MEDICAL ASSISTANCE TRANSPORTATION PROGRAM (MATP) MATP BASICS

MEDICAL ASSISTANCE TRANSPORTATION PROGRAM (MATP) MATP BASICS 11/20/2022 1

MATP Basics The MATP in Pennsylvania is governed by: State Plan under Title XIX of the Social Security Act Public Welfare Code (62 P.S. §§ 202 & 403) 55 Pa. Code § 2070, Eligibility for Services Funded Through the Public Assistance Transportation Block Grant MATP Standards and Guidelines (S & G) 11/20/2022 2

MATP Basics Continued The MATP is designed to provide: Access to MA compensable medical and pharmacy services Access to ongoing treatment of chronic diseases and care management Access to preventative care (equates to fewer and shorter hospital stays) 11/20/2022 3

Transportation Providers County Government Sub-Contracted Entities of County Government Transportation Brokerage Agencies Local Transit Agencies 11/20/2022 4

Available Modes of Transportation Mass transit (buses, trains, subways etc.) Mileage Reimbursement Paratransit (includes multi-modal and taxi) Volunteers 11/20/2022 5

Accessing MATP Services To begin the registration process, the consumer should contact the MATP agency in their county in order to determine and complete the following: Eligibility o 75% of all Category/Code combinations are eligible for the MATP o Consumers 65 years of age, are referred to the Shared Ride 65 Program o Shared Ride pays 85% of the fare o MATP pays 15% of the fare Application Needs Assessment Determination of Mode 11/20/2022 6

Covered Services Grantee is required to provide transportation to all MA covered services. Examples of covered services: Physician’s Office Dialysis Pharmacy Behavioral Health Methadone Clinic PT, OT, Rehab Urgent Care Trip (this does not refer to an Urgent Care Center ) Grantee must ensure transportation is only to and from qualified MA-enrolled providers of their choice. 11/20/2022 7

Non-Covered Services Examples of non-covered services: Transportation to any service not MA compensable Transportation to non-medical services Transportation to adult day programs Transportation to urgent care centers 11/20/2022 8

The Provision of Services Transportation must be available to get consumers to and from qualified MA-enrolled providers of their choice who are generally available and used by other residents of the community. If necessary, the Grantee must allow one (1) escort to accompany a consumer depending on verifiable medical support, supervision, or translation needs. 11/20/2022 9

The Provision of Services Continued Depending on the circumstances and known factors, the Grantee may provide an attendant on the trip. In order to ensure that services are cost efficient and appropriate, the Grantee may sometimes request a waiver of a MATP requirement. There are times when the Grantee may, deny, reduce or terminate a consumer’s request for transportation. 11/20/2022 10

The Provision of Services Continued If a request is outside the scope of MATP, the request is referred to either the HealthChoices Managed Care Organization, Community HealthChoices (CHC), or County Assistance Office (CAO) for consideration. MATP provides non-emergency medical transportation to CHC consumers and the application and access procedures are according to individual county policy. All exceptional transportation needs are referred to the County Assistance Office (CAO) as appropriate. 11/20/2022 11

MATP Updates A Workgroup comprised of members from several DHS agencies, PennDOT, Aging and external stakeholders have been meeting weekly since January to explore ways to improve the MATP. The Workgroup developed preliminary suggestions for improving the MATP and held listening sessions in November to gather feedback on the suggestions. 11/20/2022 12

COVID -19 Public Health Emergency DHS issued guidance in May 2020 and it remains in effect until the Governor’s Proclamation of Disaster Emergency is cancelled. MATP agencies continue to screen consumers by asking a series of questions to determine if they can use MATP. Ridership has been fluctuating since April and continues to do so as the number of cases increase. 11/20/2022 13

Program Staff Assignments Erie McKean Warren Potter Tioga Bradford Susquehanna Crawford Forest Sullivan Cameron Elk Venango Mercer Clarion Pike Luzerne Jefferson Washington Schuylkill Mifflin Cambria Juniata Blair Westmoreland Perry Huntingdon Dauphin Fayette Somerset Eira Andrade-Hall Bedford Northampton Carbon Lehigh Berks Lebanon Cumberland Jeffrey Stinson 11/20/2022 Montour Northumberland Snyder Indiana Allegheny Monroe Union Centre Armstrong Beaver Greene Columbia Clearfield Butler Lackawanna Lycoming Clinton Lawrence Wayne Wyoming Bucks Montgomery Lancaster Fulton Chester Franklin Ronald Minnich Daphne Simeonoff 14 Adams York Delaware Philadelphia

MATP Staff Directory MATP Staff Directory Tamara Carter, Director 717-346-3937, [email protected] Daphne Simeonoff, Program Manager 717-265-7829, [email protected] - Allegheny, Bucks, Chester, Delaware, Fayette, Greene, Montgomery, Philadelphia, Washington Eira Andrade-Hall, Program Monitor 717-214-1351, [email protected] - Adams, Bedford, Blair, Cambria, Centre, Columbia, Cumberland, Franklin, Fulton, Huntingdon, Indiana, Juniata, Mifflin, Montour, Northumberland, Perry, Snyder, Somerset, Union, Westmoreland, York Ronald Minnich, Program Monitor 717-705-8259, [email protected] - Armstrong, Berks, Carbon, Clearfield, Dauphin, Jefferson, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill, Susquehanna, Wyoming, Wayne Jeffrey Stinson, Program Monitor 717-783-3042, [email protected] - Beaver, Bradford, Butler, Cameron, Clarion, Clinton, Crawford, Elk, Erie, Forest, Lawrence, Lycoming, McKean, Mercer, Potter, Sullivan, Tioga, Venango, Warren Cecilia Watkins, Program Analyst 717-214-1352, [email protected] – Systems point of contact, MATP encounter data, Server registration, instruction and technical assistance, and registration and MATP Website Maintenance 11/20/2022 15

Thank you! For more information, please visit www. matp.pa.gov 11/20/2022 16