Nonemergency Medical Transportation Services

Second Regular Session Seventy-fifth General Assembly STATE OF COLORADO INTRODUCED SENATE BILL 26-063 LLS NO. 26-0078.01 Chelsea Princell x4335 SENATE SPONSORSHIP Hinrichsen, HOUSE SPONSORSHIP Ricks, Senate Committees House Committees Business, Labor, & Technology A BILL FOR AN ACT CONCERNING NONEMERGENCY MEDICAL TRANSPORTATION SERVICES FOR MEDICAID MEMBERS.

Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov.) The bill requires a transportation broker to contract with at least 5 transportation providers to provide nonemergency transportation services to medicaid members. A transportation provider must meet certain requirements before providing transportation services. The bill requires that medicaid members be able to preapprove Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.

Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law.

nonemergency medical transportation services and choose a preferred transportation provider to receive nonemergency transportation services through.

Be it enacted by the General Assembly of the State of Colorado:

SECTION 1. In Colorado Revised Statutes, 25.5-1-802, add (4) as follows:

25.5-1-802. Medicaid transportation services - safety and oversight - rules.

(4) (a) A TRANSPORTATION BROKER SHALL CONTRACT WITH AT LEAST FIVE TRANSPORTATION PROVIDERS TO PROVIDE TRANSPORTATION SERVICES TO MEMBERS. A TRANSPORTATION PROVIDER SHALL:

(I)

(II) OPERATE A DISPATCH CENTER WITH DRIVER MONITORING CAPABILITIES;

(III) MAINTAIN A PHYSICAL OFFICE SPACE THAT IS SUITABLE FOR PROVIDING TRANSPORTATION SERVICES;

YEARS OF TRANSPORTATION EXPERIENCE;

HAVE AT LEAST THREE

(IV) MAINTAIN A WEBSITE TO ACCOMMODATE ONLINE BOOKING; AND (V) IMPLEMENT A DRIVER TRAINING PROGRAM, VEHICLE INSPECTIONS, AND A SUBSTANCE USE TESTING PROGRAM FOR DRIVERS.

(b) A TRANSPORTATION BROKER SHALL:

(I) HANDLE ALL SCHEDULING, TRANSPORTATION, AND BILLING FOR TRANSPORTATION SERVICES PROVIDED BY THE TRANSPORTATION PROVIDER;

(II) MAINTAIN DETAILED RECORDS OF OPERATION AND REGISTRATIONS OR CREDENTIALS THE TRANSPORTATION PROVIDER IS REQUIRED TO COMPLY WITH AND WORK WITH THE TRANSPORTATION PROVIDER AND THE STATE DEPARTMENT TO PROVIDE TRANSPORTATION SERVICES;

(III) CONDUCT THE ANNUAL PERFORMANCE REVIEW;

(IV) PROMPTLY ADDRESS AND RESOLVE ALL CLIENT COMPLAINTS;

AND

(V) MAINTAIN AND UTILIZE A DAILY INSPECTION SHEET FOR VEHICLES USED TO PROVIDE TRANSPORTATION SERVICES.

(c) UPON RECEIPT OF A CLAIM FOR PAYMENT FOR NONEMERGENCY MEDICAL TRANSPORTATION TRIPS OF FIFTY-TWO MILES OR MORE, THE STATE DEPARTMENT MUST ISSUE PAYMENT TO THE TRANSPORTATION PROVIDER TRANSPORTATION SERVICES WITHIN FOURTEEN CALENDAR DAYS AFTER RECEIVING THE CLAIM FOR PAYMENT.

THAT PROVIDED THE NONEMERGENCY MEDICAL

(d) A TRANSPORTATION BROKER SHALL ANNUALLY CONDUCT A PERFORMANCE REVIEW OF EACH TRANSPORTATION PROVIDER THE TRANSPORTATION TRANSPORTATION SERVICES TO MEMBERS.

BROKER CONTRACTS WITH TO PROVIDE (e) A MEMBER WHO UTILIZES NONEMERGENCY MEDICAL TRANSPORTATION NONEMERGENCY MEDICAL TRANSPORTATION AND CHOOSE A PREFERRED TRANSPORTATION TRANSPORTATION SERVICES THROUGH.

SERVICES MUST PROVIDER TO BE ABLE RECEIVE TO PREAPPROVE NONEMERGENCY

(f) DISPUTES THAT ARISE BETWEEN A TRANSPORTATION PROVIDER AND THE TRANSPORTATION BROKER OR MEMBER MAY BE ADJUDICATED BY THE STATE DEPARTMENT IN ACCORDANCE WITH SECTION 24-4-105.

(g) THE STATE DEPARTMENT MAY ADOPT RULES AS NECESSARY TO IMPLEMENT THIS SUBSECTION (4).

SECTION 2.

Safety clause. The general assembly finds, determines, and declares that this act is necessary for the immediate preservation of the public peace, health, or safety or for appropriations for the support and maintenance of the departments of the state and state institutions.