The following transportation services are not covered by the Medical Transportation Program (MTP):

1. (1) transportation of deceased recipients;
2. (2) transportation of an individual who does not qualify for a state or federal medical assistance program served by the MTP, unless that individual is an authorized attendant;
3. (3) transportation of individuals to services which are not covered by the applicable state or federal medical assistance program under which the recipient qualifies;
4. (4) advance funds, meals, and/or lodging services to a recipient 21 years of age or older, unless the individual is a Children with Special Health Care Needs recipient diagnosed with cystic fibrosis;
5. (5) reimbursement for additional travel costs when a recipient elects to seek care at a more remote facility that is not supported on a Health Care Provider's Statement of Need, Form 3113 or equivalent and prior authorized by Regional MTP staff;
6. (6) medical care while recipients are being transported;
7. (7) emergency or non-emergency ambulance service;
8. (8) passenger assistance beyond that which is necessary to ensure that recipients enter and leave vehicles safely, unless the contractor's contract states that door-to-door service is provided;
9. (9) reimbursement for transportation services provided by an individual transportation participant (ITP) before the date that Regional MTP staff approved the initial request to provide services from the ITP, unless an exception for retroactive reimbursement has been made and is documented by the Regional MTP staff; and
10. (10) transportation services for family members not previously authorized for the specific trip by Regional MTP staff.

Source Note:The provisions of this §380.209 adopted to be effective April 10, 2001, 26 TexReg 2720; amended to be effective May 11, 2003, 28 TexReg 3722; transferred effective March 1, 2004, as published in the Texas Register April 30, 2004, 29 TexReg 4267; amended to be effective August 6, 2013, 38 TexReg 4888.