Non-Emergency Medical Transportation

POLICIES AND PROCEDURES TABLE OF CONTENTS

ORGANIZATION AND ADMINISTRATION POLICIES AND PROCEDURES

• 1.1 Standard Operating Procedures Manual Policy
• 1.2 Review and Development of New Policy and Procedures
• 1.3 Administrator and Designated Alternative Policy
• 1.4 Business Locations Policy
• 1.5 Insurance Coverage Policy
• 1.6 Advertising Policy
• 1.7 Release of Information Policy
• 1.8 Maintenance of Records Policy
• 1.9 Operation and Administration Policy
• 1.10 Mobile Phone Policy
• 1.11 Disaster Planning and Recovery Plan
• 1.12 Quality Improvement Policy
• 1.13 Fraud, Waste and Abuse Policy
• 1.14 Billing Verification Policy
• 1.15 Regulatory Compliance Policy

SERVICE POLICIES AND PROCEDURES

• 2.1 Patient Care Reports Policy
• 2.2 Non- Discrimination Policy
• 2.3 Child and Elder Abuse Reporting Policy
• 2.4 Reportable Events Policy
• 2.5 Vehicle Safety Policy
• 2.6 Physical Behavioral Restraints Policy
• 2.7 Guide Dogs Policy
• 2.8 Patient Restrictions Policy
• 2.9 Oxygen Administration Policy
• 2.10 Patient Transport Devices Policy
• 2.11 Ramps and Lifts Policy
• 2.12 Patient Compartment Requirements and Dimensions Policy
• 2.13 Vehicle Markings and Emergency Warning Devices Policy
• 2.14 Two-Way Communications Policy
• 2.15 Transporting Children Policy
• 2.16 Customer Complaint Policy
• 2.17 Notice of Private Practice Policy
• 2.18 Daily Trip Log
• 2.19 Accident Reporting Policy
• 2.20 Ride Decline Policy
• 2.21 Scheduling and Dispatching Policy

MAINTENANCE POLICIES AND PROCEDURES

• 3.1 Biomedical Equipment Testing and Maintenance Policy
• 3.2 Automated External Defibrillator Reporting Policy
• 3.3 Vehicle PIOOS (Provider-Initiated-Out-of-Service) logs and Maintenance Policy
• 3.4 Vehicle Registration Policy
• 3.5 Vehicle Sanitation Policy
• 3.6 Vehicle Heater/Air Conditioner Policy
• 3.7 Vehicle Chassis, Body and Components Policy
• 3.8 Vehicle Carbon Monoxide Concentrations Policy
• 3.9 Pneumatic Testing Policy
• 3.10 Pre-Trip Vehicle Inspection Policy

PERSONNEL POLICIES AND PROCEDURES

• 4.1 Minimum Crewmember Requirements Policy
• 4.2 Crewmember Competency Policy
• 4.3 Personal Crewmember Safety Policy
• 4.4 Violence in the Workplace Prevention Policy
• 4.5 Harassment Policy
• 4.6 Communication of Chemical Hazard Policy
• 4.7 Required Crewmembers Policy
• 4.8 Crewmember Duties Policy
• 4.9 Driver Qualification Policy
• 4.10 Employees' Responsibilities in Cooperating with Inspections Policy
• 4.11 Pre-Employment Inquiries/Criminal Offender Record Information (CORI) Policy
• 4.12 Personnel Files Policy
• 4.13 Back Safety Policy
• 4.14 Performance Evaluation Policy
• 4.15 Drug Testing Policy
• 4.16 Disciplinary Action Policy
• 4.17 Smoking Policy
• 4.18 Jury Duty Policy
• 4.19 Military Leave Policy
• 4.20 Gift and Gratuities Policy
• 4.21 Driver Training
• 4.22 License/Certification Verification

NEMT FORMS TABLE OF CONTENT

• 1. Authorization to Release Protected Health Information
• 2. Background Check Release Form
• 3. Client Invoice Form
• 4. Client Satisfaction Survey Form
• 5. Client Service Plan Agreement Form
• 6. Client Service Schedule
• 7. Daily Trip Log Form
• 8. Daily Vehicle Status Log
• 9. Driver Job Description
• 10. Drug Testing Consent Form
• 11. Employee Counseling Form
• 12. Employee Satisfaction Survey Form
• 13. Employee Statement of Confidentiality
• 14. Employee Time Sheet
• 15. Employment Application Form
• 16. Employment Termination Contract
• 17. Hepatitis B Immunization Consent
• 18. Incident Report Form
• 19. Independent Contractor Agreement Form
• 20. Job Offer Letter
• 21. License Verification Form
• 22. NEMT Contract Agreement Form
• 23. Notice to Employee of Suspension Without Pay
• 24. Patient Care Report Form
• 25. Patient Complaint Form
• 26. Payroll Deduction Authorization Form
• 27. Pre-Trip Daily Inspection Report
• 28. Pre-employment Checklist
• 29. Reference Release Form
• 30. Sample Brochure
• 31. Termination of Contract Form
• 32. Trip Confirmation Sheet
• 33. Trip Documentation Sheet
• 34. Trip Request Form
• 35. Vehicle Aide Job Description
• 36. Vehicle Inspection and Maintenance Form