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2. Non-emergency transportation when use of any other method of transportation is contraindicated and is authorized in writing by a physician, physician assistant, nurse midwife, nurse practitioner, or registered nurse. 21.4.2.2 Specialized Medical Vehicle An SMV is a vehicle equipped with a lift or ramp for loading wheelchairs. The driver of an SMV must meet driver requirements in accordance with Wis. Admin. Code § DHS 105.39. SMV transportation is a covered service if provided by a BadgerCare Plus SMV enrolled provider and a health care provider has documented why the member’s condition prevents him or her from using a common carrier or private vehicle. 21.4.2.3 Common Carrier Common carrier means any mode of transportation other than an ambulance or an SMV. 21.4.2.4 Transportation Coordination NEMT is coordinated by the DHS 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. Members must schedule routine rides at least two business days before their appointment. The NEMT manager does not coordinate transportation for the following members: • Members residing in a nursing home. Members residing in a nursing home have their NEMT services coordinated by the nursing home. • Members enrolled in Family Care. Members enrolled in Family Care receive NEMT services from the Family Care MCO. This page last updated in Release Number: 21-02 Release Date: 08/30/2021 Effective Date: 08/30/2021 21.5 Copayment 21.5.1 Introduction An EBD Medicaid member may be required to pay a part of the cost of a service. This payment is called a “copayment” or “copay.” 21.5.2 Copay Exempt Populations Providers are prohibited from collecting copays from the following members: • Children under age 19 regardless of income or benefit program. • Children in foster care, regardless of age. or • Children in adoption assistance, regardless of age.. • American Indians or Alaskan Native Tribal members, the son or daughter of a tribal member, the grandson or granddaughter of a tribal member, or anyone otherwise eligible to receive Indian Health Services, regardless of age or income level, when they receive items and services either directly from an Indian health care provider or through referral under contract health services.