A Bill for an Act
Page 1, Line 101Concerning nonemergency medical transportation services
Page 1, Line 102for medicaid members.
Bill Summary
(Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov.)
The bill requires a transportation broker to contract with at least 5 transportation providers to provide nonemergency transportation services to medicaid members.
A transportation provider must meet certain requirements before providing transportation services.
The bill requires that medicaid members be able to preapprove nonemergency medical transportation services and choose a preferred transportation provider to receive nonemergency transportation services through.
Page 2, Line 1Be it enacted by the General Assembly of the State of Colorado:
Page 2, Line 2SECTION 1. In Colorado Revised Statutes, 25.5-1-802, add (4)
Page 2, Line 3as follows:
Page 2, Line 425.5-1-802. Medicaid transportation services - safety and
Page 2, Line 5oversight - rules.
Page 2, Line 6(4) (a) A transportation broker shall contract with at
Page 2, Line 7least five transportation providers to provide transportation
Page 2, Line 8services to members. A transportation provider shall:
Page 2, Line 9(I) Have at least three years of transportation
Page 2, Line 10experience;
Page 2, Line 11(II) Operate a dispatch center with driver monitoring
Page 2, Line 12capabilities;
Page 2, Line 13(III) Maintain a physical office space that is suitable for
Page 2, Line 14providing transportation services;
Page 2, Line 15(IV) Maintain a website to accommodate online booking;
Page 2, Line 16and
Page 2, Line 17(V) Implement a driver training program, vehicle
Page 2, Line 18inspections, and a substance use testing program for drivers.
Page 2, Line 19(b) A transportation broker shall:
Page 2, Line 20(I) Handle all scheduling, transportation, and billing for
Page 2, Line 21transportation services provided by the transportation
Page 2, Line 22provider;
Page 2, Line 23(II) Maintain detailed records of operation and
Page 2, Line 24registrations or credentials the transportation provider is
Page 3, Line 1required to comply with and work with the transportation
Page 3, Line 2provider and the state department to provide transportation
Page 3, Line 3services;
Page 3, Line 4(III) Conduct the annual performance review;
Page 3, Line 5(IV) Promptly address and resolve all client complaints;
Page 3, Line 6and
Page 3, Line 7(V) Maintain and utilize a daily inspection sheet for
Page 3, Line 8vehicles used to provide transportation services.
Page 3, Line 9(c) Upon receipt of a claim for payment for nonemergency
Page 3, Line 10medical transportation trips of fifty-two miles or more, the
Page 3, Line 11state department must issue payment to the transportation
Page 3, Line 12provider that provided the nonemergency medical
Page 3, Line 13transportation services within fourteen calendar days after
Page 3, Line 14receiving the claim for payment.
Page 3, Line 15(d) A transportation broker shall annually conduct a
Page 3, Line 16performance review of each transportation provider the
Page 3, Line 17transportation broker contracts with to provide
Page 3, Line 18transportation services to members.
Page 3, Line 19(e) A member who utilizes nonemergency medical
Page 3, Line 20transportation services must be able to preapprove
Page 3, Line 21nonemergency medical transportation and choose a preferred
Page 3, Line 22transportation provider to receive nonemergency
Page 3, Line 23transportation services through.
Page 3, Line 24(f) Disputes that arise between a transportation provider
Page 3, Line 25and the transportation broker or member may be adjudicated by
Page 3, Line 26the state department in accordance with section 24-4-105.
Page 3, Line 27(g) The state department may adopt rules as necessary to
Page 4, Line 1implement this subsection (4).
Page 4, Line 2SECTION 2. Safety clause. The general assembly finds,
Page 4, Line 3determines, and declares that this act is necessary for the immediate
Page 4, Line 4preservation of the public peace, health, or safety or for appropriations for
Page 4, Line 5the support and maintenance of the departments of the state and state
Page 4, Line 6institutions.