Metro West Ambulance’s Mobile Integrated Heath Program is a leader in the emerging world of community paramedicine and MIH.  The successes in our programs have been centered on the strong relationships we have built with our health system partners.  This partnership allows Metro West Ambulance MIH paramedics to better participate in the longitudinal care of our patients instead of the focused, episodic care of traditional EMS. We have now positioned ourselves as an integral part of the health care team.  The value of an MIH paramedic continues to expand as the skills, tools and knowledge of the paramedic profession as a whole continues to increase.

As the success of the MIH programs across the country continue to prove their value, we look forward to full recognition by CMS as a valuable patient care service that should be recognized outside of the traditional transport fee for service.

JD Fuiten
CEO, Metro West Ambulance
Director, AAA Board
2015 AAA Distinguished Service Award Winner
Hillsboro, OR

MetroWest’s JD Fuiten on Mobile Integrated Health

Medicaid Waivers to End Coverage of Non-Emergency Transportation

By David M. Werfel, Esq | AAA Medicare Consultant Updated February 16, 2016 Federal law requires that state Medicaid programs cover necessary transportation to and from health care providers in order to ensure access to care. However, as a result of Medicaid expansion under the Affordable Care Act and cost increases, recently, a few states have asked CMS to waive the requirement for non-emergency transportation so they can end coverage of non-emergency transportation. CMS granted waivers to Iowa and Indiana. Pennsylvania received permission, but the subsequent change in the governor’s office altered the state’s expansion plans and state officials ultimately chose not to use it. Arizona has a pending request to provide prior authorization. When Iowa was granted the waiver, a beneficiary survey was conducted to determine the impact on access to care. The survey found some beneficiaries with incomes under the poverty level did not have transportation to or from a healthcare visit. Other beneficiaries said a lack of transportation could prevent them from getting a physical exam in the coming year. However, CMS stated the cases of negative impact were not statistically significant enough to discontinue the waiver. As a result of the complaints, Sen. Ron Wyden (D-OR) (more…)

AAA Members Named to NEMSAC

On May 12, 2015, two AAA member leaders were appointed to the  National Emergency Medical Services Advisory Council (NEMSAC) by U.S. Transportation Secretary Anthony Foxx. NEMSAC advises the Department of Transportation and the Federal Interagency Committee on critical EMS issues. Shawn Baird – Woodburn Ambulance Service co-owner and former AAA secretary Shawn Baird has been a paramedic for 35 years. In addition to his service to AAA as former secretary, he has contributed to the profession as president of the Oregon Ambulance Association and a member of the Oregon Public Health Advisory Board. Douglas Hooten – Doug Hooten is the executive director of MedStar Mobile Healthcare in Fort Worth, Texas, and has more than 33 years of EMS experience. He held senior leadership roles at American Medical Response, the Metropolitan Ambulance Service Trust, and Rural/Metro. He is president of the Coalition of Advanced Emergency Medical Systems (CAEMS), president of the Texas EMS Alliance, and a board member of the American Ambulance Association.