SECTION 380.203. Program Requirements

Transportation services must be prior authorized by the Medical Transportation Program (MTP) or transportation providers. Program requirements include the following:

(1) reasonable or long distance transportation of a prior authorized MTP client to and/or from a covered health care service when:

(A) the client provides a Health Care Provider's Statement of Need or equivalent when required; or

(B) a provider will not bill Medicaid or another source for the cost of the services. This includes health care services that are provided to the client by a charitable organization but not billed to Medicaid. It does not include value-added services provided by a Medicaid managed care plan.

(2) transportation for an attendant(s) if necessary;

(3) advance funds for an eligible child and attendant(s) when lack of transportation funds will prevent the child from traveling to a covered health care service; and

(4) if a client is required to receive health care services outside their county of residence for six consecutive months, proof of residency may be required.

Source Note: The provisions of this §380.203 adopted to be effective April 10, 2001, 26 TexReg 2720; amended to be effective May 11, 2003, 28 TexReg 3722; transferred effective March 1, 2004, as published in the Texas Register April 30, 2004, 29 TexReg 4267; amended to be effective September 13, 2004, 29 TexReg 8796; amended to be effective August 6, 2013, 38 TexReg 4888; amended to be effective September 1, 2014, 39 TexReg 5731