Situation Report | July 27, 2020
As earlier reported in an HCA member alert, the state Department of Health (DOH) has released MLTC Policy 20.03: “Non-emergency Transportation in the Consumer Directed Personal Assistance Program (CDPAP).” The policy is effective July 1, 2020.
The purpose of the new policy is to advise Managed Long Term Care (MLTC) plans of new guidance issued by DOH, which supersedes previous guidance, to allow personal assistants to provide transportation and accompany consumers to standard medical appointments under CDPAP.
Transportation is not a discrete service; therefore, no additional hours of CDPAP service should be authorized solely for the provision of such transportation, according to DOH.
This new policy applies only to transportation under CDPAP during authorized hours and is not to replace any existing transportation support a consumer may receive in other programs.
According to the new policy, personal assistants are eligible for their normal hourly compensation, including lawful overtime, if their responsibilities require transporting the consumer during the consumer’s authorized hours.
Consumers (or their designated representatives) are responsible for provisioning an effective method for transportation. The fiscal intermediary is not required to provide any additional financial support to either the consumer or personal assistant for transportation.
For a complete list of conditions for a personal assistant to be able to transport a consumer, please review the new policy in its entirety.
Questions should be directed to the Division of Long Term Care CDPAP Unit.