NOTICES
Medical Assistance Transportation Program Grant Funding to Primary Contractors
[47 Pa.B. 362]
[Saturday, January 21, 2017]The Department of Human Services (Department) announces how grant funding for the Medical Assistance Transportation Program (MATP) is disbursed to primary contractors when county governments elect not to administer MATP.
Discussion
MATP provides Medical Assistance (MA) beneficiaries with nonemergency medical transportation for the purpose of receiving medical treatment or medical evaluation or purchasing prescription drugs or medical equipment from MA participating providers. The Department administers MATP at the county level through agreements with county governments (county), primary contractors and transportation brokers (Philadelphia County only).
Funding is allocated to the county and the primary contractor through public assistance block grants comprised of the total projected cost to provide transportation services for a given fiscal year.
The Department offers a county the first opportunity to administer MATP. When a county elects not to administer MATP, the Department will enter into a direct grant agreement with a primary contractor to provide nonemergency medical transportation. Under this arrangement, the Department will distribute the grant funds to the primary contractor based on a negotiated trip fee established for each contract period, multiplied by the number of completed trips identified in the primary contractor's monthly invoice. Semiannual adjustments will be made to the initial trip fee projection based on policy and utilization changes that materially affect MATP.
In addition, the Department will reimburse the primary contractor monthly for copayments paid on behalf of an MA beneficiary to access public or private transportation. This includes the cost of fares in excess of the established general fare structure not subsidized by other programs or funding for which an MA beneficiary may also qualify.
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice. Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
THEODORE DALLAS,
SecretaryFiscal Note: 14-NOT-1110. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 17-119. Filed for public inspection January 20, 2017, 9:00 a.m.]
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