Southeastrans Confidential Material

Fee-For-Service Non-Emergency Medical Transportation Broker

• Our Experience

• Corporate Structure

• Provider Network

• Provider Partnership

• Training & Compliance

• Provider Credentialing Process

• NET InSight Mobile Technology

• Member Care Technology

• The Mobile Advantage (Claims)

• Q & A SessionSoutheastrans Confidential Material 2

Overview

• Medical transportation experience since 1974

• 17 Years as Medicaid NEMT Broker

• Operations in 5 states and the District of Columbia

• 2.3 million covered members

• 3.6 million trips annually

• 462 contracted NEMT Providers with 3500 drivers and vehicles

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Our Experience

• Executive Management

• Management & Operations

• Call Centers

• Dispatch

• Compliance

• Quality Assurance

• Claims

• Internal Audit

• Information Technology

• Training

• Provider Relations

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Corporate Structure

Our Executive Leadership Team

• Steve Adams – Chief Executive Officer

• Rob Zachrich – Chief Operating Officer

• Benjie Alexander – Chief Administrative Officer

• Jim Degliumberto – Chief Information Officer

• Gary Kinard – Chief Financial Officer

• Cathy Missildine – Chief Human Resources Officer

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Corporate Structure

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Provider Network

• Southeastrans currently contracts with more than 462 independent NEMT Providers

• Uses a comprehensive methodology for recruiting, credentialing, and training

• Our negotiations with NEMT providers are conducted on the principles of fairness and honesty

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Provider Network

Provider Partnerships

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Provider Network

Provider Partnership:• Regular provider meetings• Financial assistance when appropriate, such as fuel card program and auto

purchase.• Business and technical assistance, including: budgeting, routing, financial

analysis etc.• Weekly reimbursement• Provider portal, NET Notes and iPads provided at no cost to the provider• A culture of being “provider friendly” based on trust, integrity, and respect.• Must be enrolled as an IHCP provider prior to credentialing with

Southeastrans.

Compliance

• Credentialing of Providers and Drivers

• Digital vehicle inspections withphotographs

• Database link to vehicle tag numbers

• Field Integrity Unit

• Knowledgebase via the Provider Portal

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Training and Compliance

NEMT Driver Training• Community Transportation Association

of America (CTAA) Certified Trainers• Customer Service Emphasis and

HIPAA Awareness• Passenger Assistance, Safety and

Sensitivity(PASS)• First Aid/CPR/AED• Defensive Driving• Wheelchair and Stretcher Securement• Mobile Technology Training• NET Notes Southeastrans Confidential Material 10

Training and Compliance

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NET InSight™ Mobile App

“One of Georgia’s two NET brokers has

made innovative use of technology by

distributing mobile mini-tablets with

customized proprietary software to all

assigned drivers. The software enhances

the contractors’ ability to detect, deter,

and prevent fraud activities within the

broker’s contracted coverage area.”

2014 Georgia Medicaid Comprehensive

Program Integrity Review

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NET Notes

• GPS Enabled Messaging App

• Fleet Optimization

• Real-Time Beneficiary Data

• Traffic and Weather Updates

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Member Care Technology

A means for NEMT drivers to report concerns identified:

abuse environmental self-neglect vulnerability

Notifications are sent to the appropriate parties for further intervention.

Identifying people for intervention through services that may assist in improving their well-being and reducing the need for emergency intervention

Push Member messaging Import Client or

Southeastrans content Member reviews and

acknowledges message Digital signature capture

technology

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The Mobile Advantage (Claims)

• Using iPads will reduce the number of denials codes/denied claims

• Claims are submitted daily and providers are paid weekly

• No more mailing and making copies of paper claims

• Ease of operation

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Quest ons