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Partnership coordinates its own rides, and asks for a TAR.

Partnership HealthPlan of California runs transportation itself, without a broker, across 24 Northern California counties. Its policy asks NEMT providers for a Treatment Authorization Request as well as Partnership’s own PCS form.

From Partnership HealthPlan of California’s own documents, checked on . Not legal or billing advice.

At a glance

Arranges rides
Partnership’s Transportation Services Department, Monday to Friday 7 a.m. to 7 p.m.
Notice
Five calendar days before the date of service
Paperwork
Partnership’s PCS form and a TAR for NEMT services that have a TAR requirement
Discharges
Within three hours of the request
Counties
24 counties in Northern California

No broker in between

Partnership’s Transportation Services Department coordinates NEMT, NMT and gas mileage reimbursement for its members itself. Its policy also says providers and members “can call Partnership or any Medi-Cal Certified NEMT Provider directly to request NEMT services,” so a medical office may call a transportation company first.

Requests made to Partnership must come in five calendar days before the date of service. Shorter notice is reviewed case by case, and can be denied if the member simply waited.

TAR and PCS

Partnership’s policy MPTP2501 says both a Treatment Authorization Request and Partnership’s DHCS-approved PCS form are required for all NEMT services that have an identified TAR requirement. Even urgent one-time NEMT “still requires a TAR to be submitted by the Medi-Cal Certified NEMT Provider once a valid PCS can be obtained.” So here the transportation company, not only the doctor, has paperwork to file.

Only Partnership’s own PCS form is accepted, authorizations last at most 12 months, and Partnership states it will not downgrade the modality the provider prescribed.

Discharges

Hospital discharges must be picked up within three hours of the request. If the transportation provider that accepts the trip is contracted with Partnership, it is paid at its contract rate.

Where Partnership runs Medi-Cal

Solano, Napa, Yolo, Sonoma, Marin, Mendocino, Del Norte, Humboldt, Lake, Lassen, Modoc, Shasta, Siskiyou and Trinity counties, and since January 1, 2024 also Butte, Colusa, Glenn, Nevada, Placer, Plumas, Sierra, Sutter, Tehama and Yuba.

Not in the plan’s published documents

We couldn’t confirm these from Partnership HealthPlan’s own pages, so ask the plan or its vendor:

  • How a transportation company contracts with Partnership (no contracting page for transportation companies was found).
  • The claim form and filing deadline Partnership applies to transportation claims.

Running Partnership HealthPlan trips in MileCall

TAR numbers are kept as authorizations per rider and payer, with units and date ranges, checked in the trip form and flagged before they expire; a leg without one is held from billing.

A trip that a clinic phones in goes straight into the trip form, appointment-first, with the payer set to Partnership.

MileCall isn’t connected to Partnership HealthPlan or its vendor; trips come in as files you upload.

See billing

Sources

Checked on . Rules change: check the current version with the payer before you bill.

Other Medi-Cal plans

How the rest compare, and the rules every plan shares, are on NEMT in California.

See your Partnership HealthPlan trips in MileCall.

Bring a day of trips and the trip file you get today. We’ll map it in front of you, plan and dispatch the day, and show what billing holds and why.