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Patient Sensitive Transportation Planning & Problem Solving - Windsor

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Presentation on theme: "Patient Sensitive Transportation Planning & Problem Solving - Windsor"— Presentation transcript:

1 Patient Sensitive Transportation Planning & Problem Solving - Windsor
Yes Yes = Algorithm Does Patient have an operating private Car? Does patient have gas money? See *1 Hardship Reimbursement note below Patient Transportation need Met = Special Circumstances Yes No No If patient has a vehicle that is not mechanically operable they need to obtain a letter from a licensed mechanic on their letter head stating what is wrong with the vehicle and send to Medicaid.  If approved from Medicaid we then would be able to provide transportation. Is a friend or Family Member able to provide a ride? Yes Patient Transportation need Met No Medicaid Patients can receive transportation thru SEVT: 2-day notice & pre-auth required Meidcal rides only. call Does the Patient Have Medicaid? Yes Yes If a person has a visual impairment the Vermont Association for the Blind and Visually Impaired may be able to provide transportation to Medical appt., social services and shopping. Call for information Patient Transportation need Met or Ask Patient to call VA about transportation eligibility ext 5739 (VA Travel) Has the patient or their spouse served in the military? Yes Combat Veterans Can receive transportation from VA contact: Eugene Hitchcock, VA Outreach Specialist (802)  No For New Hampshire Residents with Medicaid needing transportation to medical appointments in Vermont Call: New Hampshire Healthy Families Non‐Emergent Medical Transportation Ride must originate in Sullivan County. Priority for medical rides. Patients must call 3 business days before the appointment for guaranteed transportation. And, patients may call with less than 3 days’ notice and if available, transportation will be provided. And NH Volunteer Rides Program at Is patient age 60 (or over) or Disabled Yes Patient can receive Elderly & Disabled transportation thru SEVT: 2-day notice & pre-auth required *1 see hardship note below We created this tool out of a need to learn about a very complicated system! We’re still learning! It’s still growing! A Public awareness and education tool for systems and consumers Yes Yes Patient Transportation need Met No Patient can receive transportation thru The Current Daily Bus Routes. Buses can deviate from regular routes when riders call ahead. *Some routes request a $2-4 fee, others are free. Is patient on or close to Current bus route Yes Yes Patient Transportation need Met If patients are not able to afford the requested $1-3 fee per trip CHT/WCHC may be able to provide a voucher, call No Patient Transportation need Met Ask patient to Contact GMAC Taxi for transportation Yes Can patient afford to pay for transportation? Yes *1 Hardship Reimbursement may be available For clients who have their own vehicle, or have vehicle access but cannot afford gas. Mileage reimbursement of .18 or .54 cents per-mile under the following circumstances may be available. Patients have to accumulate 215 miles per month per person, or 50 miles per week per person.  Patients are required to call all trips into SEVT prior to appointments. SEVT will need a copy of the driver’s license, registration, and car insurance. Contact SEVT to set this up: For Medicaid and E&D Clients No Contact CHT/WCHC to ask for assistance at or Volunteers in Action at (with 3 days notice)

2 Quick Reference Sheet for Dial-A-Ride Availability and SEVT Scheduling Criteria
Anyone can ride on a dial a ride bus, which is a door-to-door service, Monday-Friday. Folks must call 2 business days before ride need to schedule a Dial-ride-pickup (e.g., Weekends don’t count. So a Monday trip would need to be called in by Thursday). Dial-ride Bus Service is always limited to existing in-town routes (Springfield & Bellows Falls). There is a daily dial a ride bus that picks up in Windsor around 8:15 and goes directly to Springfield. That bus leaves Springfield around 1:45-2:00 pm going back to Windsor. Dial-a-Ride bus service is available for folks who Do, and who Do Not qualify for a Medicaid and Elderly or Disabled Rides. SEVT asks for a donation from folks who Do Not qualify for a Medicaid, Elderly or Disabled Ride, but a donation is not required if a person cannot afford it. *Special Circumstance for the Ludlow and Chester area: Volunteers provide ALL dial a ride services for people living in the Ludlow and Chester areas, which means there are NO dial a ride Buses that go to these towns. People living in the Ludlow and Chester area must qualify for a Medicaid, Elderly and Disabled Rides, in order to use Dial a Ride. General Criteria and Information: If a patient/household has a vehicle that is not mechanically operable they need to obtain a letter from a licensed mechanic on letterhead stating what is wrong with the vehicle and fax it to Medicaid ( ) or call If approved, SEVT would then would be able to provide transportation. Medicaid Members and Elderly and Disabled Eligible Clients who have their own vehicle are eligible for a Hardship mileage reimbursement of .18 cents per-mile under the following circumstances.  Patients have to accumulate 250 miles per month per person, or 50 miles per week per person.  Patients are required to call all trips into SEVT prior to appointments. SEVT will need a copy of the driver’s license, registration, and car insurance. Contact SEVT Additional Riders with patients: CHT needs to submit a letter from a provider to Medicaid supporting medical necessity for an additional rider (e.g., patient is unable to comprehend, is physically unable to get to the appointment in and out of the office without the support of this additional rider. Medicaid is unable to provide rides for children of patients. If a person has a visual impairment the Vermont Association for the Blind and Visually Impaired may be able to provide transportation to Medical appointment, social services and shopping. Call for information SEVT: Patients needing a ride to court should contact the Springfield Restorative Justice Center at (802) Need 48 hour notice and availability depends on availability of staff. Eligibility status can be verified at: This reference list was created thru our direct access questions to SEVT! If one person has a question, then three others are sure to have the same question.


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