October 21, 2008 Presented by: Ken Hosen, KFH Group, Inc. Presented to: 18th National Conference on Rural Public and Intercity Bus Transportation.
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October 21, 2008 Presented by: Ken Hosen, KFH Group, Inc. Presented to: 18th National Conference on Rural Public and Intercity Bus Transportation
Provide more and better service for more people. With that in mind… THE OVERARCHING GOAL FOR TRANSIT
For many rural transit systems, Medicaid Transportation is an integral part of their coordinated network of services Medical Transportation however is not always compatible with public transportation You are the rural transit experts – in areas where the Medicaid model is not conducive to public transit, you can make change happen.
The most successful rural transit systems operate as a business Your profit is your ridership Your currency is safety and quality Business opportunities should be sought and assessed for the potential to have a positive impact on your service IT IS A BUSINESS
Medicaid is the largest funding source for rural transportation Rural transit has a successful track record in providing quality services to Medicaid Medicaid transportation may be a great business opportunity… or not! You may be able to shape the future of Medicaid Transportation
Medicaid Transportation is a state run program. There are almost as many approaches to Medicaid Transportation as there are states. Some of them are pretty wacky You can effect a change at the state or local level. THE MANY FACES OF MEDICAL TRANSPORTATION
This not a medical program where everybody is accredited and assumed to meet minimum standards. There is no such thing in transportation. Premise: Safety should be the Number 1 objective – help Medicaid managers understand and ensure the highest safety and quality standards.
There are brokerages: ◦ Large statewide or regional (sometimes on a capitated basis – the less trips provided, the more profit is extracted) ◦ State managed ◦ Managed by county Designated provider at the state or county level Open system – minimal requirements to become a provider Use of fixed route – always a winner! And others…
Are you running a business? Do you believe in the power of coordination and economies of scale? Do you want the safest service possible for all of your constituents? Do you need local match funding to access all of your Federal dollars?
Find out why the Medicaid Transportation managers do it that way Maybe you can help them change to a better, safer model. You are the expert. Transit is often the solution. Yet, Medicaid transportation may not be a part of your organizations goals or priorities
Educating Medicaid management about the need for high standards: ◦ Does it make sense to have two types of service standards– a low one for Medicaid and higher for the public? ◦ The need for safety – training, skilled drivers, standard procedures, proper maintenance ◦ The need for ADA compliant vehicles ◦ The highest standards of safety and quality
How can you provide safer and better service? Does it make business sense? Do you have a business sense? Have you fostered an atmosphere of trust? It is a matter of “planting seeds” DEVELOPING A MEDICAID TRANSPORTATION BUSINESS PLAN
Fixed route usage is easy and very inexpensive Certify Medicaid clients to ride fixed route through the ADA process Avoid cost transferring Safest, best trained drivers available Safest, best maintained vehicles Strong operational control You are a part of the community, Medicaid clients are your customers
90 PERCENT OF SUCCESS IS JUST SHOWING UP Develop a brief white paper demonstrating your capabilities and assets ◦ Safety, ◦ Quality ◦ Cost Seek out the State Medicaid director or other appropriate person and set up a meeting Present your capabilities and offer your services – even if it is just sharing of knowledge.