Appendix A - Medicaid Provider Manual.docx

This document is Appendix A of the Medicaid Provider Manual, prepared by the State of Michigan for Non-Emergency Medical Transportation (NEMT) broker operations serving Medicaid Fee-For-Service beneficiaries. The manual establishes operational requirements and guidelines that brokers must follow to participate in Michigan's Medicaid program. The appendix outlines specific procedures, standards, and expectations for NEMT providers, including eligibility criteria, authorization processes, billing requirements, and performance metrics that brokers must maintain throughout their service delivery.

The document specifies compliance standards that NEMT brokers must adhere to when providing transportation services to Medicaid FFS beneficiaries, including requirements for vehicle maintenance, driver qualifications, member communication protocols, and documentation procedures. Brokers are required to maintain service quality standards, handle authorization requests within defined timeframes, and submit accurate billing and utilization data to the state. The manual also addresses member rights protection, complaint resolution processes, and fraud prevention measures, establishing accountability mechanisms to ensure brokers operate efficiently while maintaining appropriate care standards for Medicaid beneficiaries requiring non-emergency medical transportation services.