Non-Medical Transportation (NMT): Transportation services provided to eligible Medicaid waiver recipients to access Medicaid-covered services, community activities, and appointments that are not emergency or medical in nature requiring ambulance transport.

Waiver Participant / Consumer: An individual enrolled in an Ohio Medicaid HCBS Waiver who has NMT as an authorized service in their Individual Service Plan (ISP).

Individual Service Plan (ISP): A written plan developed by the consumer, their support team, and the case manager that outlines authorized services, goals, and supports.

Service and Support Administrator (SSA): The county board case manager responsible for developing and monitoring the consumer's ISP.

Managed Care Organization (MCO): Organizations such as MyCare Molina, MyCare Anthem, and MyCare CareSource that manage Medicaid services for enrolled consumers.

Prior Authorization (PA): Approval obtained from the MCO or county board before NMT services are rendered.

Driver: A Dulla Care employee or contracted individual authorized to transport waiver consumers.

Trip Log: A written or electronic record documenting each transport trip, including date, pick-up/drop-off locations, mileage, times, and consumer signature.

3.1 Eligibility Criteria:

To receive NMT services through Dulla Care Home Healthcare, the consumer must:

3.2 Covered Destinations (examples):

3.3 Non-Covered Destinations:

4.1 Obtaining Prior Authorization:

4.2 Authorization Verification Steps:

4.3 Changes to Authorization:

4.4 Emergency Trip Requests:

5.1 Minimum Qualifications:

All Dulla Care NMT drivers must meet the following requirements before transporting consumers:

5.2 Ongoing Requirements:

5.3 Prohibited Activities While on Duty:

6.1 Vehicle Requirements:

All vehicles used for NMT services must:

6.2 Accessibility Requirements:

6.3 Pre-Trip Inspection:

Before each shift, drivers must complete a Pre-Trip Vehicle Inspection Checklist including:

6.4 Insurance Requirements:

7.1 Scheduling Procedures:

7.2 Confirmation Process:

7.3 No-Show & Late Cancellation Policy:

7.4 Trip Modifications:

8.1 Required Documentation Per Trip:

For every NMT trip, the following must be recorded:

8.2 Trip Log Retention:

8.3 Electronic Documentation:

8.4 Incident Documentation:

9.1 Rights of Consumers:

All consumers receiving NMT services have the right to:

9.2 Driver Conduct:

Drivers must at all times:

9.3 Non-Discrimination:

Dulla Care Home Healthcare does not discriminate based on race, color, national origin, disability, sex, age, or religion in the delivery of NMT services, in compliance with Title VI of the Civil Rights Act, the ADA, and Section 504 of the Rehabilitation Act.

10.1 Filing a Grievance:

Consumers, guardians, or family members may file a grievance or complaint by:

10.2 Grievance Resolution Timeline:

10.3 Escalation:

If a consumer is not satisfied with Dulla Care's resolution, they may escalate to:

10.4 No Retaliation:

Dulla Care strictly prohibits retaliation against any consumer, employee, or third party who files a grievance or reports a concern in good faith.

11.1 Reportable Incidents:

The following must be reported immediately:

11.2 Immediate Response Steps:

11.3 Reporting to MCO/SSA:

11.4 Mandatory Reporting:

All Dulla Care staff are mandatory reporters under Ohio law. Any suspicion of abuse, neglect, or exploitation of an adult or child must be reported to:

12.1 Billing Requirements:

12.2 Mileage Reimbursement:

12.3 Fraud, Waste & Abuse Prevention:

Dulla Care Home Healthcare is committed to preventing Medicaid fraud, waste, and abuse. The following are strictly prohibited:

Violations may result in immediate termination, repayment of claims, exclusion from Medicaid, and criminal prosecution.

12.4 Audits:

13.1 Initial Training Requirements (Before First Transport):

All NMT drivers and coordinators must complete the following before beginning work:

13.2 Annual Continuing Education:

13.3 Training Records:

14.1 Vehicle Breakdown:

14.2 Medical Emergency During Transport:

14.3 Severe Weather:

14.4 Consumer Behavioral Crisis:

All Dulla Care Home Healthcare employees providing Non-Medical Transportation services are required to read, understand, and sign an acknowledgment of this Policy and Procedure Manual prior to beginning work and upon each annual update.

Employee Acknowledgment Statement:

"I, the undersigned, acknowledge that I have received, read, and understand the Dulla Care Home Healthcare Non-Medical Transportation Policy and Procedure Manual. I agree to comply with all policies, procedures, and standards outlined herein. I understand that failure to comply may result in disciplinary action, up to and including termination of employment."

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Employee Printed Name

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Employee Signature

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Date

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Supervisor / Director Signature

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Date

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