Each of the five operational districts has designated one person to monitor and assure quality of transportation services under this waiver. Of these, only Orange County has initiated a formal proactive monitoring protocol for quality and access by conducting a telephone survey. Quarterly calls with district staff Develop a survey instrument for use by each district to conduct a telephone or mail survey of a sample of transportation users to evaluate the ease of arranging for service, timeliness of pickup and discharge, quality of service delivered, and any other ad hoc comments, problems, or concerns. All counties contract with a single transportation vendor at a flat rate for transportation services. Chautaugua county uses one vendor to provide all non emergency transportation except day care.
Transportation includes ambulance, ambulate, taxi, bus and personal vehicle.
This county used a competitive bid process to select a coordinator of services for ambulance, ambulate, taxi and bus transportation. All counties contract with a single transportation vendor at a flat rate. All counties received transportation contract bids that were at or lower than the projected waiver costs. The State has indicated that in the future it intends to approve only those district applications that propose at least a 5 savings from actual expenses. Also during the renewal period, in an effort to improve its cost effectiveness reporting, the State intends to require all counties to have verifiable financial projections, to specify the sources of information, and to describe their calculation methods.