HSTP Region 8 Meeting June 20 th , 201 9 Kristen Gisondi, HSTP Coordinator Champaign County Regional Planning Commission Arcola Center
Bylaw Changes • Proxy procedures • Section G. Voting • Part 2: “Any member of the Policy and Technical Committee may select a designated representative to have proxy voting rights at the meeting in their absence.” • “Proxy voting representatives for the technical committee must work for the same organization as the committee member.” • “Proxy voting representatives for the policy committee must work or live in the same county as the policy committee member.”
Bylaw Changes • Proxy procedures • Section G. Voting • Part 3: “Proxy voting representatives are designated annually (at the beginning of the calendar year) by each voting member and kept on file with the HSTP staff.” • Adding: “A proxy may only act as proxy for one Region 8 HSTP organization during the calendar year.” • “A proxy voting representative may only serve as proxy for one Region 8 HSTP member organization at a time during the calendar year.” • “The HSTP technical and policy committee will follow a “one person, one vote” procedure for each committee.” • “A member may vote on both the policy and technical committee if the HSTP member is a designated proxy for a representative on the other committee.”
Service Contracts • Purpose • Getting Started • Service contract revenue is • Do your market research to needed to draw down local see what groups locally use match funds for rural public or need transportation transit • Join interagency coalitions • Operational costs • Make it known that your • Other sources of local match: organization wants to municipal subsidy, donations, partner with other groups advertising, DOAP, etc. • Use selling points • Safety • Expertise • Cost-savings
Service Contracts • Benefits of Service Contracts • Bring transit systems’ overall service costs down (lower cost, per trip) • More efficient system • Eliminate unnecessary competition for scare resources • Allow transit system to represent all transportation needs without prejudice • Stop underutilized resources from going to waste • Make use of deadhead time • Flexible revenue • Match, capital, expansion, etc.
______ Individuals with Disabilities
Service Contracts • Types of Contracts • Flat-fee (similar to basic) • Gentleman’s Agreement • Static revenue (program- • No term, undetermined driven) amount/service level • Variable service-level (rider- • Cannot be claimed as match driven) • Ex. Trips provided for sporting • Some protection clauses events, special tours, etc. • Ex. Senior day center programs • Basic • Not specific; provide “A” in exchange for “$B” • Higher risk, smaller revenues • Single-page documents
Service Contracts • Types of Contracts • No contract = project income only • Cost reimbursement • 100% cost recovery • Similar to fares • Predetermined service levels • OIPI policy • Significant protection clauses • Choice is 1 00% up to your • Ex. Fixed-route served; same cost no matter the ridership agency based on goals • Fee per ride or mile and comfort level • Fully allocated costs • OIPI does not mandate what • Variable revenue terms must be included in (rider/destination driven) the agreement • Specific service levels (times, • Every agency has their own days) preferred terms
Service Contracts • Public versus private contracts • Charter exemptions • Must ensure the service is not • Official government business; charter • Qualified Human Service • FTA rule = transit agencies cannot Organizations unfairly compete with privately owned • When no registered charter bus companies provider responds to a notice • Cannot serve outside of service area sent by a recipient or schedule • Leasing (must exhaust all • Cannot charge premium fares available vehicles first) • By agreement with all • For-profit = decreases registered charter providers; • Events of regional or national expenditures; recorded as fare significance, or hardship. box revenue • Non-profit/public agency = can be used as local match
Service Contracts • Negotiating Service • Performance Measures Contracts • Should keep them for your own record for analysis • Perform a cost analysis • Provide this data to the • Trip length agency you contract with • Deadhead analysis • Time of year ridership • Live miles fluctuation • Time • Number of wheelchair/lift users • Number of wheelchairs • Most used routes • Percent of no-shows • Fixed-route v. demand-response • Can contract for less than the (if applicable) actual cost to provide trip • Review service every 3 to 6 months
Service Contracts • Region 8 • All 531 1 agencies have service contracts • In all but one county • All but three 531 0 agencies have service contracts • 201 7 • 5311 agencies 46 service contracts • 5310 agencies 10 service contracts • 56 total service contracts in 2017 • 201 8 data pending Examples of issues and successes?
Dialysis Transportation • Dialysis • TNCs cannot fulfill Medicaid • From 2000 to 201 5, ESRD trips because of training patients increased by 80% requirements • Only 26% of patients drive • Big issues themselves (U.S. stat) • Dialysis centers don’t coordinate • 20% are driven by family or with public transit friends • Large dialysis ridership prevents • MCOs pushing to get general public use (scheduling) patients to use the closest • Public transit showing up late or dialysis center early, disrupting treatment • Ride jumping = patients use ADA instead of Medicaid because it’s unreliable
Dialysis Transportation
Dialysis Transportation • Forecasting tool • Provided by Transportation Research Board • Projected to 2025 • Example – Champaign County (C-CARTS) • 2,300 more trips • 15 new riders on dialysis • Increase around $60,000 annually • 5% increase in home treatments (average)
Dialysis Transportation • Clark • Macon • 5 new dialysis riders • 1 1 new riders • $1 • $38,000~ 6,000~ annually • Coles • Shelby • 1 • 6 new riders 3 new riders • $50,000~ • $20,000~ • DeWitt • Vermillion • 40 new riders • 1 9 new riders • $1 • $75,000~ 55,00~ • Edgar • No data for: • 6 new riders • Cumberland • $20,000~ • Douglas • Moultrie • Piatt
Dialysis Transportation • Developing policy • Improving service • Important to stay compliant • Service contracts • No more than 50% of total trips • Decrease costs, increase are subscription efficiency • Scheduling for dialysis trips • For-profit regulations (project cannot interfere with general income, not match) public availability • Fixed-Route • Determine where most dialysis trips end and begin *Communication is key for • Encourage dialysis patients to use fixed-route dialysis trips!
Breakout subcommittees Transportation for Persons with Intellectual Limitations Medicaid Transportation Operating with Limited Budgets *Discussion sheets in folders
Coordinated Transportation • Transit agency policies can help • Calling out arrival at fixed-stops • Driver sensitivity training • Bus stop accessibility • Outreach to blind and hearing loss groups or similar • Service contracts
Coordinated Transportation • Reasonable Modification • Common examples: • Transit agency exceptions • Picking a rider up at a building • Causes a direct threat to the entrance that is flat and health or safety of others unobstructed • Fundamental alteration of service • Helping an individual who is blind • Unnecessary in order for the get to the front of the building in individual with the disability to extreme weather receive services • Allowing a person with diabetes • Undue financial or admin hardship to eat on the bus to avoid a drop to transit agency in glucose • Ex. Request specific driver
Coordinated Transportation • Consumers with • Benefits intellectual disabilities • Both agencies save money • Service contracts for return • Possible public transit trips for PCAs service expansion • Charter cases of exemption • Increased mobility • Human Service Agency • Program purpose • No premium charge applied • Transporting employees for training
Medicaid Transportation • Some MCOs have very large • NEMT with TNCs service areas • State approval will have be to passed • Creating geographic • Many requirements for information for each provider training and fingerprinting, • Some MCOs are now etc. requiring that clients verify that they cannot use fixed- route services if they are *Tracking MCO-related available denials? • Encourage providers to be very specific about service area in the contract
Operating with Limited Budgets • Operation revenue • Maintenance revenue • Cost analysis per trip, mile • Find true cost • Analyze to find most costly • Track consistently routes, time of year, days, etc. • Analyze routes to find where • Consolidate routes if needed most accidents occur
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