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As a single-source solution, LogistiCare provides complete management of non-emergency transportation processes for our clients' Medicaid population.
Our business model is remarkably efficient. It's designed to simplify all the complexities involved in NET service provision from screening and gatekeeping, to case management and billing verification.
Following are specific details about our comprehensive Medicaid NET offerings:
Management of front-end screening to remove fraud and abuse, and reduces the need for back-end bill reconciliation.
- Call screening based on client-provided benefit, eligibility criteria
- Screening to determine transport type
- Electronic transfer of customer data (HIPAA compliant)
Seamlessly blended communications systems with business-critical information to enhance passenger care and responsiveness.
- 24-hour availability, 365 days a year
- Automated screening and processing
- Intelligent call routing
- Internet-enabled communications
- Toll-free access
- Subscription, reservation and on-demand requests
- Database, utilization and client file management
- Fail-safe backup systems
- Multilingual and hearing-impaired services
- Complete real-time and historic performance reports
- Comprehensive scheduling, route optimization
Building and managing a local network of transportation companies offers service and vehicle type flexibility with enhanced customer services.
- Local transportation network development and management
- Sedan and taxi
- Wheelchair van
- Critical care transports
- Land or air ambulance (ALS, BLS)
- Specialized critical care
- Neonatal intensive care
- Gurney van
- Public transit
- Volunteer drivers
- Customer reimbursement
- Vehicle inspection and fleet management
- Vehicle tracking and onboard messaging
- Staff background checks, drug testing and training (CPR, OSHA, bloodborne pathogen, Passenger Assistance Training, defensive driving)
- Coordination with other social service programs
- Customer access assurance
- Billing management and claims adjudication
- Customer reimbursement program
- Medical services billing fraud detection and management
- Complete administration of transportation company reimbursements
- Risk management
- Discounted rates for prefunded payment methodology
- Discounted rates for patients requesting noncovered services
Our innovative technology and aggressive quality assurance program complements and supports our case management services.
- Dedicated team staffed by nurses, paramedics, social workers and certified trainers.
- Implementation outreach including on-site visits to health facilities, in-service training on transportation options and contract procedures.
- Standing order coordination
- Continuing education units through formal off-site training
- Individualized problem solving
- Adherence to NCQA guidelines
- HIPAA compliant
- Quantitative customer satisfaction research
- Client and driver focus group research
- Grievance resolution and incident reporting
- Internal monitoring - all customer service calls fully recorded
- External monitoring - planned and spot field inspections
- Provider staff background checks, drug testing and training
- Electronic encounter data
- Customized reporting
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Services and Features
