Enhancing NEMT Programs with Public Transit Travel Training
Discover how Non-Emergency Medical Transportation (NEMT) programs can maximize public transit usage through travel training. Learn about the importance of consistent transportation access to healthcare and the various modes of NEMT services. Explore the benefits of travel training within NEMT programs and the duties of travel trainers in improving member health outcomes.
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Presentation Transcript
Maximizing Public Transit in NEMT Programs through Travel Training
Welcome & Introductions Alaina Macia President & CEO Kyle Collett Florida Director of Operations Use the chat function on WebEx or email rbernardy@mtm-inc.net to ask questions!
NEMT Background Non-emergency medical transportation Ensures eligible members get to approved medical appointments for: Medicare & Medicaid programs Managed care organizations State & county governments Hospitals & health systems
NEMT Background Ensuring consistent transportation access to healthcare enhances member health outcomes, leading to cost savings Preventative care is much less expensive than emergency care
NEMT Background NEMT is provided via a variety of modes: Door-to-door transportation Curb-to-curb transportation Gas mileage reimbursement Public transit
Travel Training Background What is It? Types of Travel Training One-on-one training Group training Train the trainer training Teaches individuals the skills they need to ride public transportation Travel Trainers provide on-the-bus training to ensure safe, independent travel
Establishing Travel Training within NEMT NEMT Goal Solution Ensure members utilize the safest, most appropriate mode of transportation based on their physical & cognitive needs If a member has the ability to use public transit, travel training teaches them how to use the bus/train to get to their appointments
Travel Trainer Duties Facilitate assessments Conduct path of travel assessments Complete travel training Discuss transit options Perform education, training & outreach with local agencies, medical facilities, etc.
Assessments Determine the most appropriate mode of transportation, based on the member s needs Used in conjunction with a level of need process or professional verification Not a medical model; instead, focused on the member s functional ability to ride public transit Similar to ADA paratransit eligibility assessment process
Assessments Assessments can include: Interview Physical functional assessment Cognitive assessment Mini-Mental Status Examination (MMSE)
Path of Travel Assessments Travel Trainer reviews the entire path of travel between the member s starting & ending points Ensures it would be accessible for the member
Travel Training Individualized, one-on-one training Provided to approved medical appointment destinations Conducted in the real-life transit environment Not time-limited Documentation shows progress Training tools encourage learning
Discuss Transit Options Walk member through the process & rules Can reduce calls to the call center & rule violations Travel Trainer acts as a resource for the member
Education, Training & Outreach Ensures staff at local agencies & medical facilities are aware of accessible transportation options, as well as the NEMT process Provide train the trainer activities to staff
Important Notes Not a medical model Only successful if public transit is the member s most appropriate mode of transportation Look at specific trips & path of travel on those trips Prevention vs. convenience
The Path to Success Components of a successful NEMT travel training program: A reliable public transit readily available Relationship with public transit agency Support of the contract holder
Best Practices Home visits to conduct assessments Collaboration between all aspects of the program Travel Trainer trained in both assessments & travel training Appeals process to appeal mode decisions Technology available to note mode
Unique Practices Technology for use in the field Feeder service Conditional eligibility Trip-by-trip eligibility
Potential Pitfalls Members may feel you are taking away their transportation Complaints may increase Enforcement issues Difficulty in contacting members
2016 NEMT Travel Training Results Downgrade Rate: 10% Annual Savings per Downgrade: $5,000 Total Cost Savings: $930,000
Success Story: Steve Trips per Week Two Cost Savings per Trip $12.75 Before Travel TrainingDidn t ride the bus because he isn t able to read Understands how to catch his bus based on time & the bus number Able to get a job because he learned how to get there on the bus After Travel Training Says travel training was the best experience of his life
Success Story: Marcy Trips per Week Six Cost Savings per Trip $11.50 Knew where bus stops were, but due to severe anxiety, she never left the house Attends psycho-social rehab three days per week Before Travel Training After Travel Training Says she can t imagine her life without the travel training program
Questions? Use the chat function on WebEx or email rbernardy@mtm-inc.net to ask questions!
