• Door-to-door and curb-to-curb transportation 

• Assistance with entering and exiting the vehicle 

• Transportation for medical appointments, grocery shopping, and social activities (in some cases) 

• Wheelchair-accessible vehicles for individuals with mobility impairments 

• The goal is to facilitate access to ADH programs while ensuring participants' safety and comfort. 

2. Regulations 

Adult Health Transportation Services are governed by: 

• 130 CMR 404.413: Transportation Services for ADH Programs 

• 105 CMR 158.034(D)(5): Participant Enrollment Agreement requirements for transportation plans 

3. Licensing or Certification 

Transportation providers must adhere to the following requirements: 

• Vehicles must be licensed by the Massachusetts Registry of Motor Vehicles (RMV). 

• Providers must comply with all local, state, and federal statutes related to vehicle operation. 

• Drivers may require specific certifications, such as CPR/First Aid training, depending on the ADH program's policies. 

4. Responsible State Agency 

The Executive Office of Health and Human Services (EOHHS) and MassHealth oversee transportation services for ADH programs. 

5. Application Process 

Providers can apply through MassHealth's Provider Online Service Center or subcontract with existing ADH providers to offer transportation services. Individuals seeking transportation should contact their ADH program directly or consult local Aging Services Access Points (ASAPs). 

6. Required Documentation 

Providers must submit: 

• Proof of vehicle licensure by the RMV 

• Compliance documentation with state and federal regulations 

• Driver qualifications, including background checks and training records 

• Insurance coverage for vehicles and drivers 

• Participants may need to provide: 

• Proof of enrollment in an ADH program 

• Documentation of mobility needs (if applicable) 

7. Timeline for Approval 

The timeline for approval varies depending on the completeness of the application and adherence to regulatory requirements. Providers should contact MassHealth for specific details. 

8. Pre-Application Process 

There is no formal pre-application process mentioned. However, providers should ensure compliance with all vehicles, driver, and safety standards before applying. 

9. Pre-Application Training 

No specific pre-application training is mandated by state regulations. However, drivers may need to complete training in areas such as: 

• Safe vehicle operation 

• Assisting passengers with disabilities 

• Emergency response procedures 

10. Additional Notes 

• Transportation services must be included in the participant's enrollment agreement as part of their ADH plan. 

• Payment rates for transportation are determined by EOHHS based on the applicable payment methodology. 

• Providers may offer transportation directly or subcontract with third-party vendors. 

• Programs like "The RIDE" by MBTA or TRIP Metro North may complement ADH transportation services for eligible participants. 

• As of March 6, 2025, transportation remains a critical component of ensuring access to Adult Day Health programs across Massachusetts.