Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 32 - SOONERRIDE NON-EMERGENCY TRANSPORTATION (NEMT) › Section 317:30-5-327.3 - Coverage for residents of long-term care facilities

Current through Vol. 41, No. 20, July 1, 2024
(a) An attendant must accompany members
				  during SoonerRide NEMT . An attendant must be at least at the level of a
				  nurse's aide, and must have the appropriate training necessary to provide any
				  and all assistance to the member, including physical assistance needed to seat
				  the member in the vehicle. The attendant must have the ability to interface
				  with health care providers as appropriate. An attendant must be of an age of
				  legal majority recognized under Oklahoma State law.
(1) The long-term care facility must provide
				  an attendant to accompany members receiving NEMT services.
(2) The attendant will be responsible for any
				  care needed by the member(s) during transport and any assistance needed by the
				  member(s) to assure the safety of all passengers and the driver of the vehicle.
				  An attendant leaves the vehicle at its destination and remains with the
				  member(s).
(3) When multiple
				  members residing in the same long-term care facility are being transported to
				  the same provider for health care services, thelong-term care facility may
				  provide one(1) qualified attendant for three(3) members unless other
				  circumstances indicate the need for additional attendants. Such circumstances
				  might include, but are not limited to:
(A)
				  The physical and/or mental status of the member(s);
(B) Difficulty in getting the member(s) in
				  and out of the vehicle;
(C) The
				  amount of time that a member(s) would have to wait unattended, etc.
(4) SoonerRideNEMT is not
				  responsible for arranging for an attendant. The services of the attendant are
				  not directly reimbursable by the SoonerRide program or SoonerCare. The cost for
				  the attendant is included in the SoonerCare long-term care facility per diem
				  rate.
(5) In certain instances, a
				  family member or legal guardian may wish to accompany the member for health
				  care services. In such instances, the family member or legal guardian may
				  accompany the member in place of the attendant. Only one(1) medical escort may
				  accompany a member and it must be declared, upon reservation, that the medical
				  escort is accompanying the member . The medical escort must be able to provide
				  any services and assistance necessary to assure the safety of the member in the
				  vehicle.
(A) When a medical escort wishes to
				  accompany the member in place of an attendant provided by the long-term care
				  facility , the medical escort and the long-term care facility must sign a
				  release form stating that a medical escort will be traveling with the member
				  and performing the services which would normally be performed by the attendant.
				  This release must be faxed to the SoonerRide broker's business office prior to
				  the date of the transport.
(B) If a
				  medical escort is used in place of an attendant provided by the long-term care
				  facility , that medical escort cannot be counted as a medical escort for any
				  other member who is traveling in the same vehicle.
(C) In the event that additional individuals
				  request transportation, it is the responsibility of the member to contact the
				  transportation provider directly to request allotment of additional passengers.
				  The SoonerRide NEMT broker will not facilitate this request.
(D) A medical escort or attendant is not
				  eligible for direct compensation by the SoonerRideNEMT broker or SoonerCare.