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Your Partner in CARE

Seminar Session for MHS

October 2018

LCP Transportation

0915.PR.P.PP 09/15

Coverage for MHS Members

Your Partner in Getting CARE

LCP, a long time partner with MHS, provides quality transportation services for all eligible MHS members per IHCP coverage guidelines.

The following “Enhanced” services are also offered as value added services:

No trip limits

Additional rider availability

Trips to and from caseworker appointments

Trips to the pharmacy (after medical appointment only)

Special MHS health related events

Car seat options for members in need

Mileage reimbursement options

Public bus transportation

www.lcptransportation.com 0915.PR.P.PP 09/15

Scheduling Trips with CARE

• To schedule routine transportation (between 8 a.m. and

8 p.m.) or for return trips call 1-877-647-4848 Monday

through Friday.

• After Hours/Urgent Care Trips/Reserved Holidays:

• Call 1-800-508-7230

• Trips may be scheduled up to 45 days in advance.


Automatic Cancellation/Delay

1. County in state of emergency

– Vendors have issued notice to LCP they will not transport due to inclement

weather conditions. Automatic cancellation or delay in the event LCP cannot

locate other vendors to provide support or transportation services in the

region/county.

2. Provider Office is closed due to weather

– MHS Provider contacts LCP and states they are closing the office due to severe

weather conditions . LCP will call the member to notify of office closure and

request to reschedule appointment with the provider and LCP.

3. Early Morning Cancellation (prior to road crew activity)

– LCP may issue cancellation between 1 a.m. – 8 a.m. “pick up time” prior to

available assessment factors below (i.e. before school closure). If cancellation or

delay needs to go beyond the 9 a.m. “pick up” and an extension is needed, LCP

may contact MHS.

0915.PR.P.PP 09/15www.lcptransportation.com

Assessment Factors

LCP will use the indicators below when making decisions regarding closure or delay.:

• School closures in the county being affected - May warrant delay or cancellation due to the severity of the weather conditions.

• Test runs by drivers to assess the road conditions - Pending driver’s professional assessment of the road conditions for transport, a delay or cancellation may be warranted. This will not be the sole deciding point as driver preference/opinion can affect judgment.

• Police Report - Potential closure or delay but not sole resource for determination. Please refer to other bullets outlined in this notification as other factors.

*No single one of these findings will result in cancellation/delay:


Specialty CARE Trips

• Transportation for wheelchair bound members

must be scheduled 72 hours in advance.

• Long distance trips (over 150 miles) require

three (3) business days notice.


Urgent CARE Trips

• Scheduled Urgent Care: When members request transportation within a 72 hour time frame:• The member has scheduled their appointment with

the provider prior to the 72 hours, but failed to schedule transportation prior to the 72 hours.

• Emergent Urgent Care: Requests for same day or next day, and the provider wants to see the member ASAP.


Safety/Accommodations

• Minor children ages 0 thru 15 years old must be accompanied by a parent or guardian escort or authorized representative.

• Minor children ages 16 thru 17 years old must have a signed waiver on file to ride alone.

• Car seats are required by law for children newborn to four years of age.

• LCP provides booster seats for children 4 to 8 years of age and weighing at least 40 pounds up to 80 pounds.


Scheduling CARE Timeline

• Local Trips and Rural Trips:

– pick up will be no longer than two (2) hours prior to appointment from member’s home.

• Local Return Trips and Rural Return Trips:

– pick up will be no longer than two (2) hours after appointment from the doctor’s office.


Scheduling Care Timeline

• Urgent care trips will have no longer than a 2 hour pick up wait time from member’s home before the appointment time.

• Long distance urgent care trips will have no longer than a 4 hour pick up wait time from members home before the appointment time.

• Urgent care return trips will have no longer than a 2 hour return pick up from doctor’s appointment.

• Long distance urgent care return trips will have no longer than a 4 hour return pick up from doctor’s appointment.

• Long distance trips pick up with calculated actual time in addition to 30 minutes for travel time.


Pick-Up CARE Timeline

• Return Trips:

– Local Trips:• pick up within two (2) hours from point of call.

– Long Distance Trips (over 150 miles):• pick up after the appointment will not exceed (4)

hours from point of call.


Scheduling CARE Requirements

• Maximum time for scheduling transportation is up to 45 days before appointments.

• Minimum time for scheduling routine transportation is 3 business days in advance:

• Trips scheduled outside the 3 business days minimum are referred to as Urgent Care Trips.


Special CARE Procedures

• Services for Culturally Diverse Members:

– On Site Interpreters:• Spanish

• Burmese

• Voiance -Interpreter Language Line – 1-866-998-0338

(For internal use only)

• Services for Special Needs Members:

– Staff Refers Members:• Language Line

• MCE for Sensitive/Unique Needs


Business Requirements

• LCP only transports MHS Members to covered IHCP or MHS approved services.

• Prior approval is required for out-of-state trips to areas that are not considered “in-state” by the IHCP.

• Trips to the pharmacy to fill prescriptions are allowed when leaving provider’s office.

• MHS Members being referred by their PMP to another facility or medical professional must have the facility’s name, address, and phone number in order to schedule the trip.


Use of Indiana Public

Transportation

• LCP offers MHS members the option to utilize Indiana’s public transportation, instead of curb-to-curb service in Indianapolis, Anderson, Columbus, Elkhart, Evansville, Fort Wayne, Lafayette, Muncie, Richmond, Terre Haute, Tri-City Area (Clarksville-Jeffersonville-New Albany) and South Bend/Mishawaka area,

• *This is a voluntary option for members who live in these cities.


Vendor Evaluation Program

• LCP has a vendor evaluation program that is used to help select vendors to provide transport.– This ensures that vendors are providing adequate

service to our members.

– This determines vendor priority level for trips by county.

– This tool ensures each vendor follows the same trip policies as LCP.


Categories Used For

Priority Level

• Member Experiences with the Vendor

• Trip Quality

• Vendor Customer Service

• Efficiency in Providing Services


Customer CARE Services

• LCP has dedicated staff available to take incoming member and provider calls.

• When leaving a message for LCP staff, please include an area code with the phone number.

– Transportation Vendor Claims should be sent to

4310 Guion Rd.

Indianapolis, IN 46254


Emergency Claim Information

• HHW/HIP Ambulance Claims should be

submitted to

P.O. Box 531097

Indianapolis, IN 46253-1097

• For any ambulance inquiries please call 1-800-

508-7230


QUESTIONS


lcp transportation seminar session › medicaid › files › 2018-annual_mhs_transportatio… ·...

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