Florida Commission for Transportation Disadvantaged

1. Florida Commission for Transportation Disadvantaged

2. To Regionalize Or Not To Regionalize? That is the question!

3. What is the result the CTD wants? • Create seamless transportation availability across county lines • Reduced administrative cost at CTD level and CTC level • CTD will have fewer contracts to overseefreeing up staff and time to administer Medicaid and other contracts • Streamline eligibility process and service guidelines for all TD clients from county to county • Reduce record keeping intake portals for Medicaid contract

4. Create seamless transportation availability across county lines • Many CTCs only operate in their county • Riders wish to travel to adjacent counties for medical services, shopping, employment • How do you build a bridge across the county line?

5. Reduced administrative cost at CTD level and CTC level • Relieves local transportation provider of the responsibilities of “juggling” Medicaid dollars • Heavy new reporting requirements will be difficult for smaller systems • Reduces duplication for administrative tasks

6. CTD will have fewer contracts to oversee freeing up staff and time to administer Medicaid and other contracts • Reduced staff time for record keeping • Reduce staff time for compliance monitoring • Allow staff to focus more time on new Medicaid reporting requirements • Allow staff to administer contracts for new services and new sources of funds.

7. Streamline eligibility process and service guidelines for all TD clients from county to county

8. Reduce record keeping intake portals for Medicaid contract • Smaller systems are not equipped for the escalated client encounter data required by Medicaid

9. What or who will Regionalization hurt? • Initial loss of “sense of community“ • Loss of local support and funding • Current transportation providers would lose the ability to manage Medicaid NET $ • The regional CTC may not use a current transportation provider • No guarantees that other state agencies would buy into regional approach

10. Initial loss of “sense of community • Calls will be to a new number • Another entity will have control • The consumer will have first contact with someone outside of the current “local” CTC • Bigger is not always better

11. Loss of local support and funding • Counties would not want to fund a system that took consumers out of their county • Counties would not want to fund something that is bigger than their county • Which CTC would become the regional center would be a huge political football

12. Current transportation providers would lose the ability to manage Medicaid NET $

13. The regional CTC may not use a current transportation provider • potentially causing hardship on the local transportation provider network

14. No guarantees that other state agencies would buy into regional approach • If other Florida agencies do not follow the same regional approach as the CTD and CTCs, will a regional system work? • Do potential state agency consumers already work through regions internally and how will that affect regionalization of CTD?