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Parent / Guardian / Parent Provider Transportation Documentation
Transportation Agreement Form
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By signing a Transportation Agreement Form on SpokeChoice, you and the client’s provider will enter into an agreement to either accept or decline transportation services for the member. Providers must have a signed Transportation Agreement Form for each member they work with. Transportation Agreements are member-specific.
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** If at any time either the guardian or the above-mentioned employee is notified of missing or expired documentation, effective immediately, and transportation to members may not be provided under any circumstances. Transportation services will not resume until all documentation has been provided by the above-mentioned employee and a transportation release has been sent to both parties via email. The provider can still bill for services provided as a non-driver in the interim.**
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The Transportation Agreement Form is only updated if the Member or Provider’s transportation status changes. The following situations require a change in the Transportation Agreement Form:
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A new provider is assigned to a client that consents to transport.
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A current approved driver employee changes or acquires a new vehicle.
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A current non-approved driver employee has now consented to provider transportation.
This form can be submitted on SpokeChoice or requested as PDF, as outlined below.
Completing Transportation Agreement Form in SpokeChoice
**Parent/Guardian/Parent Provider must sign into SpokeChoice**
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From the SpokeChoice home screen, parent/guardian/parent provider will click on the Document Vault icon and follow the steps:
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Click on green “New Document” button at top right of screen
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Type – Parent/Guardian or Parent Provider Transportation Agreement
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Add two users – Guardian – guardian/parent provider name and Client – members name
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Effective date: today’s date
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Create
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When filling out the Parent/Guardian Transportation Permission and Auto Safety Release Form
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Enter member’s name
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Choose from ONE of the following options
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Option 1 – Driver
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Select accept in Option 1 dropdown
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Enter the Absolute HCBS Employee – provider name
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Fill in vehicle year/make/model for employee
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Perform the safety checklist by inspecting and checking off all vehicle information (select yes if item is working)
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Option 2 – Non-driver
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Select N/A in Option 1 dropdown
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N/A in Provider’s Name
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N/A in vehicle year/make/model
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N/A for all items in the safety checklist
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Select N/A in the Option 2 dropdown
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Print Parent/Guardian Name
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Choose today’s date
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Parent/Guardian Signature
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3. Save
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Submitting Transportation Agreement Form in SpokeChoice
Please submit the Parent / Guardian / Parent Provider Transportation Agreement Form using the above instructions via SpokeChoice. Paper forms are available upon request. See below for instructions.
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Completing NEW Transportation Agreement Form via PDF fillable form
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Parents/Guardians/Parent Providers must email their Area Manager to request the Transportation Agreement Form and fill the form out completely. Completed forms can be returned to their Area Manager.