1. CalACT Panel: Utilizing TNCs within Paratransit Networks

2. Background/State of the Market
TNC utilization is growing rapidly nationwide
With their success, many private & public entities are considering utilizing TNCs like Uber & Lyft to augment or enhance transportation services

3. How Does MTM Use TNCs? Partnership with Uber
Currently deployed in Illinois & Ohio markets for NEMT services
Client approves use of TNC outside normal regulations/parameters
Attestation that driver/vehicle may not meet credentialing standards

4. MTM’s Approach
Traditional providers utilized for regularly scheduled advance notice trips
TNCs utilized for short notice/on-demand trips (hospital discharges, will calls, stranded passengers)

5. Concierge Platform Uber Central allows MTM to authorize & order trips
Trips billed to MTM
Trip shows up like any other trip on driver app
Passenger receives notifications
Phone number is masked
Driver never sees passenger number (HIPAA compliance)

6. Voucher System
Client gives MTM specific number of Uber vouchers to give to passengers
Passenger inputs voucher in Uber app
No credit card on file
Passenger can use voucher for longer trips
Agency pays base amount
Passenger pays the difference
Offers convenience of TNC, but does not push ridership beyond budget capacity

7. Benefits of Using TNCs Passenger convenience
Enhanced on-demand service
Technology for real-time tracking & on-time performance
Passenger can use app similar to regular app, but still be protected
No credit card
Privacy

8. Benefits of Using TNCs Cost savings
Standard TNC rates are typically below rates paid to providers for short notice/on-demand trips
Long distance trips typically do NOT benefit from cost savings by using a TNC

9. Challenges with Using TNCs
TNCs are traditionally unwilling to offer sufficient number of accessible vehicles
Convenience of apps may drive utilization and put pressure on budgets
TNCs generally will not modify their business plan
Using TNCs requires “workarounds,” limiting convenience & availability
Compliance risk – drivers & vehicles don’t always meet credentialing requirements
Inability to schedule routine advance notice trips

10. Other Solutions
Paratransit network with “mom & pops” willing to meet drug & alcohol screening & training guidelines
Credentialing through larger network with taxis & smaller companies
Emerging technology with competing apps in TNC space
Private companies (including MTM) working to provide drivers that meet all regulations & use similar app technology