§ 2070.4. Definitions.

 The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

   Client—A person whose eligibility has been determined and who is receiving medical transportation service.

   County—A county of this Commonwealth or the city of Philadelphia.

   Department—The Department of Human Services of the Commonwealth.

   Exceptional transportation service—Nonemergency transportation which is necessary under extraordinary medical circumstances. This type of transportation may require traveling great distances for medical treatment not normally provided through regional medical providers. The term includes air travel.

   Medical assistance eligible—A resident of this Commonwealth who has been determined eligible for a category of public assistance and whose name appears as an eligible recipient on a currently valid medical services eligibility card.

   Medical services eligibility card—The identification card issued by the Department to persons eligible for medical benefits under the following assistance programs available in this Commonwealth:

     (i)   Categorically Needy Program (Cash Assistance, nonmoney payment, SSI).

     (ii)   Blind Pension Program.

     (iii)   Medically Needy Program.

   Medical transportation service—Transportation to a medical facility, physician’s office, dentist’s office, hospital, clinic, pharmacy or purveyor of medical equipment for the purpose of receiving medical treatment or medical evaluation or purchasing prescription drugs or medical equipment. The term does not include emergency medical transportation that would normally be provided by an ambulance.

   Provider—A public agency, private organization, or individual who has been designated by the county commissioners, county executive, or prime contractor to provide transportation services or to determine and redetermine eligibility of persons for transportation service. The term is not the same as a provider of medical assistance services.

   Prime contractor—A public or private agency or organization under a direct contract with the Department for the provision of transportation services under the Public Assistance Transportation Block Grant program.

   Public Assistance Transportation Block Grant—Funding for county governments in this Commonwealth and prime contractors for the provision of medical transportation services to eligible public assistance recipients.

   Service mode—The method used to provide transportation services to clients. The term includes but is not limited to public or private fixed route service, exclusive ride service, shared ride service, and commuter rail service.

   Service need (need for services)—The client’s need for medical transportation services. Service need is determined through an assessment of the client’s mental and physical capability to use the various modes of transportation available in the county, the client’s ability to meet the client’s own transportation needs, and the client’s ability to utilize transportation services funded by other State and Federal programs.

Cross References

   This section cited in 55 Pa. Code §  175.23 (relating to requirements).



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