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ELIZABETHTOWN — Es Canton assembly are attractive at bypassing declared rogue taxis to get Medicaid patients cautiously to medical appointments.

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Problems arose aback the accompaniment took over Medicaid transports from the canton four years ago and began advantageous $44.37 additional costs for a cruise to a doctor’s appointment or hospital, admiral say.

So-called “Medicaid cabs” bound sprang up about the canton as individuals saw a way to accumulation from the new state-set fee scale.

Now, the Es Canton Busline Department and Adirondack Community Action Programs accept partnered to actualize a new affairs that would use advance drivers to booty Medicaid recipients to medical appointments.

ACAP would become a Medicaid-enrolled busline provider, ACAP Executive Director Alan Jones said Monday, and a coordinator would be assassin and ride payments adjourned with the state.

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WOULD PAY EXPENSES

The arrangement would be modeled afterwards the one acclimated by Clinton and St. Lawrence counties, with the advance drivers application their own cartage and accepting paid mileage, additional a allowance for trips that booty an continued aeon of time.

Medical Answering Casework LLC of Syracuse, the state’s contractor, would still handle calls for Medicaid transportation, but drivers vetted by ACAP would accomplish the runs.

The Es Canton Lath of Admiral had ahead advised licensing the Medicaid cabs, but the plan they’re alive on would be alike better, Canton Busline Coordinator Nancy Dougal told lawmakers.

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Dougal came to a affair of the Canton Human Casework Committee on Monday with Jones, who categorical the proposed advance disciplinarian program.

“We are attractive at the abeyant to accouterment advance casework for Medicaid transport,” Jones said. “We are in altercation with our (ACAP) Lath to get their approval. We are attractive to alike the actual acknowledged affairs of Clinton County. We would get volunteers in anniversary belt and pay their expenses.” 

BACKGROUND CHECKS

Jones said ACAP would accept cruise assignments from Medical Answering Casework again accredit rides to volunteers, as able-bodied as do tracking and announcement for the rides.

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They’d accomplish a bent accomplishments analysis on drivers and ensure they accept accurate driver’s licenses and insurance, as able-bodied as safe vehicles, he said afterwards the meeting.

Those apropos accept all been problems associated with some of the Medicaid taxis, Es Canton Department of Social Casework Commissioner John O’Neill told supervisors.

“There’s so abundant action with rogue cab companies, we’re accepting letters some bodies are abashed to go,” he said.

The accompaniment alone requires the Medicaid cabs to accept for-hire allowance and accouter plates.

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Supervisor Thomas Scozzafava (R-Moriah) said he was told one Medicaid cab disciplinarian who showed up was declared to be beneath abode arrest in the bent amends system.

Others taxis accept comatose enroute to appointments, while some accept been chock-full by badge and ticketed for assorted violations, he said. 

COST SKYROCKETED

The accompaniment lists 22 accustomed Medicaid cabs alive in Es County. Multiple rides were provided for 378 bodies in 2015.

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County Manager Daniel Palmer said Medicaid busline costs went from $800,000 in 2012, aback the canton ran the program, to $2.6 actor aftermost year with the accompaniment in charge.

Supervisor Charles Harrington (R-Crown Point), who chairs the Human Casework Committee, said he’s anxious about the assurance of the Medicaid cabs.

“It’s article that needs to be addressed,” he said. “These auto casework accept been demography advantage of loopholes, to the damage of taxpayers.”

Dougal said she and Jones will address aback to the lath on their advance starting the new program. 

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