Covered and Noncovered Services : Covered Services and Requirements

Policy for Additional Passengers and Car Seats

Individuals Who May Ride With a Member to an Appointment

Per federal statute 42 C.F.R. § 440.170, members may travel to a covered appointment with the following additional riders who are considered medically necessary:

• Medically necessary escorts (the NEMT manager contracted with the Wisconsin DHS will verify medical necessity with the member's health care provider)
• A parent or other relative, guardian, caregiver, or foster parent if a member is a minor
• A newborn traveling with the member to the member's post-partum visit

Additionally, when space is available, DHS allows members to travel with the following additional riders who are not considered medically necessary under the following circumstances:

• Additional rider(s) requested by the health care facility
• Additional rider(s) under the care of the member
• Additional rider(s) who is a legal dependent of the member
• An additional rider acting as a support person for the member

If members drive their own car, they may take additional passengers.

Car Seat Requirements

Parents or caretakers must provide car seats or booster seats for the ride. Car seats are required for children until they are at least age 4 and 40 pounds. Booster seats are required for children up until the child reaches one of the following:

• 8 years old
• 80 pounds
• 4 feet, 9 inches tall

If the parent or caretaker does not have a car seat or booster seat for any children who need them at the time of the ride, the member will not be able to take their ride.