Understanding Pennsylvania's Medical Assistance Transportation Program (MATP)

The Medical Assistance Transportation Program (MATP) in Pennsylvania provides essential transportation services to access medical care. Governed by state plans and codes, MATP aims to offer access to medical, pharmacy services, chronic disease management, and preventative care. Transportation providers include county government entities, brokerage agencies, and transit agencies, offering modes like mass transit, mileage reimbursement, and paratransit. To access MATP services, consumers must contact their county MATP agency to determine eligibility and complete the registration process. Covered services include transportation to MA-covered services like physician offices, dialysis, pharmacy, and more.

• MATP
• Pennsylvania
• Medical Assistance
• Transportation Program
• Healthcare

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1. MEDICAL ASSISTANCE TRANSPORTATION PROGRAM (MATP) MATP BASICS 9/28/2024 1

2. MATP Basics The MATP in Pennsylvania is governed by: State Plan under Title XIX of the Social Security Act Public Welfare Code (62 P.S. 202 & 403) 55 Pa. Code 2070, Eligibility for Services Funded Through the Public Assistance Transportation Block Grant MATP Standards and Guidelines (S & G) 9/28/2024 2

3. MATP Basics Continued The MATP is designed to provide: Access to MA compensable medical and pharmacy services Access to ongoing treatment of chronic diseases and care management Access to preventative care (equates to fewer and shorter hospital stays) 9/28/2024 3

4. Transportation Providers County Government Sub-Contracted Entities of County Government Transportation Brokerage Agencies Local Transit Agencies 9/28/2024 4

5. Available Modes of Transportation Mass transit (buses, trains, subways etc..) Mileage Reimbursement Paratransit (includes multi-modal and taxi) Volunteers 9/28/2024 5

6. Accessing MATP Services To begin the registration process, the consumer should contact the MATP agency in their county in order to determine and complete the following: Eligibility o 75% of all Category/Code combinations are eligible for the MATP o Consumers 65 years of age, are referred to the Shared Ride 65+ Program o Shared Ride pays 85% of the fare o MATP pays 15% of the fare Application Needs Assessment Determination of Mode 9/28/2024 6

7. Covered Services Grantee is required to provide transportation to all MA covered services. Examples of covered services: Physician s Office Dialysis Pharmacy Behavioral Health Methadone Clinic PT, OT, Rehab Urgent Care Trip (this does not refer to an Urgent Care Center) Grantee must ensure transportation is only to and from qualified MA-enrolled providers of their choice. 9/28/2024 7

8. Non-Covered Services Examples of non-covered services: Transportation to any service not MA compensable Transportation to non-medical services Transportation to adult day programs Transportation to urgent care centers 9/28/2024 8

9. The Provision of Services Transportation must be available to get consumers to and from qualified MA-enrolled providers of their choice who are generally available and used by other residents of the community. If necessary, the Grantee must allow one (1) escort to accompany a consumer depending on verifiable medical support, supervision, or translation needs. 9/28/2024 9

10. The Provision of Services Continued Depending on the circumstances and known factors, the Grantee may provide an attendant on the trip. In order to ensure that services are cost efficient and appropriate, the Grantee may sometimes request a waiver of a MATP requirement. There are times when the Grantee may, deny, reduce or terminate a consumer s request for transportation. 9/28/2024 10

11. The Provision of Services Continued If a request is outside the scope of MATP, the request is referred to either the HealthChoices Managed Care Organization, Community HealthChoices (CHC), or County Assistance Office (CAO) for consideration. MATP provides non-emergency medical transportation to CHC consumers and the application and access procedures are according to individual county policy. All exceptional transportation needs are referred to the County Assistance Office (CAO) as appropriate. 9/28/2024 11

12. MATP Updates A Workgroup comprised of members from several DHS agencies, PennDOT, Aging and external stakeholders have been meeting weekly since January to explore ways to improve the MATP. The Workgroup developed preliminary suggestions for improving the MATP and held listening sessions in November to gather feedback on the suggestions. 9/28/2024 12

13. COVID -19 Public Health Emergency DHS issued guidance in May 2020 and it remains in effect until the Governor s Proclamation of Disaster Emergency is cancelled. MATP agencies continue to screen consumers by asking a series of questions to determine if they can use MATP. Ridership has been fluctuating since April and continues to do so as the number of cases increase. 9/28/2024 13

14. Program Staff Assignments Erie McKean Warren Potter Tioga Bradford Susquehanna Crawford Wayne Wyoming Forest Sullivan Cameron Lackawanna Elk Venango Pike Lycoming Mercer Clinton Clarion Luzerne Jefferson Columbia Monroe Lawrence Clearfield Montour Union Butler Centre Armstrong Carbon Northumberland Snyder Beaver Northampton Indiana Schuylkill Mifflin Lehigh Cambria Juniata Allegheny Blair Berks Bucks Dauphin Perry Westmoreland Huntingdon Lebanon Montgomery Washington Cumberland Lancaster Fulton Chester Bedford Somerset Somerset York Fayette Delaware Greene Philadelphia Franklin Adams Jeffrey Stinson Ronald Minnich Daphne Simeonoff Eira Andrade-Hall 9/28/2024 14

15. MATP Staff Directory MATP Staff Directory Tamara Carter, Director 717-346-3937, tacarter@pa.gov Daphne Simeonoff, Program Manager 717-265-7829, daphsimeon@pa.gov - Allegheny, Bucks, Chester, Delaware, Fayette, Greene, Montgomery, Philadelphia, Washington Eira Andrade-Hall, Program Monitor 717-214-1351, eandradeha@pa.gov - Adams, Bedford, Blair, Cambria, Centre, Columbia, Cumberland, Franklin, Fulton, Huntingdon, Indiana, Juniata, Mifflin, Montour, Northumberland, Perry, Snyder, Somerset, Union, Westmoreland, York Ronald Minnich, Program Monitor 717-705-8259, rominnich@pa.gov - Armstrong, Berks, Carbon, Clearfield, Dauphin, Jefferson, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill, Susquehanna, Wyoming, Wayne Jeffrey Stinson, Program Monitor 717-783-3042, jstinson@pa.gov - Beaver, Bradford, Butler, Cameron, Clarion, Clinton, Crawford, Elk, Erie, Forest, Lawrence, Lycoming, McKean, Mercer, Potter, Sullivan, Tioga, Venango, Warren Cecilia Watkins, Program Analyst 717-214-1352, ccwatkins@pa.gov Systems point of contact, MATP encounter data, Server registration, instruction and technical assistance, and registration and MATP Website Maintenance 9/28/2024 15

16. Thank you! For more information, please visit www.matp.pa.gov 9/28/2024 16