Trips Allowed / Not Allowed
Last Updated on Wednesday, 07 September 2011 15:14
NOTE: The following rules apply to Medicaid funded trips ONLY. There are No destination restrictions on Non-Medicaid funded trips.
Trips Allowed
- It is essential that the client be a Medicaid recipient or a qualified member of the other Cabinets to be eligible for this program.
- Medically necessary and a covered medical service.
- The recipient has no free transportation available or suitable.
- All requirements of the medical transportation program are met.
- A recipient is being transferred from a personal care home to a nursing facility or vice versa.
Trips NOT Allowed
- Visits to a local health department for the sole purpose of obtaining a WIC voucher.
- Trips for the sole purpose of obtaining prescription medication.
- Services provided by social workers and psychologists in private practice.
Exception: Impact Plus recipients can be authorized medical transportation for this service.
- Substance abuse treatment services.
Exception: Pregnant women and postpartum women for up to 60 days following delivery, plus to the end of the month that the 60th day falls on.
- Services provided in an Adult day care center unless the recipient is a Home and Community Base Service (HCBS) waiver patient.
Exception: HCBS Waiver recipients can be authorized medical transportation for this service.
- Day Care Centers for adults or children
- Community Habilitation
Exception: SCL Waiver recipients can be authorized medical transportation for this service.
- Weight loss centers or clinics.
- Comprehensive Outpatient Rehabilitation Facility.
- Recipients age 21 and over for purpose of obtaining dentures, eyeglasses, hearing aids, or hearing evaluations.
- Services of speech, physical, occupational, and respiratory therapists in private practice.
Exception unless provided to EPSDT special services.
- Relocation between nursing homes if not medically necessary unless there are extenuating circumstances.
- Phase III KCHIP Recipients:
Note - Phase I and Phase II KCHIP recipients are eligible for medical transportation.