HomeMy WebLinkAbout15610 RES - 06/25/1980•
A RESOLUTION
AUTHORIZING THE CITY MANAGER TO SUBMIT A PROPOSAL
TO THE STATE OF TEXAS DEPARTMENT OF HUMAN RESOURCES
FOR THE PROVISION OF SPECIALIZED TRANSPORTATION
SERVICES FOR MEDICAID RECIPIENTS IN CORPUS CHRISTI
AND NUECES COUNTY UTILIZING THE CITY'S ELDERLY
TRANSPORTATION VANS; AUTHORIZING THE CITY MANAGER
TO NEGOTIATE AND EXECUTE A CONTRACT WITH THE STATE
FOR THE PROVISION OF SAID SERVICES; AND DECLARING AN
EMERGENCY.
WHEREAS, the Texas Department of Human Resources has requested
the City to submit a proposal for the provision of specialized transportation
services for Medicaid recipients;
WHEREAS, the City has supplied these specialized services during
the past year and has the capability to continue to supply the desired services;
THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
CORPUS CHRISTI, TEXAS:
SECTION 1. That the City Manager is hereby authorized to submit
a proposal to the Texas Department of Human Resources for the provision of
specialized transportation services for Medicaid recipients in the City of
Corpus Christi and Nuecea County.
SECTION 2. That the City Manager is hereby authorized to negotiate
and execute a contract with the State Department of Human Resources for the
provision of specialized transportation services for Medicaid recipients in
the City of Corpus Christi and Nueces County.
SECTION 3. That the necessity to submit a proposal and to execute
all necessary and related documents in order to implement the service when
contracted create a public emergency and an imperative public necessity
requiring the suspension of the Charter rule that no ordinance or resolution
shall be passed finally on the date of its introduction, but that such
ordinance or resolution shall be read at three several meetings of the
City Council, and the Mayor having declared that such emergency and necessity
exist, and having requested the suspension of the Charter rule and that this
resolution be passed finally on the date of its introduction and take effect
MICROFILMED
NG OG 2 91980
15610
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and be in full force and effect from and after its passage, IT IS ACCORDINGLY
SO ORDAINED, this ;L 5 qday of June, 1980.
ATTEST:
APPROVED:
1/s DAY OF JUNE, 1980
J. BRUCE AYCOCK, CITY ATTORNEY
By wtt/
Assistant Ci .• orney
MA
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E CITY ORPUS CHRISTI, TEXAS
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INTRODUCTION
This proposal to the Texas Department of Human Resources (TDHR) for the provision of
demand -responsive transportation service in Nueces County is submitted in response to
TDHR's request for proposals #81-008-01 issued on May 28, 1980.
This proposal addresses the provision of demand -responsive transportation to medical
services for eligible Title XIX (Medicaid) recipients in the City of Corpus Christi
and Nueces County. These services would be provided by the Transit Division of the
City of Corpus Christi.
Program Goals - The goals of the mediacal transportation program of TDHR are to:
To reduce or eliminate the extent to which the unavailability of appropriate
transportation prohibits or reduces the general availability of health care
for Medicaid recipients, and
Provide for a coordinated and cost effective medical transportation system
appropriate to each eligible recipient'sparticular combination of physical
limitations, geographic location and sources of health care.
Program Objectives - The objectives of the Title XIX transportation program in
Nueces County are to transport:
* An estimated 11,640 one-way tripsduring the program year
* A maximum of 1, 150 one-way trips per month
* Approximately 480 non-ambulatory one-way trips per month
Summary of Service Delivery Method - Service would be delivered by the City of
Corpus Christi Transit System via a fleet of 6 regular vans, 2 lift equipped vans
and one lift equipped bus. These vehicles were operated last year by the Corpus
Christi Transit System. The fleet and all personnel (drivers, dispatcher, and
supervisor) are Transit System employees.
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The vans would operate door-to-door with reservation at least by the day
before the service is desired. Schedules for the drivers to follow when
picking up passengers will be assembled the afternoon before service
delivery. Request for return trips would be relayed to the drivers by
the dispatcher via two-way radio.
The van service would be shared by the City's special service to the
Elderly and Handicapped. No fare will be charged handicapped users
or Medicaid recipients.
Summary of Personnel - The service was operated by the Corpus Christi
Transit System during the year 1979-80. Thus only experienced personnel
would be used to provide the service again in 1980-81. As before, these
employees would be supervised by the management of the City Transit
staff with extensive experience in providing transportation services.
The operation would be headquartered at the Transit System Offices in
Corpus Christi at 1024 Sam Rankin.
Summary, of Cost - The estimated cost of the total demand -responsive service
for Medicaid recipients is estimated at $71,067. That cost consists of a
unit cost of $4.57 per oae-way trip for 10,476 trips, a fixed overhead of
$19,1,8, and a cost of $4,074 for 1,164 trips referred to taxi companies.
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General Information
A. Legal Name of Organization
City of Corpus Christi, Texas
B. Commonly Used Name
Corpus Christi Transit System
C. Federal Employer Identification Number
74-6000574
D. Mailing Address
Corpus Christi Transit System
P. 0. Box 9277
Corpus Christi, Texas 78408
E. Nage, Address & Telephone Number of Key Personnel
1. Executive Officer
R. Marvin Townsend, City Manager
P. O. Box 9277
Corpus Christi, Texas 78408
(512) 884-3011
2. Organization Liaison for Contract Negotiation
Tom Stewart, Director of Traffic & Transit
P. 0. Box 9277
Corpus Christi, Texas 78408
(512) 884-3011
Contact for Operational Matters
Lamont C. Taylor, Transit Supervisor
Corpus Christi Transit System
P. 0. Box 9277
Corpus Christi, Texas 78408
(512) 882-1722
F. Authorized Signatories for the Organization
R. Marvin Townsend, City Manager
G. Type of Organization
Public Agency
H. State of Texas Comptroller Vendor Identification Number
1-74-6000574-1
I. Local Permits
None Required
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osed Planof Operation
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The purpose of this section of the proposal is to describe in detail the method of
providing transportation services.
Purpose of the Contract - The purpose of the program is to assure the availability
of appropriate and medically necessary transportation to and from qualified providers
of Medicaid Services (see Appendix A for approved providers) for the 16,465 Medicaid
recipients who reside in Nueces County. Also, to assume that the availability of
medically necessary transportation is provided in the same amount and scope to all
eligible individuals and is appropriate to each individual's particular combination
of physical limitations, geographic location and sources of health care.
Contract Goal - The goals of the contract are to reduce or eliminate the extent:to which
the unavailability of appropriate transportation prohibits or reduces the general
availability of health care for Medicaid recipients. Also, to provide for
coordinated and cost effective transportation system appropriate'to each eligible
recipientis particular combination of physical limitation, geographic location and
sources of health care.
Contract Objectives - The objectives of the demand -responsive transportation program
for Nueces County are as follows:
To transport an estimated 11,640 trips during the contract period
. To transport a maximum of 1,150 trips per month
. To transport a maximum of 480 trips per month for non-ambulatory recipients
• To serve an average of 970 one-way trips per month
. To minimize waiting time for recipients pickup after return trip request to no
more than one hour
• To pickup recipients within 15 minutes of stated appointment time
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To minimize travel time so that no recipient has to travel longer then AID
hour
Service Characteristics- - This section will describe in specific terms the type of
service to be provided.
1. Service Area - The proposed service area is for the City of Corpus Christi and
Nueces County.
2. Service Availability - Service would be provided utilizing six regular bans,
plus two handicapped vans, and one lift equipped mini bus. The fleet would operate;
Monday through Friday from 8:00 AM to 5:00 PM. After 5:00 PM, service would be
supplemented using available taxicab companies. The C.C. Transit System operates
from 6:00 AM to 8:30 PM Monday through Saturdays; thus calls requesting service
could be answered and referred during those hours. In an emergency, a regular transit
driver could be dispatched to take a TDHR. client to needed facilities. All transit
drivers are trained professional drivers, and are qualified to operate the vans
used for the elderly and handicapped service.
3: Service Type - The Corpus Christi Transit System will be operating a fleet
of eight vane; six regular vans equipped to .handle 11 passengers' each,; two vans
equipped with wheelchair lifts and 2 wheelchair tie downs and space for 6 ambulatory
passengers, and one mini -bus equipped with wheelchair lift and 3 wheelchair tie downs
and space for 19 ambulatory passengers. These vans will be operated by seven van
drivers with backup of reserve drivers form the Transit System pool of extra drivers.
The Transit System will be providing demand -responsive door-to-door service for the
general population of elderly and handicapped citizens of Corpus Christi. These
same vans and drivers would also serve TDHR recipients. All vans are equipped with
two-way radios operating on the same frequency as the Transit System.
•jCe on the vans would be between the hours of 8:00 AM and 5:00 PM, Monday th1
Friday. After 5:00 PM and on -,weekends, service would generally be referred to one or
more of the taxicab companies serving Corpus Christi. Ia emergency type situations,
a driver from the Transit System pool of extra drivers may be. utilized.
For trips out of the county, (special medical transportation) transportation would be
procurred through regularly scheduled commercial bus companies (Greyhound or Trailways)
or through commercial airline if necessary.
It is estimated that 30 percent of the van service provided by the Corpus Christi Transit
System would be for the transportation of TDHR recipients.
Special service to handicapped TDHR recipients would not pose any additional problems
to the Transit System. The two wheelchair -lift equipped vans and the lift equipped
mini -bus should be capable of handling all transportation requests by non-ambulatory
individuals.
Coordination of transportation service between the City's Elderly and Handicapped
program, and TDHR's Title XIX Program will be achieved by the van dispatcher. The
dispatcher will for each van coordinate the pickup end drop offs so as to minimize
waiting time, travel time, and vehicle miles.
Coordination between the van operation and the regular transit operation will be
achieved by locating the van dispatcher and transit dispatcher within close proximity
of each other at the Corpus Christi Transit facilities. The two dispatchers- will be
able to coordinate the use of pool drivers from the Transit System extra board.
4. Service Delivery, - Service delivery will be handled in the same manner the
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City is currently using. Advance reservation for service should be made by the recipient
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'b re 5:00 PM the day before the service is desired. Short notice or same day no
will be accepted by the dispatcher whenever possible and worked into the schedule of
pickups.
Recipients should be prepared to be picked up at least one hour before their scheduled
medical appointment waiting time for pickup after a return trip request is made should
not exceed one hour on the average.
Travel time will vary with the Size of the load on the van, and the distance between
the farthest pickup and the farthest delivery point: On the average, travel time-.
should not exceed one hour.
Procedures for assisting recipients to and from vehicles will be primarily for_assieting
non-ambulatory persons. However, as a minimum procedure for all passengers, drivers
will place their vehicles in the parking gear,_engage the parking brake, exit the
vehicle and open the passenger door so that the passenger may board or alight.
Non-ambulatory passengers will be assisted by the driver onto the lift, the lift
raised or lowered as need be, and the passenger aided into the bus and secured or
aided off the lift onto the sidewalk or nearest safe point or exit. The driver have
received special sensitivity training throughout the program year. The drivers have
been trained in passenger Assistance Techniques, which is recognized by the Urban
Mass Transportation Administration. The transit supervisor in charge of the
elderly and handicapped transportation service has been specially trained as an
instructor qualified to provide sensitivity training to the van drivers.
The Corpus Christi Transit System will endeavor to inform recipients of the
transportation services available through news releases to the local media, and through
info nation brochures located at local TDHR Offices and Social Security Offices.
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411/1 brochures will also be available from van .drivers on request.•
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6. Vehicles - The following table describes the vehicles to be utilized to deliver
the transportation service. During the program year six of the regular vans are scheduled
for replacement.
Current Seating Wheelchair Lift Air
Vehicle No. Year Make Capacity Capacity Equipped Conditioned
1370 1977 Dodge 11 -0- No Yes
1371 1974 Dodge 11 -0- No Yea
1374 1974 Dodge 11 -0- No Yes
1375 1977 Dodge 11 -0- No Yes
1376 1977 Dodge 11 -0- No Yee
1377 1977 Dodge 11 -0- No Yes
1378 1977 Dodge 6 2 Yee Yes
1379 1977 Dodge 6 2 Yee Yes
1321 1980 Blue- 23 3 Yes Yes
bird
7. Insurance - Insurance ion these vehicles is provided through the City. The
City if self-insured and all; claims.are handled through the City legal department.
8. Communication System - Communications between recipients and the dispatcher
will be via telephone on a line established expressedly for that purpose. A rotary
with four lines will also be utilized to handle trip requests. Trip request will be
taken by the van dispatcher between the hours of 8: 00 AM and 5:00 PM. Calls for
service after 5:00 PM, will be answered by the transit dispatcher and requested to
call back after 8:00 AM the next morning. Calls received on Saturdays would be
answered by the transit dispatcher from recipients would be asked to call back on Monday.
Under.. any emergency situation on Saturday, the transit dispatcher would utilize a
transit driver from the extra pool of drivers to respond to a trip request on Saturday
or refer the trip to the local taxi company.
The Corpus Christi Transit System currently maintains two-way radio contack with all
the systems vehicles including the vehicles used for TDHR Transportation during the prograw
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, communication with vans, would be via two-way. radio.
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9. Information Recording - The dispatcher will keep a daily lof of all requests
for transportation. The log will include client name, medicaid case number, trip origin,
trip destination, requested pickup time, and estimated return time. .Each driver will
be given a daily trip schedule consisting of client name, medicaid case number, trip
origin, trip destination, pickup time, and signature space. The driver will complete
the required medical transportation log as he or she completes their assignments.
10. Reporting Requirements - The following reports will be submitted:
a. Invoice for services (monthly)
b. Monthly Trip Characteristics Report
c. Suspected Abuse Report
d. Accidents Report
e. Other reports as required
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inistrative Capacity
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Agency Description - The Corpus Christi Transit System provides regular fixed -route
transit service in the City of Corpus Christi. The transit system also provides charter
bus service in the city and other locations within the State of Texas. The transit
system maintains all transit equipment and would maintain the van used for TDHR
transportation. The transit system also sells fuel to other City departments.
Transportation Experience - The van drivers, dispatcher, and supervisor whose
responsibility it will be to provide the TDHR Transportation Service are currently
providing similar service for TDHR through a contract with TDHR. Under the same
management of Corpus Christi Transit Systeip,„Ithe same team of providers will continue to
provide demand -responsive transportation service to TDHR clients and the elderly and
handicapped of Corpus Christi.
Expenditure Controls - Expenditures for the Corpus Christi Transit System are
monitored constantly by the management of the transit system. A sysem or requisitions
and purchase orders has been established to assure the proper spending of City funds.
Monthly computer printouts of current and year-to-date expenditures allows a careful
monitoring of expenditures compared the annual, quarterly, and monthly budgeted funds
available.
Program Evaluation - Program evaluations will be accomplished by careful analysis of
daily trip logs. Logs will be analyzed weekly and monthly to determine number of medicaid
recipients transported and average travel time. A special log to be maintained by the
dispatcher will be analyzed to determine average waiting time until pickup after
receiving a'_call requesting return transportation.
Periodically during the program year, special surveys of riders will be conducted to
determine users attitudes and degree of satisfaction with the'service.
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Costs
The cost for the proposed demand -responsive transportation service in
Nueces County have been developed on a unit cost/fixed rate basis plus
an amount necessary to brokerage an estimated 10 percent of the trips
to local taxicab companies.
The average unit trip cost for the total demand -responsive transportation
activity are shown on the attached table. The unit cost is modified to
reflect the following factors:
a. Escorts - Escort trips are not paid for by TDER and therefore,
must be added to the trip cost.
b. Productivity - Because of the increased amount of time needed to
handle a TDRR recipient, the cost per trip is higher.
c. Non-ambulatory - Because of the increased amount of time required
to assist non-ambulatory recipients, the trip costs are bigher.
d. Special Medical Transportation - Because of the increased amount
of time required to process SMT recipients, the trip costs are
higher.
The total contract cost estimate for providing demand -responsive trans
portation to Title XIX recipients in Nueces County is $71,067. Of the
total cost, $19,118 is fixed costs which would be incurred regardless of
the number of trips, $47,875 is for transportation of 10,476 one-way trips
at a unit cost of $4.57, and $4,074 is for 1,164 one-way trips referred to
local taxicab companies at an average fare of $3.50.
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TDHR Transportation 1980-81
Fixed Cost/Unit Rate Cost Computation
Unit Rate - Local Transportation Cost (Annually)
Salaries - Regular $ 91,516
Salaries - Overtime 10,046
Retirement - 14,033
Uniforms - 1,000
Office Equipment 75
Office Supplies 120
Equipment Maintance 2,000
Fuel & Lubricants 19,000
Vehicle Repair 5,500
Postage 30
Telephone 300
Travel 572
Other Equipment 550
Total Transportation Cost $ 144,742
Estimated Annual Trips 49,000
Average Cost Per Trips 2.95 -
Cost Modifiers For TDHR
Escorts (additional Riders 30%) Modifier
Productivity (TDHR trips 20% less than average)
Reduced Productivity for Non -Ambulatory Recipients
(5% of tripe at 2 times the cost)
1.30
1.20
1.05
Total Modifier"' 1.55
TDHR Cost Par Trip 4.57
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Pro Rated Fixed Costs (Annually)
Personnel
General Manager, Grade 35G (1 Pay Period) $ 1,198
Transit Operations Manager, Grade 29C (2 Pay Periods) 1,624
Transit Supervisor, Grade 18D, (13 Pay Periods) 6,474
Senior Clerk -Dispatcher Grade 12C, (13 Pay Periods) 602
Account Clerk II Grade 14E (1 Pay Period)
429
Account Clerk Grade 12C (1 Pay Period) 353
Junior Account Grade 19F (1 Pay Period) 549
Fringe Benefits (6.13% FICA a. 7.68% TMRS)
13.81% x 1$,968 2,205
Group Insurance 33/Month/person 7x 33 x 12 x 1.8 499
Workmen's Compensation Insurance 1.8 x 15,968 287
• Total Personnel Cost .$18,220
Direct Expenses
Uniforms $1,000 x 30% $ 300
Telephone $300 x 307. 30
Office Supplies & Equipment $120 x 307. 36
Travel Expenses 572 x 30% 172
Floor Space Usage 100 sq. ft. @ 300/mo. 260
Total Direct Expenses $ -898 '
Total Fixed Cost $19,118
Cost Estimate
, Trip Cost -Unit Rate x Trips
4.57 x 11,640 x 90% _ $47,875
Fixed Costs 19,118
Trip Costs -Taxi Referrals
3.50 x 11,640'•x 10% = 4,074
Total Transportation Cost $71,067
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Corpus Christi, Texas
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