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38.3.3 Common Carrier Common carrier means any mode of transportation other than an ambulance or an SMV. 38.3.4 Transportation Coordination Non-emergency Medical Transportation (NEMT) is coordinated by Department of Health Services’ NEMT manager, Medical Transportation Management, Inc. (MTM Inc.). As the NEMT manager, MTM Inc. arranges and pays for rides to covered Medicaid services for members who have no other way to receive a ride. Rides can include ambulance, SMV or common carrier transportation depending on a member’s medical and transportation needs. The NEMT manager does not coordinate transportation for the following members: • Members who are residing in a nursing home. ◦ Members residing in a nursing home have their NEMT services coordinated by the nursing home. • Members who are enrolled in Family Care. ◦ Members enrolled in Family Care receive NEMT services from the Family Care Managed Care Organization (MCO). This page last updated in Release Number: 13-02 Release Date: 10/25/13 Effective Date: 10/01/13 38.4 HMO Enrollment In Wisconsin, health maintenance organization (HMO) refers to managed care organizations that contract with health care providers and facilities to provide services for BadgerCare Plus and the Medicaid for Elderly, Blind or Disabled programs. The HMO Enrollment Specialist is an organization under contract with DHS to provide unbiased HMO enrollment counseling to BadgerCare Plus and SSI Medicaid members and outreach about enrollment choice options. The HMO Enrollment Specialist also assists members in making an HMO selection and responds to questions about enrollment. Note This section only addresses policies related to enrollment in a BadgerCare Plus HMO and does not cover enrollment in an SSI HMO or Long-Term Care Managed Care Organization (LTC MCO). 38.4.1 BadgerCare Plus HMO Enrollment BadgerCare Plus is a mandatory HMO enrollment program, meaning most BadgerCare Plus members are required to enroll in an HMO. All eligible BadgerCare Plus members in the same household must enroll in the same HMO. However, the following persons cannot enroll in a BadgerCare Plus HMO: • Members enrolled in a long-term care managed care organization (MCO) • Members who live in a nursing home or medical facility • Members eligible for both BadgerCare Plus and Medicare, often referred to as a dual eligible (see SECTION 38.7 IMPACT ON DUAL ELIGIBLE INDIVIDUALS) • Members who are eligible for suspended BadgerCare Plus (see CHAPTER 45 INMATES)