Non-Emergency Medical Transportation Services Sample Clauses

Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the Hoosier Healthwise program per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Under the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209 the Contractor must provide for a mechanism, which may include attestation, that ensures any provider (including a transportation network company) or individual driver of non-emergency transportation to medically necessary services receiving payments under such plan (but excluding any public transit authority), meets specified minimum requirements. These minimum requirements under the State Plan must include that: ▪ Each provider and individual driver are not excluded from participation in any federal health care program (as defined in section 1128B(f) of the Act) and are not listed on the exclusion list of the Inspector General of the Department of Health and Human Services; ▪ Each such individual driver has a valid driver’s license; ▪ Each such provider has in place a process to address any violation of a State drug law; and ▪ Each such provider has in place a process to disclose to the State Medicaid program the driving history, including any traffic violations, of each such individual driver employed by such provider, including any traffic violations.
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Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the Hoosier Care Connect program per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Per Section 12.2 Hoosier Care Connect Member Copayments, members enrolled in Hoosier Care Connect are required to pay a $1-dollar ($1.00) copayment for one-way transportation services at the time services are rendered.
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Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the HIP program for HIP Maternity and HIP State Plan members per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Under the Consolidated Appropriations Act, 2021, Xxxxx ion CC, Title II, Section 209 the Contractor must provide for a mechanism, which may include attestation, that ensures any provider (including a transportation network company) or individual driver of non- emergency transportation to medically necessary services receiving payments under such plan (but excluding any public transit authority), meets specified minimum requirements. These minimum requirements under the State Plan must include that: ▪ Each provider and individual driver are not excluded from participation in any federal health care program (as defined in section 1128B(f) of the Social Security Act) and are not listed on the exclusion list of the Inspector General of the Department of Health and Human Services; ▪ Each such individual driver has a valid driver’s license; ▪ Each such provider has in place a process to address any violation of a State drug law; and ▪ Each such provider has in place a process to disclose to the State Medicaid program the driving history, including any traffic violations, of each such individual driver employed by such provider, including any traffic violations.
Sample 1Sample 2Sample 3See All (6)
Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the Hoosier Care Connect program per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Per Section 12.2 Hoosier Care Connect Member Copayments, members enrolled in Hoosier Care Connect are required to pay a $1-dollar ($1.00) copayment for one-way transportation services at the time services are rendered. Under the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209 the Contractor must provide for a mechanism, which may include attestation, that ensures any provider (including a transportation network company) or individual driver of non-emergency transportation to medically necessary services receiving payments under such plan (but excluding any public transit authority), meets specified minimum requirements. These minimum requirements under the State plan must include that: ▪ Each provider and individual driver is not excluded from participation in any federal health care program (as defined in section 1128B(f) of the Act) and is not listed on the exclusion list of the Inspector General of the Department of Health and Human Services; ▪ Each such individual driver has a valid driver’s license; ▪ Each such provider has in place a process to address any violation of a State drug law; and ▪ Each such provider has in place a process to disclose to the State Medicaid program the driving history, including any traffic violations, of each such individual driver employed by such provider, including any traffic violations. EXHIBIT 1.C SCOPE OF WORK
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Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the HIP program for HIP Maternity and HIP State Plan members per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Under the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209 the Contractor must provide for a mechanism, which may include attestation, that ensures any provider (including a transportation network company) or individual driver of non-emergency transportation to medically necessary servic es receiving payments under such plan (but excluding any public transit authority), meets specified minimum requirements. These minimum requirements under the State Plan must include that: ▪ Each provider and individual driver are not excluded from participation in any federal health care program (as defined in section 1128B(f) of the Social Security Act) and are not listed on the exclusion list of the Inspector General of the Department of Health and Human Services;
Sample 1
Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the HIP program for HIP Maternity and HIP State Plan members per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them.
Sample 1
Non-Emergency Medical Transportation Services. Non-emergency medical transportation (NEMT) services are a covered benefit under the HIP program for HIP Maternity and HIP State Plan members per Exhibit 3 Program Description and Covered Benefits that the Contractor is responsible for managing and reimbursing. NEMT services are intended for members who have no other means of transportation available to them. Under the Consolidated Appropriations Act, 2021, Division CC, Title II, Section 209 the Contractor must provide for a mechanism, which may include attestation, that ensures any provider (including a transportation network company) or individual driver of non-emergency transportation to medically necessary services receiving payments under such plan (but excluding any public transit authority), meets specified minimum requirements. These minimum requirements under the State Plan must include that:
Sample 1
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Related to Non-Emergency Medical Transportation Services

  • Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.

  • Emergency Medical Care a. How to appropriately use Emergency Services and facilities, including a description of the services offered by the Member Services Call Center;

  • Medical Services Plan 10.1.1 Regular Full-Time and Temporary Full-Time Employees shall be entitled to be covered under the Medical Services Plan commencing the first day of the calendar month following the date of employment.

  • Cosmetic Services We do not Cover cosmetic services or surgery unless otherwise specified, except that cosmetic surgery shall not include reconstructive surgery when such service is incidental to or follows surgery resulting from trauma, infection or diseases of the involved part, and reconstructive surgery because of congenital disease or anomaly of a covered Child which has resulted in a functional defect , except for cosmetic orthodontics as described in the Dental Care sections of this Contract. Cosmetic surgery does not include surgery determined to be Medically Necessary. If a claim for a procedure listed in 11 NYCRR 56 (e.g., certain plastic surgery and dermatology procedures) is submitted retrospectively and without medical information, any denial will not be subject to the Utilization Review process in the Utilization Review and External Appeal sections of this Contract unless medical information is submitted.

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