HSTP Region 8 Meeting June 20 th , 201 9 Kristen Gisondi, HSTP - - PowerPoint PPT Presentation

Champaign County Regional Planning Commission

HSTP Region 8 Meeting

June 20th, 201 9 Kristen Gisondi, HSTP Coordinator

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
• rganization 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
• Service contract revenue is

needed to draw down local match funds for rural public transit

• Operational costs
• Other sources of local match:

municipal subsidy, donations, advertising, DOAP, etc.

• Getting Started
• Do your market research to

see what groups locally use

• r need transportation
• Join interagency coalitions
• Make it known that your
• rganization wants to

partner with other groups

• 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
• Gentleman’s Agreement
• No term, undetermined

amount/service level

• Cannot be claimed as match
• Ex. Trips provided for sporting

events, special tours, etc.

• Basic
• Not specific; provide “A” in exchange

for “$B”

• Higher risk, smaller revenues
• Single-page documents
• Flat-fee (similar to basic)
• Static revenue (program-

driven)

• Variable service-level (rider-

driven)

• Some protection clauses
• Ex. Senior day center programs

Service Contracts

• Types of Contracts
• Cost reimbursement
• 100% cost recovery
• Predetermined service levels
• Significant protection clauses
• Ex. Fixed-route served; same

cost no matter the ridership

• Fee per ride or mile
• Fully allocated costs
• Variable revenue

(rider/destination driven)

• Specific service levels (times,

days)

• No contract = project

income only

• Similar to fares
• OIPI policy
• Choice is 1

00% up to your agency based on goals and comfort level

• OIPI does not mandate what

terms must be included in the agreement

• Every agency has their own

preferred terms

Service Contracts

• Public versus private contracts
• Must ensure the service is not

charter

• FTA rule = transit agencies cannot

unfairly compete with privately owned bus companies

• Cannot serve outside of service area
• r schedule
• Cannot charge premium fares
• For-profit = decreases

expenditures; recorded as fare box revenue

• Non-profit/public agency = can

be used as local match

• Charter exemptions
• Official government business;
• Qualified Human Service

Organizations

• When no registered charter

provider responds to a notice sent by a recipient

• Leasing (must exhaust all

available vehicles first)

• By agreement with all

registered charter providers;

• Events of regional or national

significance, or hardship.

Service Contracts

• Negotiating Service

Contracts

• Perform a cost analysis
• Trip length
• Deadhead analysis
• Live miles
• Time
• Number of wheelchairs
• Percent of no-shows
• Can contract for less than the

actual cost to provide trip

• Review service every 3 to 6

months

• Performance Measures
• Should keep them for your
• wn record for analysis
• Provide this data to the

agency you contract with

• Time of year ridership

fluctuation

• Number of wheelchair/lift users
• Most used routes
• Fixed-route v. demand-response

(if applicable)

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
• From 2000 to 201

5, ESRD patients increased by 80%

• Only 26% of patients drive

themselves (U.S. stat)

• 20% are driven by family or

friends

• MCOs pushing to get

patients to use the closest dialysis center

• Ride jumping = patients use

ADA instead of Medicaid because it’s unreliable

• TNCs cannot fulfill Medicaid

trips because of training requirements

• Big issues
• Dialysis centers don’t coordinate

with public transit

• Large dialysis ridership prevents

general public use (scheduling)

• Public transit showing up late or

early, disrupting treatment

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
• 5 new dialysis riders
• $1

6,000~ annually

• Coles
• 1

3 new riders

• $50,000~
• DeWitt
• 40 new riders
• $1

55,00~

• Edgar
• 6 new riders
• $20,000~
• Macon
• 1

1 new riders

• $38,000~
• Shelby
• 6 new riders
• $20,000~
• Vermillion
• 1

9 new riders

• $75,000~
• No data for:
• Cumberland
• Douglas
• Moultrie
• Piatt

Dialysis Transportation

• Developing policy
• Important to stay compliant
• No more than 50% of total trips

are subscription

• Scheduling for dialysis trips

cannot interfere with general public availability

*Communication is key for dialysis trips!

• Improving service
• Service contracts
• Decrease costs, increase

efficiency

• For-profit regulations (project

income, not match)

• Fixed-Route
• Determine where most dialysis

trips end and begin

• Encourage dialysis patients to

use fixed-route

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
• Transit agency exceptions
• Causes a direct threat to the

health or safety of others

• Fundamental alteration of service
• Unnecessary in order for the

individual with the disability to receive services

• Undue financial or admin hardship

to transit agency

• Ex. Request specific driver
• Common examples:
• Picking a rider up at a building

entrance that is flat and unobstructed

• Helping an individual who is blind

get to the front of the building in extreme weather

• Allowing a person with diabetes

to eat on the bus to avoid a drop in glucose

Coordinated Transportation

• Consumers with

intellectual disabilities

• Service contracts for return

trips for PCAs

• Charter cases of exemption
• Human Service Agency
• Program purpose
• No premium charge applied
• Transporting employees for

training

• Benefits
• Both agencies save money
• Possible public transit

service expansion

• Increased mobility

Medicaid Transportation

• Some MCOs have very large

service areas

• Creating geographic

information for each provider

• Some MCOs are now

requiring that clients verify that they cannot use fixed- route services if they are available

• Encourage providers to be

very specific about service area in the contract

• NEMT with TNCs
• State approval will have be

to passed

• Many requirements for

training and fingerprinting, etc. *Tracking MCO-related denials?

Operating with Limited Budgets

• Operation revenue
• Cost analysis per trip, mile
• Analyze to find most costly

routes, time of year, days, etc.

• Consolidate routes if needed
• Maintenance revenue
• Find true cost
• Track consistently
• Analyze routes to find where

most accidents occur

Operating with Limited Budgets

• Low-cost marketing
• Have current staff develop
• wn designs
• Use free resources such as

NADTC campaign 

• Use social media
• Get partners to follow and share
• Be consistent with content
• Create materials that will

last a while

• Direct people to your website for

more specific service information

Report Card Data Needed

• Central Illinois Public Transit
• CTF
• Crosspoint Human Services
• Developmental Services

Center

• LifeLinks
• Moultrie County Beacon
• Shelby County Community

Services

• Swann Special Care Center

Agency Updates

• Current conditions
• Accomplishments
• Opportunities for coordination
• New programs/activities
• Other noteworthy information

Next Meeting: September 1 2th

Human Resources Center of Edgar and Clark Marshall, IL