Slide 1: Implementation Council: CCA Transportation

December 2024

Note: an image of the Commonwealth Care Alliance logo (the letters “cca” in a red circle with commonwealth care alliance to the right of it) is shown in the low right corner of this slide.
Slide 2: Introductions
Presenters:
•	Corey McCarty, SVP Product, Provider Organization and Ancillary Programs
•	Jessica Vida, Sr. Director Ancillary Programs
Q&A:
•	Corey McCarty, SVP Product, Provider Organization and Ancillary Programs
•	Jessica Vida, Sr. Director Ancillary Programs

Note: the following footnote appears on this slide and all other slides going forward. © 2021(or 2022) Commonwealth Care Alliance. ®Confidential & Proprietary Information.
Slide 3: Overview of CCA Transportation

•	Purpose: To support access to medical and non-medical transportation services for community integration and independent living.
•	Goal: Ensure seamless, member-centered transportation that meets individual needs
•	Collaboration: Care coordinators, members, transportation broker and providers collaboration is needed for successful benefit offerings.
Definitions: 
•	Transportation broker – CCA’s non-emergent transportation benefit administrator (who CCA uses to administer the benefit)
•	Transportation providers – Contracted transportation companies including drivers (who CCA contracts with to provide requested trips)
•	Rideshare - Contracted transportation companies who via websites and mobile apps, matches passengers with drivers of vehicles on-demand.
Slide 4: Benefit Overview
CCA partners with a Transportation Broker to administer non-emergent medical and non-medical transportation benefits.
Benefits provided are covered through Medicaid and include:

One Care

•	2025 Benefit
o	Medical Trip
•	Unlimited to verified Medical appointments/ prescription pick ups within 50 miles of the member's home
•	+ Additional mileage upon approval

o	Non-Medical Trips
•	10 one-way trips per month to approved locations within 50 miles from the member's home
•	+ Additional trips and mileage upon approval

•	2024 Benefit
o	Medical Trips
•	Unlimited to verified Medical appointments/ prescription pick ups within 50 miles of the member's home
•	+ Additional mileage upon approval
•	Non-Medical Trips
o	8 one-way trips per month to approved locations within 50 miles from the member's home
o	+ Additional trips & mileage upon approval

Transportation is provided to members without access to transportation which may include family, friends, public or private transportation.
Slide 5: Covered Destinations from a member's home
Medical Destinations
•	Provider visits: PCP, Specialist, NP, OD, Podiatry, Dental, FQHC
•	Therapy: speech, physical, occupational, psychotherapy 
•	Outpatient services: hospital, oncology, labs, dialysis, CCC
•	Inpatient: hospital, SNF, Rehab Center, CSU
•	Cancer/Chemotherapy
•	Senior center, day habilitation, clubhouses, recovery learning communities
•	Marie’s Place
•	Pharmacy (prescription pick up)
*Addiction and support meetings: methadone clinics, group meetings (AA)
* AA meetings restricted to verified AA meetings locations
Non-medical Destinations 
•	Clubhouses
•	Grocery Store/Food bank/ Pharmacies (non-prescription pick up)
•	Religious Services
•	Banks, ATMs
•	Laundry
•	Social Determinants: Social Security Office, MassHealth, Housing Authority, Courthouse, After Incarceration SS. 
•	Library
•	Local Services: Water department, DMV, RMV
•	Other: Veterinary, personal grooming, recreational
Slide 6: Processes and Best Practices
Transportation Process
Booking Ride Options:
•	Direct calls to CTS, CCA or via the member portal

Portal Features:
•	Booking trips, ride status updates and modify trips.
Best Practices
•	Develop standardized protocols and requirements for care coordinators, transportation broker and providers
•	Provide ongoing training for care coordinators on transportation processes
•	Establish clear communication channels for trouble shooting
•	Leverage member feedback to refine workflows
•	Real time ride tracking 
Slide 7: Care Coordinators: Role
Assessment of Needs:
•	Works with members to determine transportation medical and non-medical needs
•	Ensure transportation aligns with care plan goals
•	If members transportation needs exceed standard benefit offering, submit authorization request for review and approval.
Care Plan Integration:
•	Include transportation in care plans when clinically or socially necessary
Setting up Rides:
•	Assist members with initial booking of rides and educate on how to book rides for future needs
•	Approval of additional rides are based on CCA policies and guidelines 
Challenges & Barriers:
•	Highly administrative to validate ride and arrange rides 
•	Delayed or missed rides impacting member satisfactions
•	Limited ability to guarantee benefits and resolve day issues is rural areas.
•	Rural areas/ inability to use rideshare
Slide 8: On the Ground: What’s Happening
Successes:
•	Strong partnerships reducing missed rides
•	Proactive member education on benefits
•	Updated portals for real-time updates and tracking 
•	Technology enhancements
Challenges:
•	Rural and underserved areas lack transportation options
•	Trip notifications turned off by members leading to missed trips
•	Rideshare vs non-ride share wait times 
•	Companion (LTSS) needs: Transportation broker does not arrange for companions and requires plan approval
Slide 9: Additional Benefit Details
Note: the following four points are shown in purple rectangles with a down arrow pointing from one to the next point illustrating how one relates to the other. 

•	All rides must be booked 72 hours in advance, not including the day of booking. 
•	Transportation must be booked through CCA’s transportation broker to be covered. 
•	Companion and escort services are not provided through the transportation broker and must be secured separately. 
o	If a member requires a medical companion, please reference Companion Services Medical Necessity 
•	When 2 or more members are traveling to the same locality at the same time, they may share transportation when such arrangements are made