April 29, 2012

Transit Accessibility Challenges that Greeks with Disabilities Face Everyday

GREECE - While much of the international attention Greece has received in recent months revolves around the Euro Debt Crisis and the violent protests against resulting austerity measures, the following videos produced by Worldfocus show us a different side of the challenges facing that troubled country, and in particular: the difficulties that Greeks with disabilities experience everyday. Video #1 (Disabled Greeks Face Daily Challenges Getting Around), features a woman who, after receiving a spinal injury in a motor vehicle accident, had to go to London, England to receive adequate medical treatment because of the poor healthcare in Greece. Today, she is back home and despite new Disability Laws and some improvements in accessibility, faces a never ending battle to get around Athens. Video #2 (In Greece, Technology Offers New Hope for the Blind), tells a similar story of the frustrations that a visually impaired man in Thessaloniki experiences. For him though, he has had the opportunity to be involved in the development of new technology for the blind that is hoped will help the visually impaired to be more independent in the community.

VIDEO #1: Disabled Greeks face daily challenges getting around

VIDEO #2: In Greece, technology offers new hope for the blind

April 22, 2012

Careers in Paratransit, NEMT, and Related Transportation Industries

CAREERS - As I have shown my earlier posts: Investing in the NEMT Industry and Healthcare and the Future of NEMT, the future of industries that provide wheelchair accessible and non-emergency medical transportation are uniquely positioned to grow over the next 20 years in order to meet the demands of an aging population. Along with this will come increasing pressure on government to meet it's responsibilities to provide these services in the most cost effect way possible. The growing use of Medicaid Non-Emergency Medical Transportation (NEMT) Brokers and the ever increasing use and sophistication of automated Scheduling & Dispatch systems in the Paratransit Industry are examples of how industry and public agencies have adapted in recent years. Over the next 2 decades further changes are inevitable, but one thing is certain: people will still need some form of specialized transportation to meet the transport needs of the tidal wave of senior citizens that is coming.

What may appear as a burden to some, others see as a boon; and certainly for those currently looking for employment, wanting to find a better job, or for those considering a career path: there is great potential for growth for the Paratransit, NEMT, and other related and supporting transportation industries. Jobs range from the drivers and attendants who work directly with clients, to the booking agents, dispatchers, schedulers, mechanics, office staff, and management who work behind the scenes to make the day-to-day operations work. As well, there are support industries, such as lift manufactures and bus manufactures that provide the vehicles and equipment that is needed to provide wheelchair accessible transportation. Plus, there are other companies that specialize in providing the logistical, scheduling and transportation management services that will be key to finding future efficiencies over the next 20 years.

The following are examples of some of the jobs available on the Paratransit Watch Job Search Site.
Ambulette Jobs
Wheelchair Transportation Jobs

The following company profiles include examples of employee salaries, reviews, and interviews. They have been provided by Glassdoor, and are hosted on my other website: Paratransit EXTRA.
Veolia Transportation

You can use the Find-A Ride Directory available on this website to find local agencies and companies in your area, as well as compare salaries and jobs available among different types of transportation providers.


April 21, 2012

NEMT Provider Profile: ACC Medlink

LONG DISTANCE NEMTACC Medlink was established by it's parent company, Air Critical Care (ACC), as a national non-emergency medical transportation carrier that would provide both local and long distance ground services. ACC Medlink utilizes a variety of vehicle types to provide the most appropriate, cost-effective, and comfortable service for patients. They are equipped and professionally staffed to provide clients with the best in medical and comfort care. Go to the Long Distance NEMT Directory to find other services across the United States.

April 19, 2012

NEMT Provider Profile: MedFlight911

LONG DISTANCE NEMT - For over 25 years, MedFlight 911 has been know primarily as an air medical and air ambulance company, but they are also a provider of Long Distance Non-Emergency Medical Transportation (NEMT). Their Long Distance Ground NEMT service is provided by motor coach that has been outfitted to accommodate non-emergency medical transport needs, such as oxygen, patient lift and transfers, basic monitoring, and administration of medications and hygiene. MedFlight 911 ground vehicles are staffed with the appropriate professionals such as paramedics, nurses, or physicians. Long Distance Non-Emergency Medical Transportation is a cost effective alternative to air medical transport. Go to the Long Distance NEMT Directory to find other services across the United States.

VIDEO: MedFlight 911

April 15, 2012

NEMT Provider Profile: MedCoach LLC

LONG DISTANCE NEMT - MedCoach is a long distance non-emergency medical transportation service that is available throughout the United States. They have been in business for over 25 years. They specialize in providing comfortable ground transportation for patients who require non-emergency medical care while in transit. MedCoach can also provide special dietary meals upon request. A nurse and 2 drivers are with the client at all times. A relative or companion can travel with the patient, but if they are unable to do so, it is not a necessity. MedCoach provides direct door-to-door service from home, nursing home, or medical facility. Their motor coaches are large enough for clients to take along several pieces of luggage and belongings, and can even (for an additional fee) pull a trailer that can accommodate a car or small SUV. Go to the Long Distance NEMT Directory to find other services across the United States.

VIDEO: The MedCoach Movie

Accessible Transit: Disability Support Service and Transit Training

NORTH CAROLINA - The following training video was developed by East Carolina University in order to show their transit supervisors and trainers the correct ways to accommodate passengers in wheelchairs. Users of accessible services have often noted a noticeable difference in driver competence and knowledge between paratransit services and transit when it comes to accommodating disabled riders. This difference can be attributed to the transit driver's lack of familiarity in dealing with riders with disabilities on a regular basis, inadequate training provided by the employer, and pressures resulting from unrealistic time allotted in the schedule to include safe boarding/de-boarding of wheelchair riders. University and College Transit Services have long been at the forefront of inclusion and innovation (read about Tim Nugent at the University of Illinois to learn more). ECU Transit has continued in this tradition by developing programs such as SafeRide, an evening "fare-free" commuting service for students, facility, and visitors. It provides point-to-point, demand-response van transport back to their residence or vehicle. As well, ECU is exploring the possibility of adding a full size 40-foot hybrid bus to it's fleet.

VIDEO: Disability Support Service and Transit Training Video

Profile: CJ Medical Transportation

NORTH CAROLINA - CJ Medical Transportation is a family owned and operated Non-Emergency Medical Transportation (NEMT) company based in Greensboro, North Carolina. Since it's establishment in 2007, this Women Owned Business Enterprise (WBE) has grown to be the largest medical specialty transport service in the region with a fleet of 30 vehicles. CJ Medical Transportation's service area includes the counties of Alamance, Caswell, Davidson, Forsyth, Guilford, Orange (Durham), Randolph, and Rockingham.

VIDEO: CJ Medical Transportation Greensboro NC

April 9, 2012

Medicaid Non-Emergency Medical Transportation (NEMT) Brokers

NEMT BROKERAGES - In the United States, each state operates it's Medicaid Non-Emergency Medical Transportation (NEMT) program in it's own way. It varies depending upon such factors as the rural to urban population demographics, availability and capacity of private NEMT services, access to public transportation, and the general fiscal health and management of each state. In recent years a number of states have chosen, either in whole or in part, to employ the use of brokers to manage their Medicaid Transportation program. Brokers do not usually provide the actual transportation, but rather enroll and contract  providers to perform the service. Companies or organizations that provide the service can range from private NEMT businesses, to taxi, ambulance, or even public providers of paratransit. The broker typically handles all aspects of determining the transport eligibility, as well as coordinating appropriate transport and routing for each Medicaid client. It has been the experience in most instances, that brokerages save taxpayers money by providing more rides at a lower cost, than publicly managed programs. As the population average ages over the next 20 years, there will be increasing pressure put upon Medicaid programs to reduce and better manage costs. As a result, NEMT Brokerages will likely be seen more and more as a viable option. The following is a list of companies and non-government organizations that provide NEMT brokerage services:

Access2Care - AMR's NEMT Management Services Program.

American Logistics Company (ALC) - National passenger transportation management company serving transit agencies, school districts, and healthcare.

Center for Transportation Excellence (CTE) - Manages NEMT for county governments, managed care organizations, and health and human services agencies that serve older adults, persons with disabilities and other individuals lacking adequate transportation.

Coordinated Transportation Solutions (CTS) - Not-for-profit organization has successfully managed NEMT services, public and community transportation, and call centers throughout U.S. since 1997.

Enjoi Transportation - Manager/Broker of NEMT services in Detroit.

First Transit - NEMT - ADA Paratransit Call Center Management 

Greater Pinellas Transportation Management System (GPTMS) - Provides Medicaid transportation services for Pinellas County, Florida.

Hopelink - Non-profit organization that provides a number of services in Washington State including coordination of Medicaid transport to medical appointments.

Human Services Council - Washington State non-profit organization that provides a number of community services including coordination of Medicaid Transportation.

LogistiCare - Nation's largest and longest established private NEMT broker. Owned by Providence Service Corp. Read More...

Medical Transportation Management (MTM) - Nationwide NEMT broker managing networks in 29 states and the District of Columbia. Also provides Paratransit services management, ADA assessments, and travel training. See video below. Read More

National MedTrans Network - Regional NEMT network management in New York City Metro area.

Northwest Regional Council (NWRC) - Washington State NGO that provides a number of community based services including coordination of Medicaid Transportation

Paratransit Services - Operating since 1980, Provider of various transport services including Medicaid brokerage services in areas of Washington State.

People For People - Non-profit organization in Central Washington State providing a number of community services including Medicaid Transportation Brokering.

Senior Whole Health - Voluntary health care plan for those eligible for both Medicare and Medicaid. Program manages care including non-emergency related transportation. Currently only available in parts of Massachusetts and New York State. Read More...

Specialty Mobility Services - Operating since 1992, SMS is a non-profit organization that administers various Medicaid brokerage services, including transportation in the State of Washington.

TMS Management Group - Transportation management/brokerage firm specializing in administrating non-emergency transportation services. Providing services in Arizona, Texas, Georgia, Florida, Iowa, Illinois, Michigan, Indiana, and Ohio.

Total Transit - Arizona based transportation management company that provides co-ordination for a wide variety of modes of transport, public and private, including Medicaid Transportation Management.

VIDEO - Medical Transportation Management

April 6, 2012

Products: Access-AriZe Belt

SAFETY -  The Access-AriZe Belt is a safety device that can be used to retrofit wheelchair lifts (such as the Braun Millennium shown in the following video) that do not have a passenger restraint belt. Since first writing about the Access-AriZe Belt in my September 2009 post: Lift Restraints, they have added new safety products and training services. Through their Online Store they now offer products such as the Access-AriZe Belt (both rear and front restraint belts), a lift safety kit, and a range of school bus evacuation aids. As well, they offer a variety of certified safety and driver Training Courses. To learn more, visit the Access-AriZe Belt website.

VIDEO: Access-AriZe Belt for Safe Wheelchair Travel

April 4, 2012

Profile: Veterans Cab Association

RICHMOND, VIRGINIA - The Veterans Cab Association was founded in 1947. It is Richmond, Virginia's largest taxi company. Veterans Cab also operates a courier service and a charter bus service. The song in the following video was written and performed by one of their drivers. He says: "I was inspired to write this song after driving the night shift in Richmond,Va. entertaining customers with rap beatbox." Find more Virginia Taxi Cab Services.

April 1, 2012

Non-Emergency Medical Transportation Business Start-Up Manual

TRAINING - The Non-Emergency Medical Transportation Business Start-Up Manual is new resource for the NEMT industry published by Precision Management and Consulting Services (PMCS). The 250 page manual provides detailed information covering all aspects of the business including start-up requirements, Medicaid contracting process, vehicle requirements, detailed business plan, employee handbook; as well as numerous resources and strategies for marketing, managing, operating, and building a successful ambulette service. The Non-Emergency Medical Transportation Business Start-Up Manual is available in hard copy, as a e-book, or combined package of both. PMCS also offers a 2-Day NEMT Start-Up Workshop offered at their Cinnaminson, NJ offices each month. The sessions provide prospective NEMT business owners with the tools and resources necessary to start and build and successful transportation business. As well, PMCS offers Consulting Services for owners of new and existing NEMT businesses. Through their websites: Medical Staffing Manuals and Assisted Living GuidesPMCS provide a wide variety of other similar business products and services specifically tailored to the Home Health Care and Assisted Living Industries.


How to Build a Million Dollar Medical Transportation Company is a small business start-up manual written by Joel Davis. Since it's first publication in 2004, this e-book has been continually updated to reflect changes in the non-emergency medical transportation industry. This 320 page e-course is the gateway product to a variety of other educational programs and operational services specifically made for the NEMT industry. Read More...