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SPA 19-0003 Non-Emergency Transportation (NET) Broker Contract approved by CMS

State Plan Amendment (SPA) 19-0003 Non-Emergency Transportation (NET) Broker Contract has been approved by the Centers for Medicare and Medicaid Services (CMS) which corresponds with the new NET Broker contract operational effective date of February 1, 2019.  This SPA includes the following changes:  a) Updating the reimbursement methodology to reflect the new NET Broker Contract, b) Adding non-emergency air transportation services to the NET Broker program, c) Describing the reimbursement methodology for NET ambulance hospital-to-hospital transports, d) Removing long-term care residents from the NET Broker program, and e) Adding language regarding coverage of and reimbursement for transportation provided by Prescribed Pediatric Extended Care (PPEC) centers outside of the NET Broker program.

For more information read the approved SPA pages.