The following processes must be followed in order to ensure
safe, efficient, and cost-effective delivery of transportation services:
(1) a request for routine medical transportation must
be received at least two working days in advance of the client's health
care service appointment;
(2) a request for a long distance trip must be received
at least five working days in advance of the client's health care
service appointment;
(3) exceptions to paragraphs (1) and (2) of this section
may be granted when the circumstances have been determined to be beyond
the client's control. The exception will be documented in the client's
record;
(4) clients with recurring visits to a health care
provider may receive multiple mass transit tickets or may have more
than one transportation appointment authorized in advance;
(5) a certification period for Transportation for Indigent
Cancer Patients Program (TICP) clients may be retroactive to the date
of the initial request for transportation services if all eligibility
requirements are met, and all forms are completed and returned to
HHSC. The duration of the certification period is a maximum of 12
consecutive months and minimum of 60 days;
(6) specific certification periods apply to the following
applicants of the TICP Program:
(A) applicants on unearned fixed income such as Social
Security, workers' compensation, unemployment or U.S. Department of
Veterans Affairs benefits can be certified for a 12 month period if
there are no anticipated changes in household income;
(B) applicants with earned income can be certified
up to an eight month period if there are no anticipated changes in
household income;
(C) applicants whose unearned or earned household income
is within 10% of the federal poverty guideline can be certified up
to a six month period at a time if there are no anticipated changes
in household income; or
(D) applicants who have zero income can be certified
up to two months at a time. Zero income requires written verification
from family members or advocates who can attest that the household
receives no monthly earned or unearned income.
(7) transportation providers must report any accidents
with injuries to HHSC within one hour and must report any other accidents
within 24 hours; and
(8) transportation providers must attempt to contract
with significant traditional providers.
|
Source Note: The provisions of this §380.205 adopted to be effective April 10, 2001, 26 TexReg 2720; amended to be effective May 11, 2003, 28 TexReg 3722; transferred effective March 1, 2004, as published in the Texas Register April 30, 2004, 29 TexReg 4267; amended to be effective August 6, 2013, 38 TexReg 4888; amended to be effective September 1, 2014, 39 TexReg 5731 |