La. Admin. Code tit. 50 § XXVII-517
Current through Register Vol. 50, No. 11, November 20, 2024
Section XXVII-517 - Provider EnrollmentA. All NEMT providers must comply with all applicable federal, state, and local laws and regulations, including, but not limited to, those pertaining to enrollment and participation in the Medicaid Program.B. Non-emergency medical transportation for-profit providers shall have a minimum liability insurance coverage of $25,000 per person, $50,000 per accident and $25,000 property damage policy. 1. The liability policy shall cover: a. any autos, hired autos, and non-owned autos; orb. scheduled autos, hired autos, and non-owned autos.2. Statements of insurance coverage from the agent writing the policy are not acceptable. Proof must include the dates of coverage and a 30-day cancellation notification clause. Proof of renewal must be received by the department or its designee no later than 48 hours prior to the end date of coverage. The policy must provide that the 30-day cancellation notification be issued to the department or its designee.3. Upon notice of cancellation or expiration of the coverage, the department or its designee will suspend the provider-us Medicaid enrollment, effective on the date of cancellation or expiration.C. As a condition of reimbursement for transporting Medicaid beneficiaries to and/or from healthcare services, gas reimbursement providers must maintain a current valid vehicle registration, the state minimum automobile liability insurance coverage, and a current valid driver's license. Proof of compliance with these requirements must be submitted to the department or its designee during the enrollment process. Gas reimbursement providers are allowed to transport up to five specified Medicaid beneficiaries or all members of one household across all contracted managed care organizations. The provider may not reside at the same physical address as the beneficiary being transported. Individuals transporting more than five Medicaid beneficiaries or all members of one household shall be considered for-profit providers and shall be enrolled as such and comply with all for-profit provider requirements.D. All NEMT providers must agree to cover the entire parish or parishes for which he or she provides non-emergency medical transportation services.La. Admin. Code tit. 50, § XXVII-517
Promulgated by the Department of Health, Bureau of Health Services Financing, LR 471639 (11/1/2021), Amended LR 49, Amended LR 49877 (5/1/2023), Amended LR 501472 (10/1/2024).AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.