mnet mileage and access services brochure

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Post on 16-Apr-2015




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Have a Formal Complaint?If you are unhappy with the service provided to you, we want to know about it. Please contact MNets Care Management Department to speak with a Care Manager. If you feel your complaint was not addressed to your satisfaction, you may escalate your call to a supervisor or contact MNets Quality Management Department directly.

Mileage and Access ServicesNon emergent transportation for MA recipients residing in the following MN counties:Anoka Chisago Dakota Hennepin Isanti

To reach a Care Manager, call MNets Care Management Department, at 1-651-6459254 ext. 8172 To contact MNets Quality Management Department, call toll free at 1-866-436-0457

St. Paul OfficeMNet Transportation 149 East Thompson Avenue Suite 150 West St. Paul, MN 55118 Telephone 651-645-9254 ext. 8172 FAX 651-203-1262

Ramsey Sherburne Washington

MNet is dedicated to providing excellent customer service. We follow up on all complaints and report them directly to the Department of Human Services.

Call 866-436-0457

St. Louis OfficeMTM, Inc. 16 Hawk Ridge Drive Lake St. Louis, MO 63367 Telephone 636-561-5686 FAX 636-561-2962 MNet Transportation 149 East Thompson Avenue, Ste. 150 West St. Paul, MN 55118 651-645-9254 ext. 8172

CL-001-1-2009 11/28/2012


What is Mileage & Access Services?M&AS is a program which reimburses eligible recipients for mileage, parking, meals, and lodging.

Payment Requests Trip log forms should be requested prior to the scheduled appointment; forms can be mailed or faxed upon request. Trip logs must be completed in full with appointment date, pick-up and drop-off addresses, and signature. Any reimbursement requests for meals, lodging and parking must be accompanied by original receipts attached to the trip log form. M.A. billable facility must sign/stamp trip log forms where the appointment was held. Reimbursement request should be submitted within 10 months of the appointment date. New recipients are eligible for reimbursement for appointments 10 months back or up to their eligibility date, whichever is less. A Medical Necessity Form must be completed by the referring doctor when: A trip for specialty care is over 30 miles one-way for MHCP recipients residing in: Anoka, Chisago, Dakota, Hennepin, Isanti, Ramsey, Sherburne, and Washington counties. If you know the distance for the specialty care trip, please call MNets Care Management Department with the referring doctors name and phone number for a Medical Necessity Form. Foster Parents: 1. Must be a licensed Foster Care provider to receive a higher rate of reimbursement 2. Must complete a separate Trip Log for each child being seen for medical care. Volunteer Drivers: 1. Must be registered with a volunteer agency. Multiple Riders: 1. MNet will only reimburse mileage on a per vehicle basis regardless of the number of riders being transported to medical appointments.

Qualifications for M&AS Payment

Plan must be eligible for MHCP (Minnesota Health Care Plan) services. The recipient must reside within the eight county metro area. The facility and services must be billable to MA. The following individuals are eligible for reimbursement when transporting a MHCP recipient to a MA billable medical appointment: 1. Friends, neighbors, or relatives 2. Parents 3. Licensed foster parents 4. Volunteer driver who is registered with a volunteer agency 5. Personal Care Attendants (PCA)

Reason for Denials The recipient is not eligible for MA services. The recipient lives outside of the eight county metro area. The trip log form is incomplete. The facility or services were not MA billable.

How Will I Get Paid and When? A Care Manager will accept, review, and process the Trip Log form. Upon receipt of the Trip Log and after verification, all approved M&AS payments should be made within 30 days. M&AS payments are released twice each month according to a defined payment schedule.