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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 plans to issue a Request for Proposals (RFP) in late 2018 to reprocure the NEMT Broker contract. The contract will be effective July 1, 2019.
RFP feedback has been obtained through the Transportation Benefits Collabroative process. The Benefits Collabroative process indicated a need for a Request for Inforation (RFI) which will be released in the Summer of 2018.
Information will be posted here as it becomes available. 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, therefore, is not eligibility 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. Howerever, 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 recources.
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:
Train (intrastate), Air, and Out-of-State Travel
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 reequires 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 Department's Website: www.colorado.gov/hcpf/provider-rates-fee-schedule.
*Found under Transportation Rate Schedule
NEMT Providers in the Broker Service Area
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).
New Medicaid Client Transportation (MCT) Permit Effective December 1, 2016
House Bill 18-1321 Signed by the Govenor
Governor Hickenlooper signed House Bill 18-1321 into lawn 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.
Total Transit is Now Known as Veyo
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.
NEMT County Frequently Asked Questions