Ineligible Populations a. The following categories describe Medicaid Beneficiaries who are not eligible to receive transportation services from RIDE RIGHT:
(1) Medicaid Managed Care Organizations (MCO) enrollees – Medicaid beneficiaries who are enrolled with a Medicaid MCO that provides Transportation;
(2) Medicaid beneficiaries who have their own means of Transportation;
(3) Medicaid beneficiaries, who at the time of application for enrollment and/or at the time of enrollment are domiciled or residing in an institution, including:
(a) Statewide inpatient psychiatric program (SIPP) facilities;
(b) Intermediate care facility for persons with developmental disabilities (ICF-DD);
(c) State Hospitals; or
(d) Correctional institutions.
(4) Qualified Medicare Beneficiaries (“QMBs”), Special Low Income Medicare Beneficiaries (“SLMBs”), Qualified Medicare Beneficiaries Renal Dialysis (“QMBRs”), or Qualified Individuals at Xxxxx 0 (“QI- 1s”);
(5) Medicaid beneficiaries who reside in the following:
(a) Residential commitment programs/facilities operated through the Department of Juvenile Justice (DJJ);
(b) Residential group care operated by the Family Safety & Preservation Program of the Department of Children and Families (DCF);
(c) Children's residenti’l treatment facilities purchased through the Substance Abuse & Mental Health District (SAMH) Offices of the DCF (also referred to as Purchased Residential Treatment Services – PRTS);
(d) SAMH residential treatment facilities Licensed as Level I and Level II facilities; and
(e) Residential Level I and Level II substance abuse treatment programs. See Sections 65D-30.007(2)(a) and (b), F.A.C.
(6) Legal aliens;
(7) Medicaid beneficiaries who are also members of a Medicare- funded MCO;
(8) Medicaid beneficiaries who are enrolled in the Family Planning Waiver; and/or
(9) Medicaid beneficiaries who are enrolled in the Program of All- inclusive Care for the Elderly (PACE).
b. The following waivers’ services are not eligible for Transportation Services:
(1) The Developmentally Disabled Waiver (Tier 1);
(2) The Developmentally Disabled Waiver (Tier 2);
(3) The Developmentally Disabled Waiver (Tier 3);
(4) The Family and Supported Living Waiver (Tier 4); and
(5) The Adult Cystic Fibrosis Waiver.
Ineligible Populations. The following categories describe Medicaid Recipients who are not eligible to enroll in a Health Plan:
Ineligible Populations a. The following categories describe Medicaid Recipients who are not eligible to enroll in a Health Plan:
(1) Pregnant women who have not enrolled in Medicaid Reform prior to the effective date of their SOBRA eligibility;
(2) Medicaid Recipients who, at the time of application for Enrollment and/or at the time of Enrollment, are domiciled or residing in an institution, including:
