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Jayhawk Area Agency on Aging - OAA Funded Transportation Targets Policy Title III-B Transportation Services

  • agrandpre0
  • 7 hours ago
  • 3 min read

(Agency-Wide Program Policy)


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Purpose and Policy Intent


In response to needs assessment survey results and review of information inquiries related to requests for rides, the Jayhawk Area Agency on Aging (JAAA) establishes medical transportation as the primary service priority for transportation services funded under Title III-B of the Older Americans Act (OAA).


Limited OAA transportation funds are intended to support access to medically necessary care for older adults. This policy establishes transportation service targets that reflect JAAA’s programmatic priorities and funding expectations and are intended to guide provider service delivery, monitoring, and funding decisions.


Transportation Service Targets


Targets for OAA-funded rides provided through JAAA OAA funds are expected to be:


  • 60% medical appointment rides

  • 40% general transportation rides


These targets are not intended to eliminate access to general transportation. Rather, they are intended to ensure that Title III-B transportation funds are primarily directed toward medically necessary rides, consistent with identified community need and documented service demand.


Definition of Medical Appointment Rides


Medical appointment rides are defined as rides to and from medical appointments scheduled with a medically licensed practitioner or facility for the purpose of receiving medically necessary care, including diagnostic and treatment services. The following examples are not intended to be all-inclusive:


  • Vision services

  • Hearing services

  • Dental services

  • Physical Therapy and Occupational Therapy

  • Infusion treatment, including dialysis

  • Vaccination appointments and clinics

  • Laboratory work

  • Diagnostic procedures, tests, and scans

  • Podiatry appointments

  • Doctor visits, including primary care and medical specialists

  • Urgent Care visits

  • Hospital and Emergency Room visits

  • Behavioral health care, including crisis services

  • Trips to a pharmacy for prescription or over-the-counter medication pickup



Definition of General Transportation


General transportation is defined as rides to and from locations for purposes of meeting non-medical needs, including shopping, nutrition, fitness, and social connection. The following examples are not intended to be all-inclusive:


  • Trips to retail locations for purchasing food or household supplies

  • Trips to farmers markets

  • General shopping trips

  • Trips to senior centers

  • Trips to CHAMPSS meal sites

  • Trips to exercise facilities, including gyms and health clubs

  • Other social or recreational activities, including entertainment


Required Ride Purpose Tracking


Providers shall track and report the purpose of all OAA-funded transportation rides using the following categories established by JAAA:


  • Medical

  • Shopping / Basic Needs / Nutrition t

  • Trips to or from a Senior Center

  • Social Activities


Provider Performance Monitoring and Accountability


JAAA will monitor provider performance against the established transportation targets on a routine basis using submitted reports, billing data, and monitoring reviews. Providers whose OAA-funded ride distribution materially deviates from the established medical transportation target may be required to:


  1. Submit a written explanation documenting rider demand, community need, geographic considerations, or operational constraints;

  2. Implement a corrective action plan to realign services with established program priorities; and/or

  3. Adjust intake, scheduling, or ride prioritization practices to better support access to medical transportation.


Providers are expected to make good-faith and reasonable efforts to prioritize medical transportation within OAA-funded services. Temporary deviations from the established targets may be permitted when supported by data and approved by JAAA.


Funding Implications


Persistent or unexplained failure to make reasonable efforts to align service delivery with JAAA’s established transportation targets may be considered in:


  • Contract monitoring findings

  • Funding allocation or adjustment decisions

  • Contract renewal, modification, or non-renewal determinations

  • Future procurement or funding award decisions


JAAA retains discretion to evaluate provider performance holistically, taking into account documented community need, service area characteristics, and operational feasibility.

 
 
 

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