Ever worried about getting to your medical appointments without hassle? Inland Empire Health Plan (IEHP) might have what you need.
IEHP has a wide range of transportation services through Call the Car (CTC). They help all providers in the IEHP network, like hospitals and dialysis centers. CTC offers rides from your door to your appointment, making sure you arrive on time and comfortably.
They have special vans for wheelchair and gurney users, but not for ambulance services. Just remember, you must book your ride at least three hours ahead. This ensures everything runs smoothly.
This service isn’t just for regular visits. It also helps with hospital discharges and moving between facilities. The aim is to remove transportation hurdles, making healthcare easier to reach for everyone in the area.
Key Takeaways
- IEHP offers a comprehensive transportation service for medical appointments through Call the Car (CTC).
- Services include curb-to-curb and door-to-door options, along with wheelchair and gurney vans with bariatric capabilities.
- Transportation must be scheduled at least three hours in advance to abide by coordination requirements.
- CTC provides transportation assistance for hospital discharges, inter-facility transfers, and emergency department pick-ups.
- Call the Car services ensure members’ healthcare accessibility by covering providers across the IEHP network.
Understanding IEHP’s Transportation Services
IEHP’s transportation services cover many healthcare needs in Riverside and San Bernardino counties. They have a system to get members to their medical appointments on time.
Overview of Services
Getting to healthcare appointments can be tough. But IEHP has a team of 90 members handling over 1 million trips a year. They cover 27,000 square miles, making about 4,000 to 5,000 trips every day.
This helps members get to places like hospitals, skilled nursing facilities, and dialysis centers.
Types of Transportation Offered
IEHP works with Call the Car to offer different transportation options. Members can get non-emergency medical transportation (NEMT) or non-medical transportation (NMT). They have services like shared rides and vans for special needs.
These services are for healthcare appointments, and they’re chosen based on what’s needed.
IEHP and Call the Car want to cut down on complaints about transportation by 20% by 2023. Starting October 16, 2023, they need at least two business days to plan a trip. This helps make sure transportation meets healthcare needs well.
What is Non-Emergency Medical Transportation (NEMT)?
Non-Emergency Medical Transportation (NEMT) helps people who can’t use regular transport because of health issues. It’s key for getting to healthcare and staying healthy, especially for those with many doctor visits.
Definition and Importance
NEMT offers different transport like ambulances and wheelchair vans. It makes sure patients can safely get to and from doctor’s appointments. For many, NEMT is a lifeline to vital healthcare, crucial for managing their health.
IEHP transportation is vital for its members. It lets them get to medical and pharmacy services approved by Medi-Cal Rx. This includes both regular and urgent care, arranged within 48 hours.
Eligibility Criteria
To get NEMT services from IEHP, members must meet certain rules:
- The service must be ordered by a doctor for necessary medical services.
- Members need to send in the Doctor’s Statement for approval.
- The transport must be the cheapest way to meet the patient’s needs.
- NEMT is for trips to medical places only, not for other non-medical spots.
IEHP’s medical transport services are for everyone, without bias. It ensures all members get the healthcare transport they need, improving their health greatly.
IEHP’s Non-Emergency Medical Transportation (NEMT)
IEHP works hard to make sure its members can get to their medical appointments. They offer Non-Emergency Medical Transportation (NEMT) for those who can’t use regular buses. IEHP also covers many NEMT services, like hospital discharges and transfers, and other covered medical services.
Covered Medical Services
IEHP’s NEMT services meet a variety of medical needs. This ensures members get the transportation they need on time. The services include:
- Hospital discharges
- Inter-facility transfers
- Dialysis and other critical health appointments
- Non-emergent medical appointments
These services are offered through partnerships, like Call the Car (CTC). They provide door-to-door rides and special vans for wheelchairs and gurneys. Hospitals, dialysis centers, and skilled nursing facilities can use these services for their patients.
IEHP’s transportation coverage is detailed. They start planning at least three hours before a discharge. For more information, check out their online Physician Certification Statement (PCS) form.
How to Request NEMT
Getting NEMT services from IEHP has a clear process. The main doctor must fill out a Physician Certification Statement (PCS) form and a Transportation Request Form. These forms show why NEMT is needed.
Members or their doctors can send the forms by fax at (909) 912-1049 or through IEHP’s secure portal. It’s important to plan ahead, especially for things like dialysis sessions.
IEHP is ready to help from 7 a.m. to 7 p.m. on weekdays and 8 a.m. to 5 p.m. on weekends. But, they also have Call the Car for after-hours needs. Call them at (855) 673-3195 for help outside regular hours.
This process helps keep care going without breaks. It makes sure all IEHP members can get the health services they need. Following these steps ensures that NEMT insurance and IEHP’s rules are followed.
Transportation for Various Health Appointments
IEHP makes sure its members can get to their healthcare appointments easily. They offer rides for primary care, specialist visits, and urgent care or emergency trips. This service is available in San Bernardino and Riverside counties.
Primary Care Visits
IEHP helps members get to their primary care visits. This makes it simpler to see doctors for check-ups and screenings. Reliable rides are key for keeping Medi-Cal members healthy over time.
Specialist Consultations
IEHP also offers specialist medical transportation for specialized care. This service helps members get to specialists for tests and follow-ups. It removes the worry of how to get to these important appointments.
Urgent Care and Emergency Departments
For urgent but not emergency needs, IEHP has a solution. They work with Call the Car to get members to urgent care or emergency rooms. This way, they can get help fast without needing an ambulance.
IEHP and Call the Car make sure members get the help they need on time. They offer many transportation options to help members stay healthy and get the care they need.
Accessibility Features in IEHP Transportation
IEHP transportation services help members with special needs. They make sure everyone can get to their destinations safely. These services are for people with mobility issues and other health needs.
Wheelchair and Gurney Vans
IEHP has wheelchair-accessible vans and gurney vans. These vehicles are perfect for those who use wheelchairs or need to lie down during transport. They have secure locks and lots of room, making trips to medical appointments comfortable and safe.
Bariatric Capabilities
IEHP also offers bariatric transport services. These vehicles have extra safety features and more space for bariatric patients. IEHP makes sure everyone gets to their appointments in a dignified and comfortable way.
IEHP is dedicated to accessible transportation. They follow high standards of care and inclusivity. They provide timely transport solutions for all members, ensuring no one is left out because of mobility or health issues.
| Transportation Type | Features | Timeframes for Appointments | Accessibility Standards |
|---|---|---|---|
| Wheelchair-Accessible Vans | Secure wheelchair locks, spacious interiors | Up to 10 business days for non-urgent visits | Compliance with ADA standards |
| Gurney Vans | In-vehicle medical support, secure fixtures | Immediate disposition for emergencies | No discrimination based on disability |
| Bariatric Transport | Extra space, enhanced safety features | 48 hours for urgent visits | Network adequacy and availability |
Partnering with Call the Car
Call the Car (CTC) is a top choice for reliable healthcare rides as an IEHP partner. This partnership gives members many transportation options for medical needs. It makes sure IEHP partner services work well together.
In 2024, CTC’s services are free for IEHP members. This partnership with IEHP covers many services, like durable medical equipment and home health care. IEHP DualChoice members pay $0 for many medical services, making it easier to get rides.
Key Benefits of IEHP and Call the Car Partnership:
- No Cost for Transportation: IEHP DualChoice members don’t pay for Call the Car transportation.
- Seamless Transfers: It makes it easy to get to and from appointments and healthcare facilities.
- Accessibility: Reliable transportation is available 24/7, even outside regular hours.
The IEHP and Call the Car partnership shows a strong commitment to reliable healthcare rides. It lets members focus on their health without worrying about how to get there. This partnership aims to improve healthcare access for everyone.
How to Schedule a Ride with IEHP
Scheduling a ride with IEHP is easy and follows certain rules. This ensures members get to their medical appointments on time. It helps whether it’s for regular check-ups or special care.
Step-by-Step Guide
To schedule medical transportation, just follow these steps. They help you use IEHP ride services well:
- Contact IEHP: First, call the IEHP Member Services at least three hours before you need to leave.
- Verify Eligibility: Check if you’re eligible for transport services. Say what kind of service you need.
- Documentation: Get ready with all needed documents. This includes the IEHP-approved Physician Certification Statement (PCS).
- Submit Request: Send in your transport request by fax or through the IEHP Secure Provider portal.
- Coordination: Make sure all information is correct. This helps in smooth ride coordination and avoids delays.
Submission of Physician Certification Statement (PCS)
For non-emergency transport, you need to send an IEHP-approved Physician Certification Statement (PCS). This document explains your medical condition and why you need special transport. A correctly filled form helps the transport provider, like Call the Car, prepare better for your needs.
IEHP works with Call the Car for transport services. They offer help after hours. They provide curb-to-curb and door-to-door services from 7:00 pm to 7:00 am weekdays. They also work from 5:00 pm to 8:00 am weekends.
It’s important to plan ahead for transport. This ensures you get the service you need on time. Call 855-490-3817 for after-hours transport or help with IEHP ride coordination.
IEHP makes sure members get to their healthcare services easily. Make sure your requests are complete and submitted early. This way, you get the service you need without delay.
Timely Coordination of Transportation
IEHP offers timely healthcare transportation to help members get to their medical appointments. They serve over 435,000 members, with 364,000 on Medi-Cal and 20,000 on Medi-Cal Seniors and Persons with Disabilities. They focus on timely coordination to make healthcare better for everyone.
Advanced Notice Requirements
IEHP needs at least two business days’ notice for transportation. This helps them manage the demand and avoid delays. By giving notice, members can book their appointments and keep their healthcare plans on track.
After-Hours Process
IEHP knows healthcare needs don’t stop at night. They work with Call the Car for after-hours transport. This way, members get help even when it’s not business hours. IEHP’s after-hours services make sure healthcare is always available.
These services also help with better care coordination. For example, SPD members now use inpatient care less, thanks to better planning. This shows how important reliable transport is for good healthcare.
| Service | Details |
|---|---|
| Advance Notice | Minimum of 2 business days required |
| After-Hours Services | Partnership with Call the Car for urgent transportation needs |
| Member Reach | Over 435,000 members, with 364,000 on Medi-Cal |
| Outpatient Coordination | Decreased inpatient utilization rate |
IEHP keeps focusing on timely coordination of transportation for all members. They make sure everyone gets the healthcare they need, on time and without trouble.
Exclusions and Limitations of IEHP Transportation
IEHP offers reliable transportation for medical needs. But, there are some exclusions and limitations to know. These rules help make sure services are used right and available for those who really need them.
Non-Covered Services
Not all travel is covered by IEHP’s transportation benefits. Services not included are one-way trips and visits not for medical care. For example, going to court or social services offices is not covered.
Also, trips for errands or social visits are not included. It’s key to know what IEHP doesn’t cover.
Boundary Limitations
IEHP’s services have area limits too. They only cover San Bernardino and Riverside counties. Trips outside this area are usually not covered.
This shows how important it is to know your healthcare plan’s transportation limits. Providers from outside the IEHP network might charge more, as they do for out-of-network services.
Understanding these limits helps you use IEHP services better. This way, you can meet your healthcare needs more effectively.
FAQ
Does IEHP Provide Transportation for Medical Appointments?
Yes, IEHP offers transportation for medical appointments. It works with Call the Car (CTC) for this service. They provide both NEMT and NMT options.
What Services Are Included in IEHP’s Transportation Program?
IEHP’s services include curb-to-curb and door-to-door rides. They also have wheelchair and gurney vans for special needs. But, they don’t offer ambulance services.
These services are for hospitals, skilled nursing facilities, and dialysis centers in the IEHP network.
What Types of Transportation Does IEHP Offer?
IEHP offers shared rides, wheelchair-accessible vans, and gurney vans. These are tailored to meet the mobility needs of its members.
What is Non-Emergency Medical Transportation (NEMT) and Why Is It Important?
NEMT is vital for those with medical conditions that make regular transport hard. It ensures members can get to healthcare visits safely.
Who Is Eligible for IEHP’s NEMT Services?
IEHP members can use NEMT if it’s medically necessary. They need to submit a PCS form and get it approved.
Which Medical Services Are Covered Under IEHP’s NEMT?
IEHP covers NEMT for hospital discharges, inter-facility transfers, and urgent care visits. But, it must not need ambulance services.
How Can I Request NEMT through IEHP?
To request NEMT, submit a PCS form and a Transportation Request Form. You can fax them or use the Secure Provider portal. You need to show medical necessity.
Does IEHP Provide Transportation for Visits to Primary Care Physicians?
Yes, IEHP offers rides for visits to primary care physicians. This includes routine check-ups and important medical consultations.
Are Specialist Consultations Covered by IEHP’s Transportation Services?
Absolutely, IEHP provides transportation for specialist consultations. This ensures members can attend necessary appointments with healthcare specialists.
Does IEHP Offer Transport to Urgent Care and Emergency Departments?
Yes, IEHP includes transportation to urgent care facilities and emergency departments. This ensures members can get critical care when needed.
What Accessibility Features Are Available in IEHP’s Transportation Services?
IEHP offers wheelchair and gurney vans, including those for bariatric needs. These services are for members with special mobility needs.
How Does IEHP Handle Bariatric Transportation Needs?
IEHP’s services include vehicles with bariatric capabilities. This ensures safe and comfortable travel for members needing extra support due to weight.
What is Call the Car and How Does It Partner with IEHP?
Call the Car (CTC) is IEHP’s transportation vendor. They provide non-emergent rides for IEHP members. This helps with timely medical appointments, discharges, and transfers.
How Can I Schedule a Ride with IEHP?
To schedule a ride, submit transportation and PCS forms via fax or online. It’s important to detail the member’s condition and the needed service.
What Are the Advanced Notice Requirements for Scheduling Transportation?
IEHP suggests scheduling transportation at least two business days in advance. This ensures timely service and avoids delays.
Does IEHP Offer After-Hours Transportation Services?
Yes, IEHP has an after-hours process with Call the Car for urgent needs. Members can get transportation services at all times, ensuring they get the care they need.
Are There Any Non-Covered Services in IEHP’s Transportation Program?
Yes, some services are not covered. IEHP doesn’t cover one-way trips, non-medical visits, or visits outside San Bernardino and Riverside counties. Visits to non-medical places like courts and social services offices are also not covered.
What Are the Boundary Limitations for IEHP’s Transportation Services?
IEHP’s services are limited to San Bernardino and Riverside counties. They don’t provide services outside these areas. This ensures focused and efficient service delivery within the network.
