1. MediCal Transportation Programs in the Monterey-Salinas area
Presented by
Bill Lewis, VPO
MV Transportation

2. The Private Sector Transportation Provider
Contracting Opportunities
Central Coast Alliance for Health (CCAH)
Partnership Health Plan
Process Pre-Contract
CCAH and Partnership Health Plan Internal Process
Handled all Qualification
Provided MV with Rides Information
Encounter Data Worksheet completed by MV
MV submitted for payment

3. Pre-Contract Rates / Basic Medi-Cal Reimbursement Rates
Response to call - $17.65 one way
Mileage – $1.30 for each mile
Night calls - $6.13
Attendant - $5.52
Wheelchair - $0.89
Oxygen - $11.86
Wait time - $5.65

4. RFP - Contractual Agreement CCAH Process/ Changes
Provider CCAH Determines Internal Cost Controls Needed
CCAH Issues RFP
RFP Indicates
Contractor to perform all duties (CCAH Eliminates Internal Processes)
Screening
Qualifying – (Title 22 Eligibility)
Scheduling
Encounter Data Control/ Establish Electronic Transfer System

5. Title 22 (Eligibility Requirements)
If you meet all the requirements of California Code of Regulations, Title 22, I will
proceed to the screening questions, and you need to answer all the questions in a truthful manner.
Non-emergency transportation is covered only when the patient has a medical, physical,
and mental limitation that exclude the individual’s ability to be transported by private or
public transportation such as auto, taxi or bus. We will also require your doctor’s
prescription to justify your appointment and your health condition.
For doctor’s appointments – you should call us one week before the appointment date and
please provide us the information of your doctor such as name, telephone number, fax
number, and address. We need these requirements before we give you transportation and
must be in our office prior to your appointment date.

6. SCREENING QUESTIONS Medical ID# Member's County? Can you drive?
Do you have any family to drive for you ?
How did you get to your past appointment?
Are you already or have ever been certified as an ADA passenger?
How do you currently get out to other activities such as grocery store and church?
Use of Arms
Use of legs
Ambulate? How far?
Cane required?
Walker required?
Uses Wheelchair

7. MEMBER'S INFORMATION DOCTOR'S INFORMATION Name: Phone:
Alternative phone#
Social Security #
Date of Birth
Gender:
Address:
Is this address a ICF/Acute Hospital/home/Nursing Home
DOCTOR'S INFORMATION
Purpose for request of transportation
Name of Doctor to see
Phone Number
Fax Number

8. RFP - Contractual Agreement CCAH Process/ Changes
Contract Rates – Capitated Rate Structure
(Based on Membership in Providers Health Care System)
MV - No Longer Billing CCAH at Medi-Cal Rates
(Per Member Rate Established)
All Dialysis Member Rides Handled (No Qualifying)
Created Higher Transportation Request than Anticipated
Excessive Volume in Ridership due to Non-Title 22 Eligible Rides Created MV Cost Overruns and Business Hardship

9. END RESULTS Contract ends Local ADA Service
New Rate too high to continue
Local ADA Service
Rides now pushed onto local ADA service

10. Bill Lewis Regional VP Operations blewis@mvtransit.com 916-215-4128
THANK YOU
Bill Lewis Regional VP Operations