This bill, S.F. No. 1916, introduced in the Minnesota Senate, proposes the establishment of a pilot program for a web-based single administrative structure and delivery system for non-emergency medical transportation (NEMT) under Medical Assistance and MinnesotaCare.

Key Provisions:

1. Implementation Deadline:

   • By January 1, 2026, the Commissioner of Human Services, in coordination with the Commissioner of Transportation, must implement one or two pilot programs.

2. Pilot Program Scope:

   • Must include at least two counties.
   • Metropolitan counties (defined in Minnesota Statutes, section 473.121, subdivision 4) are not eligible.
   • Each pilot will operate for three years from implementation.

3. Requirements for the Web-Based System:

   • Bidirectional communication between payers and transportation providers.
   • Client and advocate access to ride scheduling and real-time trip monitoring.
   • Real-time eligibility and level of service determination.
   • On-demand reporting.
   • Expedited payments for transportation providers.
   • Feedback collection, including concerns about:
     • Inappropriate service level determinations.
     • Improper transportation modes.
     • Interference with accessing NEMT.

4. Reporting Requirement:

   • By February 1, 2027, and annually thereafter while the pilot is active, the Commissioner of Human Services must submit a report to legislative committees overseeing NEMT under Medical Assistance and MinnesotaCare.

Objective:

The bill aims to enhance the efficiency, transparency, and accessibility of non-emergency medical transportation services by implementing a centralized, web-based system in select counties, outside metropolitan areas, for a three-year trial period.