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Available for people using Individual Options, Level One, and SELF waivers
Non-Medical Transportation

Non-Medical Transportation assists a person with transportation to their day services, employment services, or places of employment. 

When to Apply this Service

The person’s service and support administrator, or SSA, will assess them for a need for Non-Medical Transportation. If there is a need, the SSA will include it in the person’s individual service plan.

Non-Medical Transportation includes transportation to get to and/or from a place of employment or to access

  • Adult Day Support, 
  • Career Planning,
  • Group Employment Support,
  • Individual Employment Support,
  • or Vocational Habilitation.  

Providing this Service

Agency and independent providers that have a Medicaid provider agreement and are DODD-certified can provide this service.

Non-Medical Transportation can be provided as one-on-one or as a group service.

There are three modes of Non-Medical Transportation.

  • Per trip
  • Per mile
  • Commercial vehicles at the usual and customary fare

 

Agency providers must

 

  • ensure that each driver holds a valid driver license,
  • have or ensure that each driver has valid liability insurance,
  • obtain, for each driver, a driving record prepared by the Ohio Bureau of Motor Vehicles no earlier than 14 calendar days prior to the date of initial employment as a driver and at least once every three years thereafter,
    • a person having six or more points on his or her driving record is prohibited from providing Non-Medical Transportation;
  • require each driver to immediately notify the agency provider in writing if the driver accumulates six or more points on his or her driving record or his or her driver license is suspended or revoked, and
  • ensure that each driver completes testing for controlled substances by a laboratory certified for such testing and be determined to be drug-free prior to initially providing Non-Medical Transportation.

Independent Providers Must

  • present his or her driving record prepared by the Ohio Bureau of Motor Vehicles no earlier than 14 calendar days prior to the date of his or her application for initial provider certification,
    • a person having six or more points on his or her driving record is prohibited from providing Non-Medical Transportation,
  • hold a valid driver license,
  • have valid liability insurance,
  • immediately notify DODD in writing if he or she accumulates six or more points on his or her driving record or if his or her driver license is suspended or revoked, and
  • complete testing for controlled substances by a laboratory certified for such testing and be determined to be drug-free prior to initially providing Non-Medical Transportation.

Vehicle Requirements

Vehicles used for this service must be equipped with 

  • secure storage space for removable equipment and passenger property;
  • a communication system, that may include cellar communication, capable of two-way communication; 
  • and a fire extinguisher and emergency first-aid kit that are safely secured.

Vehicles used for this service must also meet the following requirements.

  • On each day a vehicle is used to provide Non-Medical Transportation, the first driver of the vehicle shall conduct and document inspection and testing of the lights, windshield washer/wipers, emergency equipment, mirrors, horn, tires, and brakes prior to transporting a person.
     
  • Once every 12 months, the vehicle must be inspected by the Ohio State Highway Patrol Safety Inspection Unit or a certified mechanic and be determine to be in good working condition.
     
  • Per-trip rate must be provided in
    • a vehicle with a passenger capacity of nine or more that is not a modified vehicle
    • or a modified vehicle that
      • has permanent fasteners to secure wheelchairs to the floor or side of the vehicle to prevent wheelchair movement,
      • has safety restraints in the vehicle for the purpose of restraining individuals in wheelchairs,
      • is equipped with a stable access ramp specifically designed for wheelchairs or a hydraulic lift specifically designed for wheelchairs, and
      • on each day the vehicle is used to provide Non-Medical Transportation, the first driver of the vehicle shall conduct and document inspection and testing of the wheelchair fasteners, restraints, and access ramp or hydraulic lift prior to transporting a person in a wheelchair.
         
  • Per-mile rate shall be provided in a vehicle with a passenger capacity of eight or fewer that is not modified.

Training Requirements for this Service

After initial provider certification and completing annual training requirements, the following is required to provide this service.

Independent Providers

Independent providers must complete testing for controlled substances by a laboratory certified for such testing within 32 hours and complete testing for blood alcohol level by an entity certified for such testing within eight hours of a motor vehicle accident involving the driver while he or she was providing Non-Medical Transportation when

  • the accident involves the loss of human life,
  • or the driver receives a citation under state or local law for a moving traffic violation arising from the accident, if the accident involved
    • bodily injury to any person who, as a result of the injury, immediately receives medical treatment away from the scene of the accident, or
    • one or more motor vehicles incurred disabling damage as a result of the accident, requiring the motor vehicle or be transported away from the scene by a tow truck or other motor vehicle.

Agency Providers

An agency provider of Non-Medical Transportation must

  • Ensure that each driver completes testing for controlled substances by a laboratory certified for such testing within thirty-two hours and completes testing for blood alcohol level by an entity certified for such testing within eight hours of a motor vehicle accident involving the driver while he or she was providing non-medical transportation when:
    • The accident involves the loss of human life; or
    • The driver receives a citation under state or local law for a moving traffic violation arising from the accident, if the accident involved
      • bodily injury to any person who, as a result of the injury, immediately receives medical treatment away from the scene of the accident;
      • or one or more motor vehicles incurred disabling damage as a result of the accident, requiring the motor vehicle or be transported away from the scene by a tow truck or other motor vehicle.
  • Develop and implement written policies and procedures regarding vehicle accessibility, vehicle maintenance, and requirements for vehicle drivers.

Billing and Payment Information

All services must be delivered as specified in the individual service plan and authorized in Payment Authorization for Waiver Services, known as PAWS, to be successfully submitted for payment through eMBS.

Rates and limits for Non-Medical Transportation are contained in the rule's service appendix.