitlement Areas; • U.S. DOT and FTA's Enhanced Mobility for Seniors and Individuals with Disabilities; and • The Department of Veterans Affairs' Veterans Health Care Benefits. Read the entire page →
From page 37... ... Coordination of Public Transportation with Human Services Transportation 37 • Increase services, • Ensure cost-effectiveness and cost savings, and • Provide safe and reliable transportation services. Obstacles to Human Services Transportation Coordination Obstacles impeding coordination include concern among program sponsors that their own participants might be negatively affected, program rules that limit use by others, real and perceived regulatory barriers, and limited guidance and information on coordination. Read the entire page →
From page 38... ... 38 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination • Demand response is a form of public transportation characterized by flexible routing and scheduling of small- to medium-sized vehicles operating in shared-ride services between pickup and drop-off locations according to passengers' requests. Scheduling may be immediate response, similar to taxi service, or it may be advance reservation, so that trip requests are required a day or more in advance. Read the entire page →
From page 39... ... Coordination of Public Transportation with Human Services Transportation 39 Based on the applicable authorization bill, Congress provides an annual appropriation that funds U.S. DOT programs. Read the entire page →
From page 40... ... 40 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination population of 50,000 to 199,999 (small urban areas) , FTA apportions Section 5307 funds to the governor or governor's designee as the designated recipient. Read the entire page →
From page 41... ... Coordination of Public Transportation with Human Services Transportation 41 Federal Share. The federal share is 80 percent for capital expenses, administration, and planning and 50 percent for operating assistance. Read the entire page →
From page 42... ... 42 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination Executive Order 13330. President George W Read the entire page →
From page 43... ... Coordination of Public Transportation with Human Services Transportation 43 The FAST Act directs CCAM to develop a strategic plan that will (41, 46) : • Outline the role and responsibilities of each federal agency with respect to local transportation coordination, including NEMT; • Identify a strategy to strengthen interagency collaboration; • Address outstanding recommendations previously made by the council to develop a costsharing policy and to increase participation by recipients of federal grants in locally developed, coordinated planning processes; • Address GAO recommendations for local coordination of transportation services (32, 33) Read the entire page →
From page 44... ... 44 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination • Require vehicle operators to meet U.S. DOT physical examination by a licensed medical examiner at least every 24 months; • Ensure compliance with requirements for ADA in operations, vehicles, and facilities; • Provide a vehicle maintenance program to ensure a state of good repair; • Ensure transit vehicles meet federal performance standards for maintainability, reliability, safety, structural integrity, fuel economy, emissions, and noise; and • Benefit from investments in technology for safe operations, good vehicle maintenance, and convenience for passengers. Read the entire page →
From page 45... ... Coordination of Public Transportation with Human Services Transportation 45 The coordinated transportation plan must be developed and approved through a process that includes participation by seniors; individuals with disabilities; representatives of public, private, and not-for-profit and human services transportation providers; and other members of the public (50) Read the entire page →
From page 46... ... 46 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination Challenges of Coordinating Public Transportation and NEMT The challenges of coordinating public transportation and NEMT for public transit agencies are summarized in Table 5. Coordination Should Not Conflict with the Medicaid Program According to CMS, DRA did not specifically address coordinated transportation. Read the entire page →
From page 47... ... Coordination of Public Transportation with Human Services Transportation 47 CMS guidance for NEMT also does not permit charging for a trip when the Medicaid beneficiary no-shows or late-cancels the NEMT service. The transportation provider must absorb the cost of traveling to pick up the passenger who no-shows and the cost of inefficiencies in the schedule caused by a late cancel. Read the entire page →
From page 48... ... 48 Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination Fixed, Variable, and Marginal Cost. Fixed cost, variable cost, and marginal cost are important concepts to understand in the economics of public transportation and NEMT: • Fixed costs are business expenses that do not change with the amount of service (e.g., administrative salaries and facility depreciation) Read the entire page →
From page 49... ... Coordination of Public Transportation with Human Services Transportation 49 • Lowest cost. The public transit agency that serves as the broker must document that its service is the most appropriate and lowest-cost alternative with respect to an individual's specific transportation needs. Read the entire page →

From page 35...

... 35 Human services transportation refers to a range of transportation services designed to meet the needs of individuals who have difficulty providing their own transportation due to age, dis ability, or income. The purpose of this chapter is to provide information about human services transportation and public transportation.