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Non-Emergent Medical Transportation (NEMT) is transportation to and from covered non-emergency medical appointments or services. NEMT is only available when a Health First Colorado (Colorado's Medicaid Program) member has no other means of transportation. NEMT services are coordinated by a State Designated Entity (SDE). Colorado has three types of SDEs:
NEMT will continue to operate as normal, although due to the Governor issuing a statewide Stay at Home order, members should only be traveling for essential medical appointments. Please continue to schedule rides using the normal processes.
At this time, there are no policy changes to limit, or discontinue NEMT services.
The option for “multiloading” more than one passenger has been removed during this time of encouraged social distancing.
All Members should be calling their provider, prior to scheduling any appointment as facilities may advise them to not come in person if they are having symptoms of COVID-19.
If Members are having symptoms they would consider life threatening, they should call 911, as NEMT is for scenarios that are Non-Emergent.
It is strongly suggested that transportation providers follow guidance set forth by the Center for Disease Control (CDC) to prevent the spread of COVID-19
Recommended actions include:
In addition, by taking the below necessary precautions/steps, you can help eliminate the spread of the virus and ensure the well-being of passengers.
The State is unable to offer any type of additional funding, or sanitation supplies (hand sanitizer, wipes, or masks) to transportation providers or members.
For more information about COVID-19 please visit https://www.cdc.gov/ or https://covid19.colorado.gov/
Note: Child Health Plan Plus (CHP+) is not a Health First Colorado program and is not eligibible for NEMT services.
Transportation to and from Health First Colorado covered non-emergency medical appointments or services when a member has no other means of transportation. Types of transportation available vary by location and may include:
The transportation mode authorized will be the least costly available based on your condition.
Meals and lodging may be covered under NEMT. Transportation, meals and lodging for an escort to accompany an at-risk adult or child may also be covered.
Drivers are not required to assist with any personal care nor enter a member's house for any reason. However, you may travel with an escort if needed during your trip to assist with these tasks. If housing barriers present safety hazards for you or prevent safe exit from your home, please contact your care coordinator or case manager for assistance with resources. If you are enrolled in a Home and Community Based Services (HCBS) Waiver program, some non-medical transportation may be covered. For additional information, contact your local Single Entry Point Agency.
If you live in the following counties, contact IntelliRide at (303) 398-2155 or (855) 489-4999. To schedule online go to gointelliride.com/colorado/.
If you live in the following counties, contact Mountain Ride Transportation Resource Center at 844-686-7433 (Toll-Free).
If you live in a county that is not listed above, contact County Express at 970-867-6494 for Fort Morgan, 970-542-6440 for Sterling, or 970-848-0300 for Yuma.
If you live in the following counties, contact Red Willows at 719-589-5734.
If you live in a county that is not listed above, please contact your local county office.
For more information contact the Health First Colorado Member Contact Center.
The information you are required to provide varies by location but will typically include:
If you believe you require train, air, and/or out-of-state travel, contact your SDE as soon as possible. As required by the NEMT Benefits Collaborative Policy Statement, train (intrastate), air, and out-of-state travel must be prior authorized by the state authorizing agent at the request of the SDE. The Department requires that the NEMT Request Form be completed and submitted prior to travel. The form should be submitted as soon as travel is requested to allow sufficient time for Departmental review.
The Accountable Care Collaborative (ACC) is Health First Colorado's primary health care program. A Regional Organization can assist members with finding providers and specialist, communication with health care providers, and finding community and social services.
