Non-Emergency Medical Transportation (NEMT) is a specialized service for PASRR clients to access community outings and activities. As staff, you should understand how NEMT works for your PASRR clients.

What Is NEMT for PASRR

Purpose

NEMT for PASRR clients provides transportation for:

Community outings
Recreational activities
Social events
Community integration activities
Non-medical community access

What NEMT Does NOT Cover

NEMT for PASRR clients is not for:

Medical appointments
Doctor visits
Therapy sessions
Hospital trips
Medical procedures

Who Qualifies

NEMT is available to:

PASRR (Pre-Admission Screening and Resident Review) clients specifically
Those with appropriate Medicaid coverage
When no other transportation is available
For authorized community outings

How NEMT Requests Work

Admin-Handled Requests

Important: NEMT requests are submitted by administrators, not by staff.

CareCade automates NEMT requests through:

Admin creates request in the system
Request is sent to the assessor via email
Uses the organization's integrated email service
PASRR contacts manage the recipients

Your Role as Staff

When a PASRR client needs NEMT for a community outing:

Identify the transportation need
Notify your administrator
Provide outing details
Admin handles the formal request

Information to Provide

When requesting NEMT through your admin:

Client's name
Outing date and time
Destination and purpose
Pickup location
Return trip needs
Special requirements (wheelchair, attendant)

NEMT vs. Transportation Mileage

NEMT (PASRR Clients)

Admin requests through CareCade
External NEMT provider drives
Community outings only
Advance scheduling required
Wheelchair/stretcher vehicles available

Authorized Transportation Mileage (Other Clients)

Staff drives client in personal vehicle
Authorized miles in service plan
Various purposes (medical, community, errands)
More flexible scheduling
Tracked via mileage logging

Check the client's profile to see which transportation type they have.

Day of NEMT Transport

Preparing the Client

When NEMT is scheduled, prepare the client:

Ready at pickup window start
Has necessary items for outing
Has mobility aids
Dressed appropriately
Knows the plan

Pickup Window

NEMT provides a time window (e.g., 10:00-10:30 AM):

Client must be ready at window start
Driver arrives somewhere in window
Stay with client during window

If Driver Is Late

Call the NEMT provider's number
Contact your administrator
Stay with the client
Document the issue

After the Outing

Documentation

In your service notes, document:

NEMT was used
Outing destination and activity
Client participation
Return time
Any issues

Reporting Problems

Report to your administrator:

Missed pickups
Late arrivals
Driver concerns
Vehicle issues

Types of NEMT Vehicles

Ambulatory (Sedan/Van)

For clients who can walk and transfer independently.

Wheelchair Accessible

For clients who use wheelchairs and need lift/ramp access.

Stretcher Transport

For clients who need to lie flat during transport.

With Attendant

When clients need someone to accompany them.

Planning Community Outings

NEMT Timing

Because NEMT requires advance scheduling:

Plan outings 5-7+ days ahead
Communicate outing ideas to admin early
Allow time for request processing
Last-minute outings may not get NEMT

Alternative Transportation

If NEMT isn't available or practical:

Check if client has other transportation authorization
Staff may use personal vehicle if authorized
Follow mileage tracking procedures
Discuss options with admin

Common Questions

Can I Submit NEMT Requests?

No - NEMT requests are handled by administrators through CareCade's automated system.

How Far in Advance?

NEMT typically needs 5-7 business days advance notice.

What If the Trip Is Cancelled?

Notify your administrator immediately so they can cancel with the NEMT provider.

Can I Accompany the Client?

Depending on client needs and authorization, you may accompany as an attendant.

Help Center

Understanding NEMT for PASRR Clients