Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 27 - NON EMERGENCY TRANSPORTATION (NET) SERVICES › Section 471-27-002 - DEFINITIONS

Current through June 17, 2024
The following definitions apply:
002.01
BASE RATES.
Non-emergency medical transportation base rates include all services, equipment
  and other costs, including: vehicle operating expenses, services of personnel,
  first five "Loaded"? miles of the trip, unloaded mileage, and usual waiting or
  standby time.
002.02
EXEMPT PROVIDER.
Transportation carriers exempted from
  Nebraska Public Service Commission certification as defined in Neb. Rev. Stat.
  §§
									75-303
  to
  75-303.03.
002.03
FREE
  TRANSPORTATION.
An appropriate mode of transportation that can be
  secured by the client without cost or charge, including the client's personal
  vehicle or through access to a vehicle in the household that is owned by a
  legally responsible individual for the client.
002.04
INDIVIDUAL
  PROVIDER.
An individual carrier who meets the requirements of Neb.
  Rev. Stat. §
									75-303(11),(12),or
  (13), has an approved service provider
  agreement with the Department and is chosen by the client.
002.05
LEGALLY RESPONSIBLE
  INDIVIDUAL.
A parent or guardian of a minor child, or
  spouse.
002.06
LOADED
  MILEAGE.
Miles traveled while the client is present in the
  vehicle. Loaded mileage is covered for non-emergency medical transports when
  travel exceeds six or more miles. The first five loaded miles are included in
  the payment for the base rate.
002.07
MODE.
The
  method used to provide transportation services to clients. This includes
  personal vehicle owned by individual provider; fixed route public
  transportation; ambulatory sedan, van, handi-bus; wheelchair-accessible van;
  and commercial airlines.
002.08
MOST APPROPRIATE.
The least costly mode of
  transportation to meet a client's medical needs that accommodates the client
  based on the client's physical, cognitive or developmental capabilities.
002.09
NON-EMERGENCY
  TRANSPORTATION (NET) BROKER.
An entity under contract with a
  Heritage Health Managed Care Organization provider to perform all
  administrative brokerage functions including, but not limited to establishing a
  transportation network; receiving non-emergency transportation (NET) service
  requests; verifying client program(s) eligibility; screening clients for
  mobility status and existing transportation resources; determining
  appropriateness and coverage of program services; approving and arranging for
  transport; notifying client of transportation arrangement; and facilitating
  provider payment for completed services.
002.10
NON-EMERGENCY
  TRANSPORTATION (NET) SERVICE PROVIDER.
Nonemergency transportation
  (NET) services provided by an approved individual, exempt or public service
  commission (PSC) provider.
002.11
NON-EMERGENCY TRANSPORTATION (NET) SERVICE.
Non-emergency transportation (NET) Services are a ride, or mileage
  reimbursement for a ride, and escort or attendant services provided so that a
  Medicaid eligible client with no other transportation resources can receive
  Medicaid coverable services. By definition, non-emergency transportation (NET)
  services do not include transportation provided on an emergency basis, such as
  trips to the emergency room.
002.12
NO SHOW.
A trip that is not cancelled where the client
  or non-emergency transportation (NET) provider does not arrive as scheduled; or
  a scheduled trip that is not cancelled prior to the service when either the
  client or the non-emergency transportation (NET) provider fails to
  arrive.
002.13
PUBLIC
  SERVICE COMMISSION (PSC) CERTIFIED CARRIER.
Transportation
  providers requiring Nebraska Public Service Commission certification as defined
  in Neb. Rev. Stat. §
									75-302
  including the following carriers:
002.13(A)
COMMON CARRIER.
Any person who or which undertakes to
  transport passengers or household goods for the general public in intrastate
  commerce by motor vehicle for hire, whether over regular or irregular routes,
  upon the highways of this state.
002.13(B)
CONTRACT
  CARRIER.
Any motor carrier which transports passengers or
  household goods for hire other than as a common carrier designed to meet the
  distinct needs of each individual customer or a specifically designated class
  of customers without any limitation as to the number of customers it can serve
  within the class.