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Additional Information About CCP Adult Day Service Transportation
- 1. Can a transportation area be smaller than the contract coverage area?
- 2. Does an adult day service agency have to provide transportation outside of the contract area?
- 3. How does service availability expansion work?
- 4. How are the Case Coordination Units (CCU) notified that an adult day service site can serve their area?
- 5. What is a reasonable amount of time that clients can be on the transport vehicle?
- 6. Does an adult day service agency have to provide its own transportation?
No. The Adult Day Service agency must provide transportation to the entire contract coverage area specified in the application.
No. Transportation is not required for clients in an outlying service area. For areas outside the agency’s service area, families may transport or arrange transportation for clients to come to the site.
Service availability expansion is authorized under Section 240.1570 in the CCP rules. It occurs when a client is allowed access to CCP services in a geographic service area in which the client does not reside. Possible reasons for service expansion for a client in an outlying service area include: a determination by the CCU that the needs of the client may best be served by a provider in an outlying service area; the geographic area in which the client resides does not have a provider of the needed services; or services may be provided more conveniently or appropriately by a CCP provider in an outlying service area.
The Department notifies the CCU in the Adult Day Service (ADS) site’s contractual service area and forwards a copy of the Service Specific Application for that site. The Department does not notify CCUs of the availability of ADS sites in contiguous areas to the CCU service area. While the Department maintains a list of all ADS providers on its website, an certified ADS provider might want to contact CCUs in contiguous areas directly to advise them of service availability as long as transportation can be arranged by the family or through other means.
The amount of time that is reasonable for client transportation will vary. Several factors to be considered include: whether the service is appropriate, compliance with limits set in an individual plan of care based on client health, handling traffic in the geographic area served, and the location of the client’s home within the area. The transit time should be as short as possible, allowing the client to spend as much time as possible receiving services at the adult day service site. While transportation is an important consideration, it is only a means to an end for adult day service.
Not necessarily. Although a provider agency is responsible for making sure clients in the geographic service area have transportation to and from the adult day service site, the agency may either provide transport itself, subcontract with another entity to transport clients, or make arrangements for the provision of transportation if other service options are available in the geographic service area, such as a Human Service Transportation Plan (HSTP) Organization.
If the agency is unable to locate any transportation subcontractors in the geographic service area, the Area Agency on Aging may have additional resources for help.
However, if the agency is unable to subcontract or otherwise arrange for transportation of all CCP clients to and from the adult day service site, the agency must provide the transportation.
