Schedule H - Licensing Agreement.docx

This is a Licensing Agreement schedule document related to Michigan's Non-Emergency Medical Transportation (NEMT) Broker procurement for Medicaid Fee-For-Service beneficiaries. The agreement establishes the contractual framework and licensing terms between the State of Michigan and the selected NEMT broker service provider. The document outlines the licensing requirements and operational parameters that govern the broker's authority to manage and coordinate transportation services for eligible Medicaid FFS beneficiaries. The agreement specifies the conditions under which the broker is authorized to operate within the state's Medicaid system and the obligations incumbent upon the licensee to maintain compliance with state regulations and service standards.

The Licensing Agreement schedule defines the responsibilities, limitations, and performance expectations for the NEMT broker, including provisions for maintaining appropriate licensure, adhering to network adequacy standards, and fulfilling service delivery requirements. The document establishes the terms under which the license may be suspended, modified, or terminated, along with any renewal conditions or performance metrics that must be met to maintain the agreement. Additionally, the schedule addresses the broker's obligations regarding data reporting, member communication, and coordination with state Medicaid authorities to ensure beneficiaries receive timely and appropriate transportation services.