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Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

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Page 1: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Maintaining Accountability for the Transportation

Disadvantaged ProgramYour Responsibilities as the CTC / STP

Page 2: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Agenda

• Background• What is a CTC / STPIntroduction

• Expectations / Coordination efforts• Relationship

Role & Coordination

• Grants & Agreements• Requirements• Deliverables • Invoicing• Record Retention

Administration

Page 3: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

IntroductionBackground

Commission for the Transportation Disadvantaged • Chapter 427, Florida Statutes• Rule 41-2, Florida Administrative Code• Independent State Agency; administratively within FDOT• Accountable to Governor & Legislators• Must comply with State and Federal rules and regulations• Subject to State and Federal review and audits

Page 4: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

IntroductionWhat is a CTC / STP? - Back to basics

• CTC – Community Transportation Coordinator• Selected through Planning Agency procurement process• Recommended by Planning Agency to CTD• Designation for 5 years• Government, Non-Profits and Profits• Sole, Partial or Complete Broker

• STP – Subcontracted Transportation Provider• CTCs and Non-CTCs• Non-CTCs selected through CTD procurement process

Page 5: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Role & Coordination

• Become and remain apprised of all TD resources available or planned in service area. (Mobility Management)

• Provide or arrange 24-7 transportation as needed for sponsoring agency(s).

• Comply with all grants, contracts and agreement requirements.

• Provide or arrange 24-7 Medicaid Non-Emergency Medical Transportation

• Comply with all contract requirements

Expectations

CTC STP

Page 6: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Role & CoordinationRelationships

• Work cooperatively with CTD Project Manager, Planning Agency and LCB.

• TDSP• Priorities• Eligibility• Regular Operating Reports• Evaluation

• Sponsoring Agencies• Funding Sources• Local Networks• MMAs, HMOs

• Work cooperatively with CTD Project Manager, AHCA area office staff.

• Other Medical Providers• PPEC• Dialysis• Nursing Homes• Hospitals

CTC STP

Page 7: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

AdministrationGrants/Agreements

• Trip & Equipment Grant

• Shirley Conroy Rural Capital Equipment Grant

• Medicaid STP Agreement

Requirements

Deliverables

Invoicing

Record Retention

Page 8: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• State Government Funding

• Taxpayers Dollars

• Accountability

• Audits

Administration

Page 9: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Funds deposited in the trust fund may be used to subsidize a portion of a transportation disadvantaged person’s transportation costs which is not sponsored by any agency, only if a cash or in-kind match is required.

• Funds may also be used to purchase capital equipment that is used for the provision of non-sponsored transportation services.

Purpose

Page 10: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• CTC is only eligible recipient• Grant Program Manual and Application Forms• Eligible Expenditures

• Non-sponsored trips• Capital Equipment

• Funding • Reimbursement Grant • Local Match Requirement • Trust Fund Allocation• Voluntary Dollar Funds• Transfer of Planning Allocation• Rates

• Grant Approval• Resolution• Effective Date

• Amendments must be submitted to CTD for consideration no later than April 30th.

Requirements

Page 11: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

Requirements – Rider Eligibility

What is the GOAL of having TD Eligibility?Ensure that the persons who are receiving benefits from the

funding meet the requirements of the Chapter 427, F.SHow the Statute Defines Transportation Disadvantaged:“Those persons who because of physical or mental disability,

income status, or age are unable to transport themselves or to purchase transportation and are, therefore, dependent upon others to obtain access to health care, employment, education, shopping, social activities, or other life-sustaining activities, or children who are handicapped or high-risk or at-risk as defined in s. 411.202. (Florida Stautes 427.011(1))

Page 12: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

What is Required & Who is Responsible?• Local TD Eligibility Policy to be developed by CTC &

LCB• Local Policy based upon CTD Criteria• Local Policy must be detailed in TDSP• CTC implement Policy as stated in TDSP

Requirements – Rider Eligibility

Page 13: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

At a minimum:• No other funding available – A

person would not be considered TDTF eligible if another purchasing agency is responsible for such transportation.

• No other means of transportation is available – As specified by the LCB and CTC. (The dreaded car in driveway dilema)

• Public Transit – If fixed route transit is available the person must demonstrate why it cannot be used.

• Physical or mental disability – Disability as outlined in the ADA of 1990.

• Age – As specified by the CTC and LCB.

• Individual and household income status is a specified percent of the poverty level – As specified by the CTC and LCB.

• No self-declarations allowed – The CTC will use an enrollment process that substantiates the individual’s ability to meet the criteria listed and any other CTC determined criteria.

• Ability to pay – The CTC & LCB may establish an ability to pay policy for ‘non-sponsored” customers using a sliding scale based on the customer’s income and/or assets status.

Requirements – Rider Eligibility

Page 14: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

Audit Findings:• Non-sponsored TD not defined in TDSP• No documentation maintained• Insufficient documentation maintained

Best Practices:• Standard In-take form• Periodic Recertifications• Self-monitoring

Requirements – Rider Eligibility

Page 15: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Allowable Equipment including but not limited to:• Vehicles to be used to transport TD Population; not

Fixed Route• Vans, SUVs, Buses, Sedans

• Computer Hardware/software• Communication equipment• Support equipment above $500 per piece

• Must be no more than 25% of total grant amount, excluding voluntary dollars

• 10% match

Requirements – Equipment

Page 16: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• LCB approval• Equipment must be included in grant; Do not

purchase equipment before initial grant or amendment is executed

• Application for Vehicle Title must reflect CTD as lienholder.

• Vehicle must be insured • All equipment purchased must be maintained

appropriately

Requirements – Equipment

Page 17: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Voluntary Dollar Funds are local donated funds from Motor Vehicle Registrations

• Funds are returned to donating county • Must be matched; maybe soft/in-kind • Usually invoiced at beginning or end of grant• Support documentation

Requirements – Voluntary Dollar Funds

Page 18: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Ridership eligibility documents must be maintained by CTC

• Trip Detail Report and Summary Report are submitted with invoices

• Rate Model Worksheets must match rates for services in Grant

• Vendor Invoice for Capital Equipment purchases

Deliverables

Page 19: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Use CTD Invoice Template• Information must be correct and should come directly

from executed grant• vendor name & address, • respective vendor number • contract number• grant execution date• grant termination date• type of service• unit cost

• Reimbursement will be rejected if any element is incorrect.

Invoicing

Page 20: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Support documentation must accompany all invoices.• Trip Reimbursement

• Summary Report condensing detail report per service type being invoiced

• Ambulatory (trip and/or mile)• Wheelchair (trip and/or mile)• Stretcher (trip and/or mile)• Bus Passes

• Rider Trip Detail Report• Rider Name• Date of Service• Trip Length if invoicing includes mileage• Trip Type (Ambulatory/Wheelchair/Stretcher/Bus Pass)• Cost of trip

Invoicing

Page 21: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Support documentation must accompany all invoices.

• Equipment Reimbursement• Invoice from Vendor with Serial number or identification

number• Application for Title for Vehicle Purchase reflecting CTD as

lienholder• Invoice from Vendor with $0 Balance or canceled check to

indicate reimbursement.

• Submit Invoice and Support Documentation to:[email protected]

Invoicing

Page 22: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Trip & Equipment Grant

• Retain sufficient records demonstrating its compliance with the terms of the Trip and Equipment Grant agreement for a period of at least five years from the date the Single Agency Audit report is issued.

• Allow the Commission, or its designee, CFO, or Auditor General access to such records upon request.

• Ensure audit working papers are made available to the Commission, or its designee, CFO, or Auditor General upon request for a period of at least five years from the date the audit report is issued, unless extended in writing by the Commission.

• Electronic documents are included

Record Retention

Page 23: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Shirley Conroy Rural Capital Equipment Grant

• To provide financial assistance to CTCs in rural areas for the purchase of capital equipment.

• FDOT transfers $1.4 Million to CTD

Purpose

Page 24: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Shirley Conroy Rural Capital Equipment Grant

• CTC is only eligible recipient• Grant Program Manual and Application Forms• Eligible Expenditures

• Capital Equipment

• Funding • Application Process (Amount needed, specific equipment, support for need,

impact and value of project to coordinated system)• Reimbursement Grant • Local Match Requirement

• Application Review/Selection and Grant Approval• Subcommittee recommends grant awards• Resolution• Effective Date

Requirements

Page 25: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Shirley Conroy Rural Capital Equipment Grant

Deliverables

• Application documents• Invoice for Vendor• Equipment must be included in Grant and/or

amendment prior to purchase• Amendments must be submitted to CTD for

consideration no later than April 30th.

Page 26: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Use CTD Invoice Template• Information must be correct and should come

directly from executed grant• vendor name & address, • respective vendor number • contract number• grant execution date• grant termination date• Capital equipment purchased as specified in grant

• Reimbursement will be rejected if any element is incorrect.

Invoicing

Shirley Conroy Rural Capital Equipment Grant

Page 27: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Support documentation must accompany all invoices.

• Equipment Reimbursement• Invoice from Vendor with Serial number or identification

number• Application for Title for Vehicle Purchase reflecting CTD as

lienholder• Invoice from Vendor with $0 Balance or canceled check to

indicate reimbursement.

• Submit Invoice and Support Documentation to:[email protected]

Invoicing

Shirley Conroy Rural Capital Equipment Grant

Page 28: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Retain sufficient records demonstrating its compliance with the terms of the Grant agreement for a period of at least five years from the date the Single Agency Audit report is issued.

• Allow the Commission, or its designee, CFO, or Auditor General access to such records upon request.

• Ensure audit working papers are made available to the Commission, or its designee, CFO, or Auditor General upon request for a period of at least five years from the date the audit report is issued, unless extended in writing by the Commission.

• Electronic documents are included

Record Retention

Shirley Conroy Rural Capital Equipment Grant

Page 29: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Medicaid Non-Emergency

Transportation STP Agreement

• To provide Medicaid Non-Emergency Transportation Services for eligible recipients.

Purpose

Page 30: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Agreement with CTD• CTC or STP (non-CTC)

• Gatekeeping• Eligibility Application• Medicaid eligible; not MMA recipient • No other transportation resources available• Receiving Medicaid compensable Service

• Provide Transportation• Ambulatory/Wheelchair/Stretcher/Bus Passes/Air

Transport• Transportation Related Expenses

Requirement

Medicaid Non-Emergency

Transportation STP Agreement

Page 31: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Encounter Data• Complete, Accurate, Timely• Only Eligible Recipients covered by CTD; not MMA• Elements:

• Do not include numbers with names• Be consistent with addresses• Correct Trip Cost (Rate Model Worksheets Unsubsidized Rates

• Reports• Grievance System Summary Reports• Trip Travel Expense Reports• Safety Compliance Self-Certification Report• Systems Outage Notification• Critical Incident Report• Performance Measures

Deliverables

Medicaid Non-Emergency

Transportation STP Agreement

Page 32: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Use CTD Invoice Template http://www.dot.state.fl.us/ctd/programinfo/finance/newinvoice.htm.

• Information must be correct and should come directly from executed grant

• vendor name & address, • respective vendor number • contract number• grant execution date• grant termination date• type of service• unit cost

• Reimbursement will be rejected if any element is incorrect.

Invoicing

Medicaid Non-Emergency

Transportation STP Agreement

Page 33: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Support documentation must accompany all invoices.

• PDF Document showing Member Months and dollar amount

• Trip Report from CTDFL

• Submit Invoice and Support Documentation to:[email protected]

Invoicing

Medicaid Non-Emergency

Transportation STP Agreement

Page 34: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

• Retain sufficient records demonstrating its compliance with the terms of the STP agreement for a period of at least five years from the date the Single Agency Audit report is issued.

• Allow the Commission, or its designee, AHCA, CFO, or Auditor General access to such records upon request.

• Ensure audit working papers are made available to the Commission, or its designee, CFO, or Auditor General upon request for a period of at least five years from the date the audit report is issued, unless extended in writing by the Commission.

• Electronic documents are included.

Record Retention

Medicaid Non-Emergency

Transportation STP Agreement

Page 35: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Questions?

Project Managers:Area 1Cecile Del Moral(850) [email protected]

Area 4Robert Craig(850) [email protected]

Area 2Angela Cavanaugh(850) [email protected]

Area 5 Sheri Powers(850) [email protected]

Area 3Dan Zeruto(850) [email protected]

Area 6 John Irvine(850) [email protected]

Financial Staff:Elmer Melendez(850) [email protected]

Marcus Mack(850) [email protected]

Ray Anderson(850) [email protected]

 

   

Page 36: Maintaining Accountability for the Transportation Disadvantaged Program Your Responsibilities as the CTC / STP

Thank you!

Karen Somerset, Assistant Director(850)[email protected]