Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 380 - MEDICAL TRANSPORTATION PROGRAM › Subchapter B - ELIGIBILITY, PROGRAM SERVICES, PROCESSES, ADDITIONAL TRANSPORTATION CONNECTED WITH AN AUTHORIZED TRIP, LIMITATIONS, AND EXCLUSIONS › Section 380.202 - Program Services

Current through Reg. 49, No. 28; July 12, 2024
Transportation services prior authorized by the Medical
					 Transportation Program (MTP) or transportation providers include:
(1) Demand response transportation services
				  provided when fixed route services are either unavailable or do not meet the
				  health care needs of clients. Services must be timely and provided by
				  qualified, courteous, knowledgeable, and trained personnel;
(2) Mass transit tickets when determined to
				  be the appropriate mode of transportation for the client, ensuring the client
				  does not live more than a quarter (1/4) mile from a public fixed route stop,
				  the appointment is not more than a quarter (1/4) mile from a public fixed route
				  stop, and that mass transit tickets are received by the client before the
				  client's appointment;
(3)
				  Individual transportation participant services provided by volunteers who enter
				  into an agreement and are reimbursed for mileage if they are prior authorized
				  to drive a client to a covered health care service in a personal car;
(4) Meal and lodging services for clients and
				  an attendant when a covered health care service requires an overnight stay
				  outside the client's county of residence or beyond adjacent counties. Clients
				  and attendants must receive the same quality of services provided to other
				  guests and the lodging services must be equivalent or better than those listed
				  in the Office of the Texas Comptroller's State Travel Management
				  Program;
(5) Transportation to and
				  from renal dialysis services for clients enrolled in the Medicaid program who
				  are residing in a nursing facility, as required by the Human Resources
				  Code;
(6) Advance funds disbursed
				  before the covered health care service to clients when a lack of transportation
				  funds will prevent a child from traveling to the service. Advance funds are for
				  clients through age 20 and Children with Special Health Care Needs services
				  program clients 21 and over who have been diagnosed with cystic fibrosis.
				  Advanced funds may be issued to cover meals, lodging, and/or mileage;
(7) Out-of-state transport to contiguous
				  counties or bordering counties in adjoining states (Louisiana, Arkansas,
				  Oklahoma, and New Mexico) that are within 50 miles of the Texas border, if
				  services are medically necessary and it is the customary or general practice of
				  clients in a particular locality within Texas to obtain services from an
				  out-of-state provider that is enrolled as a Texas Medicaid provider;
				  and
(8) Commercial airline
				  transportation services for a client and attendant to a covered health care
				  service, when it is the most cost effective option or when necessary to meet
				  the client's medical needs.