1. Non-Emergency Medical Transportation (NEMT) August 22, 2019

2. Purpose
Provides transportation services to MO HealthNet participants to access MO HealthNet covered medical services
Updated 2/25/19

3. NEMT IS NOT AVAILABLE TO:
Services included under a 1915(c) Home and Community Based Services Waiver
Psychosocial rehabilitation services under the Community Psychiatric Rehabilitation (CPR) program (with exceptions)
Case management services
Durable Medical Equipment (DME) provider that provides free delivery or mail order services
MO HealthNet covered services provided in the home such as personal care, private duty nursing, home health, etc.
Pharmacy
Discharges from a nursing home
Updated 2/25/19

4. DELIVERY METHODS Managed Care
Arranged directly through the Health Plans
Medical Transportation Management
16 Hawk Ridge Drive
Lake Saint Louis, MO 63367
Fee-For-Service
Contract with a Transportation Broker
LogistiCare Solutions, LLC
1807 Park Solutions Drive, Suite 518
St. Louis, Missouri 63146
Updated 2/25/19

5. NEMT - Information Average monthly calls – 68,000
Average monthly trips – 113,400
Curb to Curb Service
Door to Door
Requires statement of medical necessity from the medical provider
Updated 2/25/19

6. NEMT – Information cont.
Pick-Up/Drop off Requirements
Pick up
15 minutes either side of scheduled pick-up
Drop Off
No more than 30 minutes prior to scheduled appointment
Unscheduled Pick-up
Within 60 minute of request to LogistiCare
Hospital Discharge
Within 3 hours of request from hospital clinician
Medicaid Eligibility – only enrolled providers can check eligibility status or
call IVR
Updated 2/25/19

7. Eligiblity
Participants must be receiving MO HealthNet benefits through a federal category of assistance
Excludes:
Blind Pension
CHIP Children over 150% of FPL
State only funded child welfare services
Women’s Health Services
Qualified Medicare Beneficiary Only
Gateway to Better Health
Waiver Services
Updated 2/25/19

8. Eligibility Participants must not have access to other transportation
Transportation at no cost to the participant (family, friends, or neighbor)
Transportation through a Public Entity
NEMT through the Medicare program (rare)
Participants enrolled in Hospice
Must be eligible on the date of service
Must have meet spenddown
Updated 2/25/19

9. Arranging Transportation
Reservations must be made at least 2 business days in the urban counties or 3 business days in rural or basic counties before the medical appointment
Reservation Line
For deaf or hearing impaired
Updated 2/25/19

10. Travel Standards
This is number of miles approved to travel to different provider types based on the size of the county that you live in.
Updated 2/25/19

11. Modes of Transport Public Transit Gas Reimbursement
Multi-Passenger Van
Taxi
Para-Lift Van
Stretcher Van
Ambulance
Volunteer Driver
Lyft
Out of Network providers
Updated 2/25/19

12. Where’s My Ride? Toll Free Number 1-866-269-5944
Use when transportation provider is more than 15 minutes late
DO NOT call the provider who is scheduled to transport or who dropped off the participant
Updated 2/25/19

13. Complaints LogistiCare Call Center – (866) 269-5927
Where’s My Ride Line – (866)
MO HealthNet Participant Services
(800)
Updated 2/25/19

14. Additional Information
Contact: Julie Phillips, Social Service Manager Karen Pendleton, Program Development Specialist
Updated 2/25/19