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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:
The Department has released the formal Request for Proposals (RFP) for the NEMT Broker in the Denver Metro area which includes Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson, Larimer, and Weld Counties. Potential bidders must access the RFP using the Colorado Vendor Self Service (VSS) website: www.colorado.gov/vss, click "Public Access." The deadline for proposal submission is February 8, 2019.
RFP feedback has been obtained through the Transportation Benefits Collaborative process. The Benefits Collaborative process indicated a need for a Request for Information (RFI) which was released on July 2, 2018. The RFI is available on the Colorado Vendor Self Service (VSS) website. You can send an email with questions to HCPF_NEMT_RFP@hcpf.co.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.
Transportation anywhere other than a covered Health First Colorado medical appointment or service at an authorized Health First Colorado provider service location.
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 Veyo at 855-264-6368
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 Customer 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.
Additional provider enrollment information is avaible here: www.colorado.gov/hcpf/provider-enrollment.
NEMT Benefit Coverage Standard
All Billing Manuals are located on the Department's Website: www.colorado.gov/hcpf/billing-manuals.
*Found under CMS 1500, Transportation
All Rate Schedules are located on the Provider Rates and Fee Schedule page under Transportation Rate Schedule.
NEMT providers that service the nine-county broker serve area (Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson, Larimer, and Weld Counties) must be in the broker network before providing services. The Deparment has delegated network oversight to the broker and the Department will not consider any requests to expedite entry into the network.
All claims for services must be submitted to the broker and will not be paid by the Department's fiscal agenty directly. Claims submitted to the Department's fiscal agent by providers in the broker service area will be denied.
To enroll in the network, contact the Broker (currently Veyo).
All Billing Manuals are located on the Billing Manuals page under CMS 1500, Transportation.
NEMT County Frequently Asked Questions
The Accountable Care Collaborative (ACC) is Health First Colorado's primary health care program. A Regional Accountable Entity (RAE), formerly known as Regional Care Collaborative Organization (RCCO), can assist members with finding providers and specialist, communication with health care providers, and finding community and social services.
Governor Hickenlooper signed House Bill 18-1321 into law on May 30, 2018. This bill directs the Department to implement urgent transportation services into NEMT statewide effective January 1, 2019.
As outlined in HB 16-1097, the Public Utilities Commission (PUC) began issuing new Medicaid Client Transportation (MCT) permits on December 1, 2016.
To obtain an MCT permit, providers must complete the NMT/NEMT Provisional Agreement and follow all instructions outlined in the Provisional Agreement.
Effective July 1, 2016, Total Transit’s NEMT services will be known as Veyo. Veyo is the largest company in the family of Total Transit, Inc. companies. This change will not impact NEMT services or processes.
