Section 1 Short title
This Act may be cited as the “Access to Critical Non-Emergency Transportation Services Act”.
Access to Critical Non-Emergency Transportation Services Act
A BILL
To require the Secretary of Health and Human Services, in coordination with single State agencies, to assist certain dual eligible individuals participating in the RSNAT model with accessing non-emergency medical assistance benefits under the Medicaid program, and for other purposes.
Sec. 2 Assistance in accessing non-emergency medical assistance benefits under the Medicaid program
In general— Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services (in this section referred to as the “Secretary”), in coordination with each single State agency, shall implement a plan to—
in the case of a full-benefit dual eligible individual participating in the repetitive non-emergent ambulance transport model (as described in section 1834(l)(16) of such Act (42 U.S.C. 1395m(l)(16))), assist such individual in enrolling in Medicaid and in accessing transportation benefits in accordance with section 1902(a)(4) of such Act (42 U.S.C. 1396a(a)(4)); and
in the case of a dual eligible individual who is not a full-benefit dual eligible individual and is participating in the repetitive non-emergent ambulance transport model (as described in section 1834(l)(16) of such Act (42 U.S.C. 1395m(l)(16))), assist such individual in enrolling in Medicaid, provided that in addition to Medicare cost-sharing such individual shall qualify for, and be assisted in accessing, transportation benefits in accordance with section 1902(a)(4) of such Act (42 U.S.C. 1396a(a)(4)).
Guidance— For purposes of carrying out the assistance described under subsection (a), not later than 90 days after the date of enactment of this Act the Secretary shall issue guidance to each single State agency and Medicare administrative contractor on providing assistance to dual eligible individuals participating in the repetitive non-emergent ambulance transport model (as described in section 1834(l)(16) of the Social Security Act (42 U.S.C. 1395m(l)(16))) with respect to accessing transportation benefits in accordance with section 1902(a)(4) of such Act (42 U.S.C. 1396a(a)(4)).
Definitions— In this Act:
Dual eligible individual— The term “dual eligible individual” has the meaning given such term in section 1915(h)(2)(B) of the Social Security Act (42 U.S.C. 1396n(h)(2)(B)).
Full-benefit dual eligible individual— The term “full-benefit dual eligible individual” has the meaning given such term in section 1935(c)(6) of the Social Security Act (42 U.S.C. 1396u–5(c)(6)).
Medicare administrative contractor— The term “Medicare administrative contractor” has the meaning given such term in section 1874A(a)(3) of the Social Security Act (42 U.S.C. 1395kk–1(a)(3)).
Single State agency— The term “single State agency” means the State agency administering, or supervising the administration of, a State Medicaid program (as described in section 1902(a)(5) of the Social Security Act (42 U.S.C. 1396a(a)(5))).