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New 2022 Transportation Rates

The Individual Options, Level One, and SELF waiver transportation rates will be increased effective 1/1/2022.

Rate Changes for Existing Service Codes

“HPC” Transportation – Non-modified Vehicle

Service Code

Per mile rate serving 1 person

Per mile rate serving 2-3 people

Per mile rate serving 4+ people

ATN, FTN, STN

$0.60

$0.30

$0.23


NMT Transportation- Per Mile

Service Code

Per mile rate serving 1 person

Per mile rate serving 2-3 people

Per mile rate serving 4+ people

ATW, FTW, STW

$0.60

$0.30

$0.23


Providers may now bill for services, including adult day support, career planning, group employment support, individual employment support, vocational habilitation, homemaker/personal care or participant-directed homemaker/personal care provided by the driver during the same time Non-Medical Transportation at the per mile rate is provided. The previous rate model did not allow for providers to bill for both for NMT and another service at the same time. The new rate is lower than previous rates because providers are now allowed to deliver another service at the same time as NMT, and the cost of the staff is paid through that other service.

The NMT rule was also updated to allow transportation to volunteer activities, post-secondary educational programs, internships, and practicums to be authorized and paid.

NMT can be reimbursed as per trip or per mile in any vehicle size. Providers and SSAs may discuss authorizing services at the per trip rate or the per mile rate.

New Service Codes

In response to stakeholder input, DODD received approval to include a higher rate for services delivered in modified vehicles. These rates apply to claims for a person or people being transported in a vehicle that meets the definition for a modified vehicle, and at least one person being transported has the need for transportation in a modified vehicle documented in their ISP.  The modified rate will be billed for all individuals being transported with the individual who has the documented need.

“HPC” Transportation – Modified Vehicle

Service Code

Per mile rate serving 1 person

Per mile rate serving 2-3 people

Per mile rate serving 4+ people

ATO, FTO, STO

$1.04

$0.52

$0.40

**NEW** Rolls up into PAWS line: ATN, FTN, STN

NMT Transportation- Per Mile, Modified Vehicle

Service Code

Per mile rate serving 1 person

Per mile rate serving 2-3 people

Per mile rate serving 4+ people

ATX, FTX, STX

$1.04

$0.52

$0.40

Rolls up into existing PAWS line: A35, F35, S35

NMT Transportation- Per Trip rates

COBD

One-way trip in vehicle

1

$19.49

2

$19.69

3

$19.89

4

$20.09

5

$20.29

6

$20.49

7

$20.69

8

$20.89