Gatekeeping
An integrated and effective gatekeeping function is essential in controlling costs in government-sponsored transportation programs. Southeastrans builds gatekeeping functionality into every aspect of the call taking and trip reservation processes. In the case of Medicaid NET services, Southeastrans integrates state eligibility rolls with our trip reservation software to further insure that services are only provided to eligible members. Medical necessity requirements are also verified and documented, ensuring that appropriate transportation resources are scheduled for each consumer. Alternative methods of transportation are evaluated and recommended when appropriate.
Historically, a gatekeeper determined who gained entry into a protected or restricted area. Similarly, the gatekeeping function in a transportation management system insures that only authorized or eligible consumers with appropriate medical needs receive government-sponsored transportation services.
Southeastrans’ gatekeeping functions assure that every consumer requesting transportation service is evaluated for proper eligibility and appropriate medical necessity. Additional questions concerning accessibility to public transit and other alternative means of transports are built into our trip reservation protocols to confirm that all scheduled trips are reasonable and necessary. Medical needs are evaluated to ensure that consumers receive the appropriate type of transportation resource. Consumers are informed about the appropriate use of government-sponsored transportation programs and alternative means of transportation are suggested when appropriate.