1. (a) Non-emergency medical transportation shall be a non-covered service when it:

   1. (1) Is being provided for a purpose other than for the recipient to access medicaid covered medical, dental, or behavioral health services;
   2. (2) Is to a medicaid enrolled provider who transports the recipient to their own location of service unless the provider is participating with the broker as a transportation driver;
   3. (3) Is for purposes of recipient or provider convenience; or
   4. (4) Was performed by a driver who has not complied with the requirements of He-W 574.04.

2. (b) The following shall not be covered:

   1. (1) Any wait time associated with one-way trips; and
   2. (2) Wait time that exceeds 2 hours for round trips.

Source. (See Revision Note at chapter heading He-W 500); ss by #6163, eff 1-4-96, EXPIRED: 1-4-04 New. #8732, eff 9-30-06; ss by #10810, eff 4-9-15; ss by #14393 (formerly He-W 574.05), eff 10-1-25, EXPIRES: 10-1-35