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Getthere A Mobility Management Program
of the Rural Health Network of South Central New York
Aging Transportations services and collaborations
Getthere, Mobility Management Programs
• Getthere Call Center M-F 7:00 AM – 7:00 PM
• “Transportation Case Management”
• Connection to Care
• Non-emergency medical transportation fund/service
• Medicaid Voucher Program
• Non Medicaid eligible transportation for Medicaid individuals
• Transportation Training
• for individuals not familiar with public transportation
• Website with Trip Planner www.gettherescny.org
• How to get from point “A” to point “B” for ANY REASON, what’s available and how
to use it.
Rural*, Non-emergency, non-Medicaid, transportation fund and
program established October 2013.
Intake establishes need and ability to share in cost or not
Utilizes the lowest cost option appropriate for the individual:
Volunteer transportation providers (5 under contract)
Fuel cards
Public Transportation
Commercial private transportation (cabs, bus, ambulette)
CTC Clients • Average age is 67 years old
• Most Frequent Age is 73
• Oldest Client 95
• Youngest 18
• 67% over the age of 65
• Average round trip is 60 miles
Non-Emergency
Medical
Getthere Call
Center
Fuel Cards
Volunteer Drivers
Private Providers
Vanpoool
Public Transit
Ride
share
Connection to Care Private Funded
Non Medicaid Target
By Year and Overall
2013 2014 2015 2016 2017 2018 Overall
CTC Funding $ utilized $22,404 $22,740 $30,490 $31,341 $27,455 $65,246 $199,676
Amount Contributed by Clients
Towards CTC: $1,072 $1,704 $6,837 $6,993 $5,460 $11,800 $33,866
Miles Traveled: 44,071 43,405 74,475 71,479 54,619 120,983 409,032
Avg. Cost of Traveling per Mile
(contributions factored in): $0.46 $0.50 $0.37 $.41 $.48 $.49 $.49
Total Number of Oneway Trips
(Round Trip=Two Oneway Trips): 1,183 1,662 2,587 2,462 1,708 4,965 14,567
Unique Individuals Served: 111 110 225 179 162 413 1,200
Transportation Voucher Program
Funded by DYSRIP’s Care Compass Network &
Leatherstocking Health Care Partners
Transportation for Medicaid individuals for non-
Medicaid covered transportation
April 1, 2017 rollout
Now being replicated in 19 additional counties
Medicaid Voucher Program
Hospitalized in the past 30 days?
Enrolled in a chronic disease self-management
prevention class (CDSMP) or other preventative
health class?
Have a prescription or need for medical
supplies/equipment?
Participating in prescribed health improvement dietary
program, e.g. FVRX or has an immediate need to
access food?
Enrolled in mental health/substance abuse support
services not eligible for Medicaid transportation.
Have a chronic condition with a high risk of
hospitalization and/or needs access to services to
prevent severe health deterioration (fitness, pain
management, fall prevention?
[CATEGORY NAME] 44%
[CATEGORY NAME] 1% [CATEGORY NAME]
18%
[CATEGORY NAME] 9%
[CATEGORY NAME] 1%
Chronic Condition 26%
Qualifying Reason for Voucher Referral
[CATEGORY NAME]
45%
Shopping Health Needs 12%
Prescriptions 21%
Benfit renewal 20%
other 5%
Voucher Use
Food Assistance
Shopping Health Needs
Prescriptions
Benfit renewal
other
30-day hospital-wide all-cause unplanned readmission.
Report Period: July 1, 2015 through June 30, 2016
Medicaid Beneficiaries with disabilities 16% (Center for HealthCare Strategies, Inc.)
Medicare Average for New York State 20% (NYS Health Foundation)
Voucher Recipients of the Rural Health Network* 11% (January 1. 2018 – December 2018)
*Self reported at voucher referral and 30 day post voucher use.
Sample size 148 individuals received vouchers and had been hospitalized within 30 days prior to receiving
vouchers. 17 individuals were re-admitted to within 30 days after voucher use.
Travel Training
• Small Group, social activity or
interest themed
• One on One
• Regional, Rural/Small Urban
• Multi-modal
Funding
18%
5%
3%
3%
7%
53%
11%
• FTA 5311 53%
• FTA 5310 11%
• ESPRI 18%
• Community Foundation 7%
• United Way Broome 5%
• CTC General Funds 3%
• Chenango United Way 3%
Broome County Office for Aging
Transportation & Community
Partnerships
Lucia Esposito
Aging Services Program Coordinator
BCOFA Transportation Services
BCOFA contracts with BC Public Transit:
1. OFA Mini Bus: 60+ and have a valid OFA ID card; covers urban areas of Broome County Advanced reservations required Funding used: CSE (State Funding & Broome County Funding) ; Title IIIB (Federal Funding); Client contributions (cover about 16% transportation spending) 2018: 547 clients; 23,157 rides
2. BC Lift Bus: Riders with an ADA card; OFA uses this service to transport clients to two Social Adult Daycare sites in Broome County Funding used: Title IIIE; State Transportation; MLTC contracts; Client contributions 2018: 20 clients; 930 rides
3. Shopper Bus: 60+ with a valid OFA ID card; residents of 9 senior housing buildings; once a week shopping trip to grocery stores; no reservation needed Funding used: same as OFA mini Bus 2018: 120 clients; 2121 rides
Challenges Transportation needs/questions continue to be one of the top 5 reasons
people call BCOFA
2018: close to 15% of NY Connects calls were about transportation
Current Challenges:
Travel outside of service area & within rural areas
“Convenience” of public transportation (access issues; hours of operation vs medical appointment times)
Cost of “door-through-door” transportation options
Lack of affordable “same day” transportation
Complexity of the transportation system
Community Partnerships
• Getthere Advisory Council
• Connection to Care Outreach Project
• BCOFA staff refer to Getthere to assist clients with
complicated transportation issues and to access
CTC & Medicaid Voucher program & Travel Training
Connection to Care Outreach Project
Community Partnership between Getthere Mobility Management and
Broome County Office for Aging
MOU in place from March – December, 2018
Goal: Promote Getthere including Connection to Care Program through
outreach to older adults & disabled individuals residing in rural areas of
Broome County
Getthere: provided training and support to BCOFA outreach staff including promotional materials to be distributed at outreach events/locations
BCOFA: - hired OFA staff experienced in providing outreach to older adults - researched rural locations to reach older/disabled individuals - monitored outreach staff (hours worked; mileage)
Connection to Care Outreach Project
Locations visited: senior centers, senior clubs, food pantries, food truck locations,
senior housing, dentists, physical therapy places, churches, libraries, town halls, service
organizations, grocery stores, primary care sites, car repair locations, nursing homes,
pharmacies, shelters and many more
Drop off sites versus Presentation sites
Outcomes: distributed about 7000 Connection to Care postcards
presented to 1155 people throughout Broome County
Lessons learned
More locations were willing to take promotional materials (drop off sites) versus
agreeing to a full presentation about CTC
Reaching low income individuals: food trucks, food pantries, community meals,
shelters, case managers, churches
Doctor’s offices: are you talking to the right person who will help you promote the
service?
Pharmacies: agreed to insert the CTC brochure to their medications’ delivery bags
Outreach staff: creative in finding outreach locations; comfortable with connecting
with people; friendly; approachable;
Delaware County Office for Aging/NY Connects
Description of area and programs
Population: 45,537 as of 2010 Census (45,956 – ACS Est.
2020)
12,575 Residents Age 60 and Older (28%) (15,823 = 35%)
1,443 sq. miles
Standard Older Americans Act (OAA) programs and services
and NY Connects
Rural Health Alliance of Delaware County, CDCHP and
Fidelis funding for Health Promotion services
Medicaid Plans – funding for PERS service
Delaware County Office for Aging/NY Connects
Transportation Services
Fixed route bus system with wheelchair lift for shopping assistance
and medical services serving residents 60 and over and disabled
adults, operating 3 days per week (Wed. Thurs. & Fri.) run by OFA
Funded through Title IIIB, County match and client
contributions; vehicle replacement funded through Delaware
County Senior Council fundraising efforts & grants
Demand Response service, a volunteer driver system for Non-
emergency Medical Transportation for residents 60 years of age
older who are NOT ON MEDICAID, (Current pool = 11 volunteers),
operating 5 days per week
Funded through CSE, client contributions and grant from Rural
Health Network of South Central New York to recruit and
expand volunteer pool
Delaware County Office for Aging/NY Connects
Challenges
No public transportation options within the county
Limited vehicles for bus service
OFA bus service has one 18 passenger bus in fleet (Use ARC buses or VA bus as backup when OFA bus is down, so dependent on their vehicle availability)
Very small volunteer pool base for Non-Medicaid transportation service, not enough to meet demand
Non-handicap accessible vehicles for demand response medical transportation
Demand Response service for medical needs requires client to be able to self transfer and assistive device to fold up and be stowed in vehicle.
Increased demand for NEMT
Transportation #1 issue in Delaware County for accessing services and daily needs
Delaware County Office for Aging/NY Connects Partnership with Getthere
Member of the OFA Advisory Board Ad Hoc Committee on
Transportation
Two-way referrals, make more efficient use of OFA bus service for transportation to medical services
Expanding Volunteer Transportation Program
Delaware County OFA & United Way of Otsego and Delaware Counties – volunteer recruitment
Getthere – funding expanded mileage reimbursement to expand funds for more miles to serve more clients
Getthere – grant funding recruitment efforts of volunteer pool
Expanded Awareness of Getthere through OFA/NY Connects Outreach
Otsego County Office for Aging Description of Area & Programs
Population: 62,259 as of 2010 Census (60,750 – ACS Est.
2017)
14,323 Residents Age 60 and Older (23%) (16,165 = 26%)
1,016 sq miles
Standard Older Americans Act (OAA) programs and services
NY Connects and Medicaid Personal Care Services through
agreement with LDSS
Otsego County Office for Aging Transportation Services
Current transportation services include first come, first
serve, door-to-door transportation provided by OFA staff
3 days a week – Non-emergency Medical Transportation
1 day a week – Shopping transports (maximum monthly
use per client)
Funded through Title III-B and State AAA Transportation
NOT cost effective
Otsego County Office for Aging Challenges
Very limited public transportation options within the
county
No volunteer transportation program
Non-handicap accessible vehicles
Increased demand for NEMT
Increased demand for shopping and prescription pick-up
for Medicaid and non-Medicaid clients
Otsego County Office for Aging Partnership with Getthere
Two-way referrals
Developing Volunteer Transportation Program
Otsego County OFA – volunteer recruitment
Getthere – All volunteer onboarding, insurance and mileage
reimbursement
Expanded Awareness of Getthere through OFA Outreach
Countywide Transportation Planning Committee
“This was a perfect example of how the strong
community partnerships established through the
Getthere Call Center can leverage limited resources
and provide efficient, cost-effective services to fulfill
the need of our residents. Transportation is a
challenge in every rural community, but through the
leadership of the Getthere Call Center and their
ability to convene community partners, we have a
network to ensure that people have the resources to
meet their transportation needs. We are grateful for
the expertise and commitment to serve that the
Getthere Call Center provides. And, we are grateful
that Dale got the Connection to Care that he
needed.”
Tamie McDonald, Rural Health Network Board
Member and Director Otsego County Office for Aging
Thank You!
Lucia Esposito
Broome County Office for Aging
Phone: 607-778-2122
email: [email protected]
Bonnie Radley
Delaware County Office for Aging
Phone: 607-832-5742
email: [email protected]
Tamie MacDonald
Otsego County Office for Aging
Phone: 607-547-7571
email: [email protected]
Bill Wagner
Rural Health Network of South Central New York
Phone: 607-692-7669
email: [email protected]
