FSSA’s Division of Aging and Office of Medicaid Policy and Planning submitted a request to the U.S. Centers for Medicare and Medicaid Services to allow attendant care providers to incorporate transporting individuals on the Aged & Disabled and Traumatic Brian Injury waivers to non-emergency medical appointments, while also accompanying them during their appointments to provide companionship and help ensure information is understood. This flexibility will also help to mitigate additional health risks by limiting their exposure to those outside their immediate families and caregivers.
Beginning on April 1, 2021, attendant care providers may provide this transportation benefit as part of the care they currently give to our vulnerable members. The flexibility granted by CMS will allow the benefit to continue for six months after the end of the federal public health emergency.
Attendant care providers may bill for the time they provide services during trips and appointment visits. Escorting of participants does not include mileage or other costs not associated with the provision of personal care. While this change is in effect starting April 1, 2021, there will be an additional publication in the upcoming weeks to detail a modifier that will need to be utilized for these claims after the system modification is completed. Prior to the system modification and notification to providers, no modifier is needed for claims to adjudicate properly. Please stay tuned for the upcoming publication explaining the modifier and when it will be required at a later date.
Attendant Care Service Definition has been updated to provide the following direction regarding transportation:
Transportation to-and-from community events with companion services provided during the course of transportation to medical appointments.
Examples of Reimbursable Attendant Care Transportation Services:
The attendant care aide may bill for the time it takes to perform each hands-on service for the participant.
Examples of Non-Reimbursable Attendant Care Transportation Services:
Any non-medical or companion services provided through the attendant care service, must remain within the overall allotted hours on the participant’s person-centered service plan.
Please email any questions about attendant care transportation options to firstname.lastname@example.org.
The Division of Aging is a program of the Indiana Family & Social Services Administration. If you have questions about Aging programs and services, visit us online at www.IN.gov/fssa/aging.