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Definition
A paid employee of the transportation provider (distinct from the driver) who is present to assist the beneficiary during transport. This person is trained to manage safety or behavioral needs.
Overview
Why it Matters
Some patients (e.g., minors, those with seizures or behavioral health issues) cannot be safely transported by a driver alone. The attendant monitors the patient while the driver focuses on the road.
How it Works
The need for an attendant is authorized by the payer. The provider dispatches a vehicle with two staff members: one Driver and one Attendant.
Code Comparison
Comparison: Attendant vs. Monitor
These terms are often used interchangeably. Monitor is frequently used in School Transport (NEMT for special education) for behavioral supervision. Attendant is a broader medical term.
Common Questions
- Documentation: Failing to record the Attendant's name on the trip log, leading to claim denial.
- Role Confusion: The driver trying to act as the attendant while driving (unsafe and non-compliant).
- Ensure the Attendant has distinct training (CPR, First Aid, PASS) separate from the driver.
- Bill the appropriate add-on code (e.g., T2001 or equivalent) for the attendant's presence.
Sources
CMS State Medicaid Manual - Transportation