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Since the implementation of the original board approved Senior Non-Emergency Medical Transportation, (SNEMT) plan of May 2002, many lessons have been learned and much information has been gleaned from those experiences that have required the need to redirect SNEMT to implement a Phase II plan. The direction of Phase II will broaden the program service delivery to ensure we adopt a county-wide, uniform model that is cost effective, reliable and continues to provide Orange County’s older adults with critically needed special transportation services to assist their essential place in community life.
As the AMMA Study was the basis for the construction of the original plan, the concepts, principals and findings still remain vital to the success of SNEMT. The AMMA Study determined that non- emergency medical trips tend to be very individualized with unpredictable return times and special passenger requirements. Where mass transit and large transportation providers continue to not provide the individualized attention, assistance and services needed for trips to chemotherapy, dialysis, physical therapy etc., the SNEMT programs provide that crucial service. The human service aspect (assisted transportation) for non-emergency medical transportation is a proven key element to the success of these services and will continue to be a core component of Phase II.
PHASE II ELEMENTS
Effective April 1, 2005
Client Requirements:
1. Age 60+ (when medical need and/or income level justify transportation need)
2. Not ACCESS eligible and/or not currently enrolled in ACCESS
3. User fees or donations or in-kind contribution equal to a minimum of $2.00 per one way trip
4. Waiver or exception of trip fee for low-income clients experiencing extenuating financial circumstances
5. Target priority of service to older adults age 85+ regardless of income level but based on medical need
Minimum Service Requirements:
- ADA accessible vehicle requirements
- Out of county service within 10 mile radius of client’s residence
- Recognizing that seniors have specific transportation needs that include but are not limited to: door to door service, communication issues, interactions with healthcare providers and other assisted transportation issues that may arise
- Maximum trip length not to exceed 15 miles from client residence – exceptions for Veteran’s Hospital Long Beach and Kaiser Lakeview Anaheim hospital upon request
- Limit 8 one way trips per client per month with exception of on-going medical treatments such as chemotherapy, dialysis, and radiation treatments
The OoA will continually monitor the new senior non-emergency medical transportation service capacities and continue to take the lead role in facilitating, implementing, and coordinating appropriate improvements. We plan to continue our collaboration with OCTA and Cal Optima to continue to find alternative transit resources and work cooperatively to develop and improve current transit services.
OoA acknowledges the guidance, assistance and support it has received from its collaborative partners, HCA and OCTA, as well as the valuable insight received from each of the dedicated SNEMT programs. OoA believes that continuation of SNEMT is not only essential but critical in tackling the growing issues of transportation service to older adults in our county. The Board of Supervisors and the collaborative partners have already done a great service to the older adults of Orange County through their support and oversight of SNEMT. OoA will continue our commitment to administer the maximum use of TSR funds to provide the most trips possible and will make every effort to leverage the TSR funds so that we can all continue to make Orange County the best place in America to grow older with dignity
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