Section 405IAC5-4-3. Enrollment of a family member as a transportation provider

   When a recipient must make frequent trips to medical services and that travel creates undue financial hardship for the family, a family member may be enrolled as a Medicaid transportation provider. If no family member is available to provide this service, a close associate, or the recipient, if medically able, may be enrolled as a family member transportation provider. When a family member is enrolled as a transportation provider, that individual may provide services only to the designated recipient, and those services are subject to county OFC prior authorization. To be eligible to participate in Medicaid as a family member transportation provider, the individual must meet the following requirements:

(1) Possess a valid driver's license as required by state law.

(2) Possess coverage of the minimum amount of automobile insurance as required by state law.

(3) Utilize as the vehicle for transporting family members, only a vehicle which has been duly licensed and registered.

(4) Be enrolled as a family member Medicaid transportation provider. The county OFC, on behalf of the family member, must submit the enrollment request to the office or its designee for its approval.

(5) Each request for enrollment of a family member provider should include the following information:

(A) The recipient's name and Medicaid number.

(B) The name, address, and relationship of the family member provider.

(C) A description of the circumstances surrounding the request.

(D) A statement of the financial impact on the family as a result of providing transportation services to the recipient.

(E) The desired effective date for the enrollment of the family member as a transportation provider.

(Office of the Secretary of Family and Social Services; 405 IAC 5-4-3; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3307; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA)