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Metro-Dade Transit Agency's Medicaid Metropass Program
Pages 269-318

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From page 271... ... Noticing that the schools at which the program was offered were along an existing bus route, the manager of MDTA's Transit Mobility Planning Section suggested giving the teenagers bus passes at a cost of about $16,000 a year. Out of this pragmatic solution, the Medicaid Metropass Program was born. Read the entire page →
From page 272... ... Consequently, the savings to AHCA by November 1993 was $42,000 over the cost of these same trips by paratransit. Because of the success of the pilot program, AHCA decided to greatly enlarge the Medicaid Metropass program. Read the entire page →
From page 273... ... ll In order to enlist participating agencies, MDTA contacts those which have more than five Medicaid clients a day using paratransit. FiRy-two agencies currently participate, including mental health clinics, drug and alcohol abuse centers, AIDS and HIV treatment programs, sheltered workshops for the developmentally disabled, day care programs for the elderly, and family health clinics. Read the entire page →
From page 274... ... There are seven staff assigned to the pass program. MDTA estimates that the time to process 1,000 applications for the Medicaid Metropass program is 62 4/z hours for clerical personnel and 47 ] Read the entire page →
From page 275... ... Thus, the Metropass program resulted in a savings to AHCA of $503,269. Read the entire page →
From page 276... ... If MDTA had been unable or unwilling to take on the Medicaid Metropass program, the MDTA Program Administrator estimates that, because the fixed route system is not fully accessible, at least half of the individuals could have qualified for paratransit under the Americans with Disabilities Act (ADA) Read the entire page →
From page 277... ... Prior to the implementation of the Transportation Disadvantaged Program, agencies serving Medicaid clients either had to operate their own vehicles or contract with private operators. The ability of AHCA to contract with a single entity MDTA in its role as CTC was important to the success of the Medicaid Metropass Program. Read the entire page →
From page 278... ... Maryland, Massachusetts, Oregon, Vermont and Washington have adopted legislation like Florida's for regional or statewide transportation brokerages.6 Still others, such as California, have legislation which facilitates coordination without mandating it. Therefore, it does seem possible to replicate MDTA's Medicaid Metropass Program elsewhere with the centralized database and control over paratransit trips necessary for a successful program. Read the entire page →
From page 279... ... The Area 11 Program Administrator explained that a private, for-profit operator would have no incentive to move clients from reimbursable paratransit trips onto the public bus system. Nevertheless, both agencies are cautious about advertising the Medicaid Metropass Program. Read the entire page →
From page 280... ... The bus pass program could then become attractive to Medicaid offices in many more states. Thus, in assessing the transferability of the Medicaid Metropass Program. Read the entire page →
From page 281... ... In reviewing the pass program, their report states, "Notwithstanding such potential savings, some agencies are reluctant to use mass transit systems to transport their clients." They conclude "that some transportation disadvantaged individuals currently receiving paratransit services could be reasonably transported through lower cost mass transit systems as already been accomplished in some counties. However, this will require an agency commitment to closely evaluate their clients' capabilities for using mass transit services."7 Whereas the Area 11 Program Administrator in Florida led the way by taking the initiative, other Medicaid offices around the country have been more cautious. Read the entire page →
From page 282... ... 2. "Medicaid Metropass Program," MDTA. Read the entire page →
From page 283... ... District 11 Medicaid Office 8 Metro-Dacte Transit Agency I\II.D.T~A. Transit Mobility Planning Section 3300 N.W. Read the entire page →
From page 284... ... Monthly Program Update Monthly Cost Benefits Analysis Medicaid Monthly Savings Estimate Monthly Agency Population Analysis t Read the entire page →
From page 285... ... 5' to Hi o ~ - ~ � E as; ~ - ~ JO ~ ' ~ _ . Read the entire page →
From page 286... ... o Identify agencies receiving more than 5 Medicaid clients via paratransit a day through an investigation of paratransit service on group multi-load trips to the agencies 0 Contact agency director or program administrator, discuss program and offer to do a travel training program for client group, and an in-service training session for staff (necessary for carry over training, and reinforcement of transit policies and procedures Design brochure, application, and return postcard to be used for recertification each month Conduct travel training programs, and ask participants how many would be interested in using fixed route transportation in lieu of paratransit if they could have ALL their transportation free Set initial deadlines for receipt of brochures, review of eligibility list, deadlines for mail-out, deadlines for receipt of applications o Generate your first list of eligible Medicaid clients, print mailing labels, mail out brochures - Check applications received against original list of eligible clients to avoid fraud o Review applications to be certain they contain complete info~.~ation o Call each respondent to be certain they understand they cannot have both options Read the entire page →
From page 287... ... paratransit trip history (average number of trips taken per month over a 3 month period used to establish eligibility) - minimum trip defaults on computer program would protect eligibility requirements (ea. Read the entire page →
From page 288... ... client pas s receipt and eligibility Serif ication form by each agency ( s ign- in- shee t by agency ~ mailing labels for mailout (non-agency ~ clients o Eligibility functions - program must compile data to be batch processed for Medicaid eligibility via the Medifax system. - create initial list - prepare list of clients on the computer program to be verified by the Medifax system using a PC based application (Medifax system uses the PC+ software program licensed by The Potomac Group) Read the entire page →
From page 289... ... Create initial list of clients for batch verification via the Medifax system ( see Eligibility Functions of creating a computer program ) Read the entire page →
From page 290... ... For individuals found not meeting the minimum trip eligibility criteria (new applicant or from postcard) , prepare form letter advising that they were found ineligible based on the information provided and deliver via mail 4. Read the entire page →
From page 291... ... and new applications and make changes .n computer file, when necessary Group postcards and alphabetize Input on-going mailout client eligibility (from Postcards) and new applications and all pertinent .nfo~.,ation into computer program Respond to all inquires from the Medicaid office, agencies, and individual clients Create the initial list of applicants to have their Medicaid eligibility verified on computer program Process this list of individuals via PC based iealthNet program Print out list of Medicaid eligible/ineligible individuals Order Metropasses from Finance Dept., identifying the number of Discount and Full Fare Passes Prepare agency packets with current handouts and prepare envelopes with out-going mailout letter Generate mailing labels from computer list of eligible mailout individuals and paste on envelopes Insert Metropass inside every mailout envelope and group agency passes together in the agency packets Bundie agency packages and postal mailout envelopes Deliver agency packets to the Finance Dept. Read the entire page →
From page 292... ... Design letters, forms, policies and procedures necessary to meet the needs and to maintain the integrity of the program 9. Provide the Medicaid office a monthly report containing costs and estimated savings in the program and a historical analysis of cost/ savings for the program LO. Read the entire page →
From page 293... ... If I have difficulty using public transportation, I may return my Metropass and be re-instated on Medicaid Paratransit transportation. Read the entire page →
From page 294... ... H~TH CARE ADMINIU"T10N ~ "~D~ ~T~itMobBi~P~mag ~,`' - ~e ~ 333" ~ N.W. 32 Avecue `� ~Second Fl<~r Room 226 Miami Flonda 33142 SOLICITUD PARA EL METROPASS DEL MEDICAID Si usted o alquien que usted conoce recibe Medicaid y esta interesado en pertenecer al programa MEDICAID METROPASS, por favor llene esta planilIa y devueIvela a la oficina de MDTA Transit Mobility Planning Section. Read the entire page →
From page 295... ... Oui Non 8. Combien rendez-vous par mods ou genyen ki kapab kalifie' ou pou Medicaid transportation? Read the entire page →
From page 296... ... en Em En a) Read the entire page →
From page 297... ... 4. Direccion Numero ale la Oficina de Telefono Lee cont~uidad de so cligibilidad en el Hogrnma del Mc~opass del Medicaid depends en pow en que MDTA mciba esta targets ~ un co page de S1 en o ~tes del ~5 del mes. Read the entire page →
From page 298... ... i 5 �o o to U] Read the entire page →
From page 299... ... MEDICAID METROPASS PROGRAM Client's Eligibility Monitoring nts Name Date of Survey Medicaid # intment #l Date ors Name Phone, intment verified yes no intment #2 firs Name ointment verified yes no Date Phone ~intment #3 :ors Name ~intment verified yes no. reyed by Date Phone Date Read the entire page →
From page 300... ... 637-3754 637-3784 This application cannot be processed because it is incomplete. To guarantee that this client receives transportation services for next month, please complete the areaks) Read the entire page →
From page 301... ... John Garcia Metro-Dade Transit Agency Transit Mobility Planning Section 3300 N.W. 32 Avenue Miami, FL 33i42 Telephone: 637-3754 Fax: 637-3784 Ask for Mr. Read the entire page →
From page 302... ... Sincerely, Judy Rosenbaum, Ea.D. District 11 Medicaid Program Administrator Danny Alvarez Deputy Director Hetro-Dade Transit Agency Read the entire page →
From page 303... ... If you have any other questions regarding the Medicaid Metropass Program do not hesitate to contact John Garcia or Sheila Winitzer at 637-3754. Enjoy the opportunity to travel anywhere at anytime, by using your free Medicaid Metropass. Read the entire page →
From page 304... ... 32 Avenue Second Floor Room 226 Miami, Florida 3314' On November 6, 1995, the Metro-Dade Transit Agency (MDTA) , hosted a meeting for representatives of all agencies participating in the Medicaid Metropass program. Read the entire page →
From page 305... ... Mr/Ms is currently receiving treatment at . Mr/Ms meets requirements for the Reduced Fare ID Card under Medicaid code # Should you have any further questions, please contact us at Thank you, Staff Physician's Signature the eligibility ' Read the entire page →
From page 306... ... The Medicaid Metropass program is designed to offer unlimited free transportation on Metrobus, Metrorail and Metromover, to individuals meeting very specific Medicaid transportation criteria. Each month we review the elig wilily of all Medicaid participants. Read the entire page →
From page 307... ... Tnos~t Mobility Placing 3300 N.W. 32 Avenue Secood Floor Room 226 Miami, Flonds 33142 The Medicaid Metropass program is designed to offer unlimited free transportation on Metrobus, Metrorail and Metromover, to individuals meeting very specific Medicaid transportation criteria. Read the entire page →
From page 308... ... "~D � au ~ ~ my,, > my, R 33~" Dear Medicaid Metropass Participating Agency: You recently received a letter from the State of Florida, Medicaid Office advising you that the 1995 Florida Legislature passed a law Increasing or requiring co-payments on most Medicaid services except prescription drugs, starting July I, 1995'. This means that your Medicaid eligible clients who are now receiving Medicaid transportation are now required to pay a co-payment for Medicaid transportation. Read the entire page →
From page 309... ... District 11 Medicaid Program Administrator Danny Alvarez Deputy Director Metro-Dade Transit Agency Read the entire page →
From page 310... ... D . District 11 Hedicaid Program A~ninistrator ~Danny Alvarez Deputy Director Metro-Dade Transit Agency Read the entire page →
From page 311... ... Sincerely, Judy Rosenbaum, Ed.D. District 11 Medicaid Program Administrator Danny Alvarez Deputy Director Metro-Dade Transit Agency Read the entire page →
From page 312... ... 32 Avecue Socood Ploor Room 226 Miami, Flonda 33142 . ~_ Danny Alvarez Deputy Director Metro-Dade Transit Agency Read the entire page →
From page 313... ... District 11 Medicaid Program Administrator Danny Alvarez Deputy Director Metro-Dade Transit Agency Read the entire page →
From page 315... ... epoch= 2 A 11 ~ BODICE AS PR0 ~0~ COST BENEFITS HIS Read the entire page →
From page 317... ... r 1994 -~4 Totals f I f995 1995 Totals r tJ996 -996 Totals , 1997 r~u~ bruary March [^ jril 1, tY June -f ~y . i_'gust September {~.tober �vember ~cember r ;, Totals , L_ ;93-97 Totals AREA 11 ~ MEDICAID METROPASS PROGRAM MONTHLY COST BENEFITS AbJALYSIS PARATRANSIT I~EDICAID METROPASS No. Read the entire page →

From page 271...

... Noticing that the schools at which the program was offered were along an existing bus route, the manager of MDTA's Transit Mobility Planning Section suggested giving the teenagers bus passes at a cost of about $16,000 a year. Out of this pragmatic solution, the Medicaid Metropass Program was born.

Metro-Dade Transit Agency's Medicaid Metropass Program Pages 269-318

Metro-Dade Transit Agency's Medicaid Metropass Program
Pages 269-318