1. RIMMS RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS A Comprehensive Set of Development and Support Resources

2. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS provides technical expertise to the small Non-emergency Medical Transportation Providers  The new paradigm of NEMT service delivery is for small “Mom & Pop” style providers to contract with a regional or state-level broker.  Brokers act between the Payers and the Providers to coordinate and administer the transportation services.  Brokers validate the eligibility of the passenger and the trips and assign them to the providers.  Providers perform the transportation services and invoice their payer for the contracted costs.  Providers wait until the broker releases payments, sometimes on as long as a 60 to 90 day lag time.

3. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS has financial services and technical assistance is available to new and existing enterprises  Small Urban and Rural locations  Minority Business Enterprises (MBE), Disadvantaged Business enterprises (DBE) and Women-Owned Business Enterprises (WBE)

4. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS assists NEMT providers by purchasing their periodic invoices at a discount and paying them immediately.  Providers then have the operating funds to make weekly payroll, pay taxes, buy fuel and run their business.  RIMMS works with the payers and brokers to get the payment for services back at the earliest date.  RIMMS earns its revenues by fronting the invoiced amounts so the provider is not constrained financially.  RIMMS’ risk is small since payment is for services already performed.  RIMMS arranges with the payers to pay RIMMS directly.

5. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS in conjunction with Community Transportation Association of America provides driver PASS training to assure the highest level of customer safety and comfort.  Pass is an online training program that allows the drivers to complete the training at their own pace and at the time they have available  Pass training is provided as a benefit of becoming part of a RIMMS association  There are no dues or memberships to maintain.  Providers have no obligations to continue to use RIMMS’ services.

6. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS provides management and operational technical assistance to member providers  Vehicle selection to meet the customer needs without “overspec’ing” at a higher cost.  RIMMS will work with equipment vendors to assure that the needs of the providers are met.  Fuel purchasing cooperatives and bulk purchasing for tires and maintenance supplies are available.  Insurance pools and individual policies for such driver classes as volunteers is available

7. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS VANPOOL RESOURCES  RIMMS is a resource for Vanpool creation  How-to materials are available.  Working with your local employers is a big part of vanpool success.  Access to capital to lease new or used vehicles,  Insurance

8. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS is your resource for insurance.  Volunteer driver insurance for excess liability coverage over their personal insurance coverage.  General Business Liability policies.

9. RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS partners with fuel providers to access bulk billing and lower than market pricing.  Fleet billing cards  Vehicle-by-vehicle or driver-by-driver summaries.  Easy tracking of fueling and cost tracking.

10. ANTI-ASSIGNMENT LAWS RESOURCE INNOVATION MEDICAL MOBILITY SYSTEMS  RIMMS can still “collateralize” government healthcare payments to transportation providers  The method is called the “double lockbox”  Provider creates bank depository account it controls to receive government payments (no co-mingling)  RIMMS creates a depository account that it has control over with the same bank  Provider instructs the bank to sweep funds from the first account to the second account on a daily basis  RIMMS, the Bank and the provider all sign an agreement that the bank will notify RIMMS of any authorization changes  RIMMS sweeps the funds into its own private depository account when any funds arrive.  In this manner, the government and RIMMS are held at arms length and the provider retains control of receipts only until they are received.

11. RIMMS+ RIMMS+ is a comprehensive resource that provides development and support services for those providing medical transportation services. It is designed to equip medical transportation providers with a range of skills to successfully address the changes in the medical transportation market place including those created under the Affordable Care Act. Resource Innovation Medical Mobility Systems Plus More

12. RIMMS+ Development Services:  Market Edge: Identifying the local medical transportation market, your role in it, and structuring your goals for the future.  Competitive Edge: Comprehensive Training on price structures, service delivery options, accountability, customer service and negotiating with partners and purchasers.  The Negotiator: A skill team of consultants available to have you in the negotiation and business development plan for success in mobility transportation services.

13. RIMMS+ Support Services:  Financing for operating and equipment purchasing  Accounts Receivable Financing  Insurance Coverage  Safety Training  PASS training for customer service  Assistance in developing volunteer services  Comprehensive Marketing  Website Development  An Equipment Market Place concentrating on pre-owned equipment

14. RIMMS+ Audience:  Community Transportation Organizations providing medical transportation  Community Transportation Organizations operating in a brokerage environment  Small Ambulance and Para-Transit Operators  LLC’s in the Medical Transportation Field  Those organizations that need to change their current operations or branding to reflect changes in the health care mobility field.

15. RIMMS+ Service Pricing and Costs:  RIMMS+ costs and services are “negotiable” based upon the individuals components needed to make the operator more efficient and effective. We’ll work with you in providing the best possible costs for the outcomes you need. You can begin the process with a phone call or an email to: CARLSON@CTAA.ORG to discuss your individual needs and estimates for the help you need.  Members of the Community Transportation Association receive a significant discount on these costs and pricing options.