MDwise Transportation Benefit Management HHW-HIPP0519( 10/17) - - PowerPoint PPT Presentation

mdwise transportation benefit management
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MDwise Transportation Benefit Management HHW-HIPP0519( 10/17) - - PowerPoint PPT Presentation

MDwise Transportation Benefit Management HHW-HIPP0519( 10/17) Company History Ride Right began operations in 2009, providing fixed-route and para-transit service with a focus on passenger experience and a hands-on management approach.


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MDwise Transportation Benefit Management

HHW-HIPP0519( 10/17)

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Company History

▪ Ride Right began operations in 2009, providing fixed-route and para-transit service with a focus on passenger experience and a hands-on management approach.

2009

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Ride Right/Mdwise Partnership

▪ Ride Right began as the transportation benefit manager for the MDwise Hoosier Healthwise population on December 15, 2010. ▪ In 2015, Ride Right expanded services to HIP.

2009 2010 2015 2010

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National Footprint

▪ While growing with MDwise, Ride Right has expanded services nationally, servicing over 1.2M trips annually.

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Program Goals

▪ Eliminating barriers to health care ▪ Ensuring Continuity of Care ▪ Assisting in member recruitment and retention ▪ Reducing potential for fraud, waste and abuse

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Program Criteria

▪ Aligned with IHCP standards for member service and provider requirements ▪ Utilization of most appropriate mode of transportation

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Accessing Service

Ride Right ensures access to medical treatment through its Call Center and Provider Services.

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Accessing Service: Call Center

▪ How can Ride Right be reached?

▪ 1-844-239-5972 | HIP ▪ 1-888-513-0710 | Hoosier Healthwise

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Accessing Service: Call Center

▪ When can Ride Right be reached?

▪ Monday – Friday; 8:00am – 8:00pm EST. ▪ Open 24/7 for non-routine, urgent scheduling and ER discharges.

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Accessing Service: Call Center

▪ What can I expect when I call?

▪ CSRs are professional, friendly, educated in MDwise protocols and receive ongoing coaching. ▪ Average Speed to Answer < 30 seconds ▪ Abandonment Rate < 5%

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Accessing Service: Call Center

▪ What information should callers provide?

▪ Your RID number and personal information ▪ Special needs that would affect transportation ▪ All medical appointment information

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Accessing Service: Call Center

▪ How much notice should members give?

▪ Members must provide 2 business days’ notice for all trips. ▪ Ride Right will make attempts to schedule under the days’ notice but cannot guarantee service.

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Accessing Service: Call Center

▪ Is there a limit on the amount of trips?

▪ After the first 20 trip legs, Ride Right will seek authorization from MDwise for additional trip legs.

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Accessing Service: Providers

▪ Once trips are scheduled with the Call Center, they will be assigned to a transportation provider.

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Accessing Service: Providers

Transportation Modes ▪ Ride Right will consider the caller’s mobility and special needs to assign the most appropriate mode

  • f transportation.

PUBLIC (BUS) GAS REIMBURSEMENT SEDAN WHEELCHAIR STRETCHER AMBULANCE

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Accessing Service: Providers

Credentialing ▪ Ride Right providers undergo a thorough background and credentialing process to ensure member safety.

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Accessing Service: Providers

Credentialing ▪ Web-based storage system ▪ Automated renewal reminders

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Accessing Service: Providers

Oversight ▪ Transportation Providers are overseen by a Network Manager who monitors performance, vehicle conditions, and ensures network adequacy.

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Accessing Service: Providers

Claims ▪ Web-based submissions ▪ Mobile Capabilities ▪ Prompt Payment

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Accessing Service: Providers

TP Helpdesk ▪ Real-time support ▪ 7:00am – 8:00pm EST

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Accessing Service

Through accessible scheduling and transportation resources, Ride Right seeks to ensure continuity of care by connecting members to their medically necessary services.

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Program Feedback

▪ Member Surveys conducted by a third- party to measure satisfaction with call center and transportation performance. ▪ Grievances may be filed through Ride Right’s We Care line: 1-866-436-0457.

▪ Thorough Investigation and Resolution ▪ Member Acknowledgement ▪ Grievance Summary Reports sent to MDwise

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Ride Right is honored to be the transportation program manager for MDwise.

QUESTIONS? QUESTIONS?