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Family and Children's Medicaid 3550 MEDICAID TRANSPORTATION

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XI. REPORTING TRANSPORTATION COST

 

Agency Costs

Direct Payment for Services

Forms

DSS-1571

DMA-2055

Reported Costs

Medically related transportation of Medicaid beneficiaries.

1. Operation of agency owned vehicle.

2. DSS staff time used in directly providing transportation.

3. Operation and Maintenance costs for agency vehicles.

4. Purchase price of a vehicle purchased by the agency for sole purpose of providing Medicaid transportation.

Medically related transportation of Medicaid beneficiaries.

1. Direct payments to Medicaid beneficiaries for Medical transportation.

2. Cost for medically related transportation services purchased for Medicaid beneficiaries.

3. Operation of DSS staff owned vehicle.

REISSUED 04/01/15 – CHANGE NO. 03-15

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