D-1 Course Name: Transporting Persons with Disabilities

Description: Non-emergency medical Transportation (NEMT) allows persons who are unable to travel on their own due to medical conditions to travel safely from one location to another. Passengers who are stable but unable to travel by conventional means are required to use non-emergency medical transportation due to oxygen requirements, mobility issues, or ease and comfort. It is important for the NEMT driver to be knowledgeable of developmental disabilities, the rights of their passengers, and the best ways to provide safe, quality assistance when needed.

The objectives of this program are:

• Understand the Americans with Disabilities Act (ADA)

• Learn about Human Rights and Person First Language

• To understand intellectual and developmental disabilities and their causes

• Overview of Hidden Disabilities

• Use of Service Animals

• Techniques for Transporting Persons with Disabilities

D-2 Course Name: Adaptive Equipment

Description: For individuals with a disability, Adaptive Equipment (DME and Assistive Technology) can substantially improve overall quality of life by increasing a person’s independence with functional mobility and activities of daily living. It is important for NEMT staff to understand a passenger’s medical needs and recognize various types of adaptive equipment. Worn or damaged equipment can directly affect the safety of the passenger transport. Drivers should be able to recognize these potential hazards and report findings to the passenger, facility, and Company management. 

• Define the two types of adaptive equipment (durable medical equipment and assistive technology)

• Easily identify types of adaptive equipment and understand the needs of the user

• Recognize worn or damaged equipment

• Learn how to assist the user and store equipment on the vehicle

D-3 Course Name: Blood-borne Pathogens

Description: This training provides an annual review of blood-borne pathogen exposure control principles, practices, and requirements as required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard. It is required for all personnel who may come in contact with human blood or blood products or human tissues, fluids, or cells that are considered “other potentially infectious materials” (OPIM) as defined by OSHA. Drivers may be exposed to bloodborne pathogens when transporting passengers to medical appointments, such as dialysis and chemotherapy, and persons infected with COVID-19. This training module is designed to provide an awareness or basic understanding of blood-borne pathogens, common transmission modes, prevention methods, and other pertinent information.

• What are bloodborne pathogens, and how are they transmitted

• Workplace job duties that could expose you to blood and other possibly infectious materials

• Methods that will prevent or reduce exposure include equipment and safer medical devices, work practices, and personal protective equipment (PPE)

• What to do if you are exposed to BBP

D-4 Course Name: HIPAA Privacy and Confidentiality Training

Description: As a non‐emergency medical transportation provider, you deal directly with Medicare and Medicaid Members’ healthcare information every time you provide services. Also, your private pay clients have HIPAA rights, as well, that protect them from exposing private information. The Health Insurance Portability and Accountability Act, also known as HIPAA, protects much of this information from disclosure. This training module seeks to explain the privacy and security of healthcare information in compliance with HIPAA.

• Describe the components of the Health Insurance Portability and Accountability Act (HIPAA)

• Focus on HIPAA guidelines that affect the daily functions of NEMT operations, drivers, and other personnel who have a “need to know” while doing their job.

• Provide employees and subcontractors with information necessary to ensure that client’s health information is regarded with the highest privacy and security.

• Educate employees and subcontractors on the latest standards for privacy and security set forth by the governing agencies.

D-5 Course Name: Sexual Harassment in Transit

Description: Sexual harassment is a form of sex discrimination that violates Title VII of the Civil Rights Act. Sexual harassment consists of unwanted sexual advances or sexual conduct in the workplace that has the effect of unreasonably interfering with a person’s work performance. This type of behavior can create an intimidating or hostile work environment. It is the responsibility of each employee to help maintain an environment free from harassment by being aware of behaviors that can offend people and by clearly communicating that offensive behavior must stop. Also, persons with disabilities are subject to sexual abuse and are victimized by crime at higher rates than the rest of the population. The course includes:

• Define sexual harassment

• Recognizing behavior that constitutes sexual harassment and behavior that does not

• Discuss issues of sexual harassment in transit environments

• Demonstrate passenger assistance techniques that can be used to prevent sexual harassment perceptions

D-6 Course Name: Defensive and Distracted Driving

Description: This course offers defensive driving techniques to motivate drivers to change risky driving habits and behaviors to avoid collisions and traffic violations and offers practical strategies to reduce collision-related injuries, fatalities, and costs. It addresses the importance of attitude in preventing motor vehicle collisions and reinforces the good driving skills drivers already have. Includes: Distracted driving, impaired driving, and unsafe driver behaviors.

•  Definition of Defensive Driving  

• Overview of “Rules of the Road”

• What is Distracted Driving

• The three types of Distraction – Visual, Manual, and Cognitive

• Know your state laws regarding cell phone use and text messaging

• How to stay focused

D-7 Course Name: Substance Abuse and Alcohol Misuse Program

Description: This course provides clear, concise guidelines to employees regarding the DOT/FTA substance abuse prevention program. This annual training meets the DOT/FTA 60-minute employee training requirement. Includes a downloadable copy of FTA Booklet – What Employees Need to Know about DOT Drug and Alcohol Testing.

• Defines safety-sensitive positions

• Informs employees of actions that are prohibited

• Effects and consequences of prohibited drug use on personal health, safety, and the work environment

• Signs and symptoms that may indicate prohibited drug use

• Describes circumstances for testing and testing procedures

• Defines consequences for rule violations

D-8 Course Name: Pre and Post-Trip Vehicle Inspections

Description: According to 49 CFR §396.11, each passenger-carrying driver must prepare a driver’s vehicle inspection report (DVIR) in writing at the end of each day's work on each vehicle operated. A good pre-trip inspection keeps the driver from leaving your facility with a vehicle that has an existing problem. A good post-trip inspection gives the shop time to react to an identified problem and correct it before the vehicle goes back out on the road. This course covers the following:

• The Importance of Vehicle Inspections

• Define Pre and Post Trips Inspections

• Completing a Driver Vehicle Inspection Report

• Inspection Checklist

• Vehicle Cleaning

• Periodic Vehicle Maintenance

D-9 Course Name: Accident and Incident Management

Description: This course educates drivers on the difference between an accident and an incident, how to gather important information, and how to manage and control the scene. Overview of conducting a root-cause analysis, determining if it was preventable or non-preventable, and conducting and documenting an investigation (The 5 Ws). 

• Definition of an Incident and an Accident

• The Impact of Vehicle Accidents

• Principals of Law Affecting Paratransit Vehicle Drivers

• Controlling the Scene of an Accident

• Incident and Accident Reporting

• Preventable and Non-Preventable Accidents

D-10 Course Name: Emergency and Evacuation Procedures

Description: The elderly and disabled persons who use wheelchairs or other personal assistive devices or who have visual impairments or medical, physical, or mental conditions will require assistance in the event of an emergency situation. They may not be able to move with the speed, agility, and sureness needed to evacuate transport vehicles safely and quickly during emergencies. To be able to respond effectively to the special needs of elderly and disabled passengers during emergencies, it is necessary that drivers and attendants possess the appropriate knowledge and skills.

Proper training is of major importance because inadequate knowledge of the characteristics of the elderly and disabled and the inability to adequately respond to their special needs during an emergency may cause injury, aggravate physical, medical, and mental conditions, or delay the evacuation.

• The risks for elderly passengers and persons with disabilities in the event of an emergency

• Potential emergency situations that may happen while working

• Use of emergency equipment

• Hazards and threats that can be encountered on the road

• Responding to accidents and incidents

• Recommended evacuation procedures

• Coronavirus (COVID-19) precautions

XTS Ancillary Courses

A -1 Course Name: Fraud, Waste, and Abuse Prevention Training $49

Description: The Centers for Medicare & Medicaid Services (CMS) oversees the design and operation of state Medicaid programs, including non-emergency medical transportation. State Medicaid programs are required to provide non-emergency medical transportation (NEMT) to beneficiaries who cannot provide their own transportation to medical appointments. Federal and state agencies have identified fraud and non-compliance with requirements related to NEMT. Annual FWA training is required for transportation providers, staff, and drivers who service Medicaid beneficiaries.

• FWA Training Requirements

• What is Fraud, Waste and Abuse

• Medicaid Fraud Control Unit (MFCU)

• Consolidated Appropriations Act

• Federal False Claims Act

• Beneficiary, Transportation Provider, and Driver Fraud, Waste, and Abuse

• Medicaid Exclusion List

• How to Report Fraud, Waste and Abuse

A - 2 Course Name: Coronavirus (COVID-19) Training - FREE

Description: As a NEMT driver, you have an increased risk of exposure to COVID-19. Potential sources of exposure include having close contact with passengers, healthcare facility workers, or others with COVID-19. It is important to know what precautions to take to reduce the risk of exposure and contracting COVID-19. This training is recommended to be presented along with the Bloodborne Pathogens training module.

• What is the Coronavirus or COVID-19

• What is a Pandemic and our history

• Symptoms, how it is spread, and who is at high risk

• Comparing symptoms to flu, cold, and allergies

• Protecting yourselves and others

• Testing and what to do if you are sick

• What transit companies need to do

• Safety procedures

• Administrative Policies

• Use of Personal Protective Equipment

• Cleaning the Vehicle

NEMT Specialty Training Courses – $185 each

ST-1 Course Name: Wheelchair and Mobility Equipment Safety and Securement

Description: Wheelchair transport services offer accessible transportation to individuals who use wheelchairs to and from medical appointments as well as non-medical events and appointments. This course covers:

• How to safely load and unload passengers into vehicles

• Properly tie down wheelchairs and secure vehicle shoulder straps.

• Passenger Assistive Techniques

• How to operate the wheelchair lift

ST-2 Course Name: NEMT Stretcher Course

Description: Non-Emergency Stretcher Transportation is intended for clients who cannot sit upright for medical or comfort reasons. This is a non-emergency service, which implies that the patient does not need emergency medical attention at the time of the service. This course covers:

• The definitions and differences between non-emergency and emergency transport.

• Legal and Professional Responsibilities

• Customer Service and Patient Sensitivity

• Review of Stretcher Equipment and Supplies

• Appropriate Dress/Uniforms and Personal Protective Equipment

• Defensive Driving

• Request for transport – Taking the call and client assessment

• Arrival and preparation of the client for transfer.

• Loading and unloading

ST-3 Course Name: OSHA Workplace Safety Training

Description: The OSHA Workplace Safety Training Program provides NEMT personnel with basic and more advanced training about common safety and health hazards on the job. Employers are responsible for providing additional training for their workers on specific hazards of their job, as noted in many OSHA standards. This program aims to promote workplace safety and health and make workers more knowledgeable about workplace hazards and their rights. This course covers:

• Bloodborne Pathogens

• Hazardous Communication

• Fire Safety

• Slips and Falls

• Workplace Violence Prevention

• Emergency Evacuations

Management NEMT Courses - $149.00 per course

M-1 Course Name: DOT Drug and Alcohol Testing / Reasonable Suspicion Training

Description: This course is provided to assist supervisors of safety-sensitive employees in making decisions about reasonable suspicion drug and alcohol tests. Regulation 49 CFR 382.603 is the applicable regulation requiring supervisors of motor vehicle drivers who operate vehicles to take 60 minutes of training on the symptoms of alcohol abuse and another 60 minutes of training on the symptoms of controlled substance use (120 minutes in total).  The purpose of this training is to teach supervisors to identify circumstances and indicators that may create reasonable suspicion that a driver is using or under the influence of alcohol or drugs. The suspicion must be based on specific observations by the supervisor or company official concerning the employee’s current appearance, behavior, speech, and smell that are usually associated with drug or alcohol use.

• Definition of Reasonable Suspicion 

• Criteria for Reasonable Suspicion Test Determination 

• Role of the Supervisor in Reasonable Suspicion Testing 

• Appearance and Behavioral Signs and Symptoms of Prohibited Drug and Alcohol Use 

• Alcohol and Drug Testing procedures

M-2 Course Name: NEMT Vehicle Preventive Maintenance Program

Description: A successful preventive maintenance (PM) program is mandatory for NEMT companies.  Through preventive maintenance, vehicles are inspected, repaired, and maintained in such a way that defects are prevented from surfacing in the first place before a violation or accident can occur. Your clients count on you to provide safe transport for passengers. This course covers:

• Recommended preventive maintenance schedules

• Inspection checklists

• Lock out – tag out procedures

• Wheelchair lift maintenance requirements

Contact us to order training courses