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ITCC Committee Meeting Minutes by bcM6Wl

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									Updated 10/24/11

                           ITCC Committee Meeting Minutes
                                  October 13, 2011


Committee members present were: Penny Vaillancourt; Delta Cseak; Melissa Read and
Cathy Singleton. Also attending was Rich Rothe of Rothe Associates.

Penny reported that two (2) accessible taxis have been delivered to Schooner Bay
Rockland. These vehicles were purchased with New Freedom funds and a $14,000.00
cash commitment from Schooner Bay and in coordination with Coastal Transportation.
This will enable individuals with a variety of disabilities to obtain transportation after
normal business hours and on weekends. This has been so well received that Dennis
Fitzgibbons of Alpha One has indicated he will do everything he can to push this type of
service forward in other communities. It was also noted that three other regional
transportation providers are developing plans with New Freedom funds as well. Coastal
Trans is looking at a voucher program; Penquis and YCCAC are both developing
mobility manager programs for Regions III and VIII respectively.

The FTA has completed a Triennial Review—looking at systems and processes. There
were few findings but the message is “Maine needs to spend down funds”. At the Maine
Transit Association Tri State Annual Meeting, it was noted by FTA representatives that
the federal government wants to see more performance measures. Penny indicated that
she is committed to bringing MTA members together with the ITCC to work on this in
the near future.

Delta reported that Western Maine Transportation is now using CityLink bus passes to
assist with methadone rider’s transportation. She was pleased that MaineCare was
contacted before starting this, as MaineCare bus passes are currently funded with state
dollars only.

She indicated that some regional providers are concerned they will not be able to deny
service once a brokerage is in place—it was noted that policies have not changed and
providers have never been able to deny service to MaineCare recipients except in rare
cases involving criminal actions, etc.

The request for proposals for the brokered system(s) in Maine is in draft form and it is
still on target for late 2012 implementation. The transportation waiver submitted to CMS
and MaineCare has confirmation that it was received.

NEMT is still planned to operate under a brokered model for two years. Consideration is
being given to at time of renewal bringing in all DHHS transportation services under the
broker(s).




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Delta also explained that a broker will receive a flat amount of funding each month for
every eligible MaineCare recipient per region and penalties if quality measures are not
met on a monthly basis; there will have to be 24-7 access and a monthly data report will
be available to share with other funding sources and the ITCC. She also noted that a
broker who provides transportation can only provide up to 25% of the trips they refer.

Cathy noted that there has been a culture of change at vocational rehabilitation since they
implemented transportation guidelines. There has been a shift from private to public
transportation—noting that many are using public bus service to get to SMCC which
saves on the cost of gasoline as it is much cheaper to use public transit. This shift is
saving many thousands of dollars each year.

Melissa noted she will be changing how her site reviews with providers are done—
having a numeric score tied to performance and accountability. She also spoke of
difficulties she is having with some providers who are not willing to determine income
eligibility for some riders—accepting the referral as “proof “ of eligibility. She continues
to work to resolve this and other issues with the providers who are involved.

Rich Rothe has delivered the BOP (2 paper copies and the appendices) to Penny. The
Executive Summary is yet to be delivered. It was noted that one provider has a data gap
(no break out of trips, miles by funding source and mode). Penny indicated this issue will
be addressed with the specific provider as is no longer acceptable to refuse to provide
requested data. The narrative portions of the BOP will be sent in PDF format to
committee members for their review and comments which Penny has asked to be
returned to her by 10/21/11. Of these narratives, the regional overview is different from
past years and provides more information on how service is actually provided. The
purpose behind this change is to better demonstrate coordination and assists MaineDOT
in demonstrating a locally coordinated plan. A special meeting of the ITCC will be
called to approve the BOP for publication.

Penny also distributed copies of the TCRP Report 105 and the United We Ride National
Dialogue Final Report to committee members. She asked members to review both these
reports and offer opinions of coordination models that will help create a foundation for
the work the committee will be involved with in the future—plans for unmet need and
funding. She would like comments prior to the next meeting on January 12, 2012. Penny
also agreed to set the meeting dates and reserve conference rooms for 2012 and forward
to all committee members.


Sharon Eaton
Consultant




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