Transportation Provider Policies & Procedures Manual

1 Transportation Provider Policies &. Procedures Manual Prepared by First Transit, Inc. Revised: March 7th, 2016. Version: 06272016. (Page intentionally left Blank). Version: 06272016. TABLE OF CONTENTS. 5. Member Eligibility .. 5. Transportation Providers .. 5. Purpose of this Manual .. 5. The Provider Service agreement .. 6. The Business Enterprise Program (BEP) ..ERROR! BOOKMARK NOT DEFINED. Policies .. 7. Confidentiality .. 7. Legal Compliance .. 7. Insurance ..10. Drivers ..10. Background and Drug Driver's Violations/Accidents.

2 Error! Bookmark not defined. Medical Examination .. Error! Bookmark not defined. Training ..14. Hours of Employment ..17. While Transporting Error! Bookmark not defined. Daily Vehicle Inspections and Trip Logs .. Error! Bookmark not defined. Other Driver Vehicles ..18. Interior of the Equipment ..19. Individuals with Disabilities ..20. While Transporting the Member ..21. Daily Pre-trip First Transit Inspections ..23. State Error! Bookmark not defined. Records ..24. Procedures .. 30. 1. Become a Transportation Provider .

3 30. 2. Accept Member Rides ..32. 3. Receive a Transportation Order .. Error! Bookmark not defined. 4. Contact the 5. Transport the Step 1) Perform a Daily Inspection ..33. Step 2) Arrive on Time ..33. Step 3) Request Proof of Step 4) Transport the Member ..33. Step 5) Obtain the Member's Step 6) Complete and Sign the Transportation 6. Submit the Transportation Order for Payment ..34. Ongoing Transportation ..34. Accidents/Incidents ..34. Unconscious Passengers/Medical Condition ..35. Mechanical Breakdown ..35.

4 Tire Blowout ..35. Accident Resulting in Injury or Investigations ..36. Fraud and Abuse ..36. Transportation of Ineligible Riders ..36. Trips to Non-Covered Medical Services ..37. Transportation in an Ambulance or Wheelchair-Accessible Vehicle when the member's Medical Needs do not Warrant such Level of For Trips that Never Occurred ..37. Gratuities or other Types of Inducements to Members or Others Acting on Behalf of Clients for any Purpose .. 37. Requests After APPENDICES .. 39. Appendix A: First Transit's Contact Appendix B: Vehicle Inspection Appendix C: Transportation Error!

5 Bookmark not defined. Appendix D: Standing Prior Approval Appendix E: Accident/Incident Report ..45. Version: 06272016. INTRODUCTION. First Transit has been contracted by several Managed Care Organizations (MCOs), Managed Community Care Networks (MCCNs), and Coordinated Care Organizations (CCOs) (collectively, Clients ) to provide Non-Emergency Medical Transportation (NEMT) services to the Medicaid population enrolled in various Illinois counties. MEMBER ELIGIBILITY. In order to be eligible for NEMT services, a Participant must be a) eligible under the plan, b) be traveling to and from a covered medical service, and c) have arranged and been approved for the Transportation prior to the transport taking place.

6 Working with its Clients, First Transit will verify whether a Participant is eligible for NEMT services prior to requesting or scheduling a trip. First Transit's Transportation Providers are required to report to First Transit any time they suspect that a Participant is not traveling to or from a covered medical services, as this could indicate potential fraudulent activity. Transportation PROVIDERS. To properly service the needs of our Clients and the Participants, and as part of our contractual responsibility, First Transit has established a network of qualified, licensed and insured subcontracted Transportation providers ( Transportation Providers) offering several types or levels of Transportation .

7 To maintain this network, First Transit continually seeks to increase the participation of companies in the network to ensure that contracted providers maintain the highest standards of quality on their vehicles and drivers as outlined by our credentialing criteria. First Transit operates under a philosophy that encourages and fosters individual rights and equal opportunity to all. We believe that our business endeavors are strengthened by our commitment to diversity in the workplace. Our standards for good corporate citizenship extend beyond the requirements of equal employment laws.

8 We are committed to a policy of non-discrimination and will maintain an environment of social and business responsibility that responds to the needs of our employees, applicants, customers, contractors, and subcontractors. Our corporate policy states that recruitment, selection, compensation, and continued association shall be based on a person's ability to perform valid job requirements. We do not give consideration to solely on race, gender, age or sexual orientation, or if the Provider serves high risk populations or specialist in costly conditions.

9 PURPOSE OF THIS Manual . This Policies and Procedures Manual has been developed to assist current and new Transportation Providers in First's network, to understand the role in the Plan as well as to identify and meet subcontracted obligations. As part of your Transportation Service agreement with First Transit, you have contractually agreed to abide by all of terms and conditions of this Manual . First Transit updates this Manual periodically and will notify you in writing when a new version is published. Page 5 of 46.

10 IL - Transportation Provider Policies and Procedures Manual Revised March 2016. THE Provider SERVICE agreement . This Manual is meant to complement - not replace - the Provider Service agreement that Transportation providers sign prior to transporting members. It is the responsibility of each Provider to read, understand and comply with all provisions of the agreement , which has been created in accordance with the guidelines set forth by the Client's as well as federal, state and local laws, rules and regulations.