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Non-Emergency Medical Transportation Update Michal Rudnick Project Manager in the Office of the Director.

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Presentation on theme: "Non-Emergency Medical Transportation Update Michal Rudnick Project Manager in the Office of the Director."— Presentation transcript:

1 Non-Emergency Medical Transportation Update Michal Rudnick Project Manager in the Office of the Director

2 Attendant Care Services-Provider Type 40 AHCCCS recently discovered improper use of the NEMT category of service 3 providers had over 80% NEMT/20% Attendant Care; mailed 30 day termination 1 provider with over 70% NEMT; under investigation 2 Reaching across Arizona to provide comprehensive quality health care for those in need

3 Homemaker Services-Provider Type 37 Recently questions received about this PT for purposes of billing NEMT services All active PT37 have 0 NEMT Utilization for SFY15 to date We are removing NEMT as a category of service for this provider type 3 Reaching across Arizona to provide comprehensive quality health care for those in need

4 Policy Changes Changes will be made in next 30 days Removal of NEMT category of service for Homemaker provider type (for both FFS and managed care) Fee For Service changes: o Require new Attendant Care providers to abstain from NEMT for 1 year from registration (existing are grandfathered in) o Require a 70/30 ratio of Attendant Care to NEMT services 4 Reaching across Arizona to provide comprehensive quality health care for those in need

5 Questions? 5

6 Thank You. 6 Reaching across Arizona to provide comprehensive quality health care for those in need


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