NETSPAP Training for Dialysis and NET Providers . Revised 11/17/08. 1. NETSPAP . N on- E mergency T ransportation S ervices P rior A pproval P rogram — NETSPAP
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Non-Emergency Transportation Services Prior Approval Program— NETSPAP
In order for First Transit to approve a request for non-emergency transportatation, the following criteria must be met:
Prior to contacting First Transit you should have the following information:
Once all information is gathered, three ways to request prior approval from First Transit:
Important to remember:
Non-routine requests include:
If First Transit approves the request:
If First Transit denies the request:
Common denial reasons, include:
Two exceptions to the 20 business day requirement for requesting post approval:
Participants, Medical providers, LTC providers
and NET Providers can submit requests for
ADDITIONS TO THE SINGLE TRIP FORM INCLUDE:
Addition of LTC Information
NOTE: The Category of Service must be the MOST ECONOMICALLY FEASIBLE TRANSPORTATION able to meet the participant’s medical needs.
On October 5, 2007, a new standing prior approval
policy was implemented by HFS. In the new policy:
Standing Prior Approval Form are
different from the NETSPAP Single
Prior Approval Form:
All Standing Prior Approval Medical Service that can be approved up to 6 months. The Beginning and End Dates, the Appointment Days, and the total trips per week must be written on the form.
The Reason for Trip, the Primary and Secondary Diagnosis, and all other pertinent information about the medical treatment must be detailed in this section.
The person requesting the Standing Prior Approval must certify under penalty of perjury that the Standing Prior Approval Form is correct.
Single Trip Forms, Standing Prior
Approval Forms, and Certificates of Transportation Services can be downloaded from First Transit’s website www.NETSPAP.com.
When the final month of the
Standing Prior Approvals
begins (that were
submitted on or after
October 1, 2007), First
Transit will send a letter
to the dialysis center.
If there are any changes to a Standing Prior
Approval (SPA), a new SPA must be
Examples of Changes that require a new SPA
Step 1: Gather all information
Step 2: Contact First Transit –
On-line Fax Mail or Phone
Step 3: Wait for First Transit’s decision
Step 4: Coordinate the NET services with the Participant
Question and Answer Session
First Transit’s On-Line System
REQUESTING A USER NAMENET and Dialysis Providers will be required to enter a Medicaid Provider ID before submitting a request.
Question and Answer Session