Migrating more paratransit users to accessible public transit options to combat increasing utilization and costs.
In-person physical and cognitive functional assessments to determine barriers that may impact safe access to public transit.
Reduction in new paratransit applicants, increased assessment accuracy, and annual cost savings of more than $900,000.
Beginning in April 2010, MTM Transit helped TriMet design and implement improvements for its ADA eligibility process. For public transit entities that provide complementary ADA transportation, MTM Transit assessments ensure appropriate use of costly paratransit services by providing impartial assessments that eliminate false positives. In Portland, our assessment method includes an in-person interview, as well as a physical and/or cognitive functional evaluation. Additionally, MTM Transit helped TriMet integrate a new three-year recertification process for current paratransit users.
Our eligibility assessments remain in strict accordance with ADA regulations to determine if consumers can safely utilize fixed route instead of paratransit. Instead of considering a medical diagnosis as a firm eligibility determination, assessments focus on each consumer’s actual functional and cognitive abilities. Through an in-person assessment, MTM Transit’s local evaluators utilize recognized tools such as the Functional Assessment of Cognitive Transit Skills (FACTS) test to determine environmental, architectural, and personal barriers that may impact a consumer’s ability to safely and independently access public transit. In all cases, assessments utilize the standards and methodologies of national organizations such as the National Transit Institute (NTI) and Easter Seals Project ACTION (ESPA).
In addition to increasing consumer independence and facilitating better access to the community, MTM Transit’s in-person assessment process has achieved significant cost savings. In FY2011, TriMet made more than 3,000 LIFT eligibility determinations for new applicants, with MTM Transit completing functional and/or cognitive assessments for approximately 60% of applicants. TriMet reports that these assessments enhanced the eligibility process by reducing new applications and recertifications, increasing determination accuracy, and placing more consumers on public transit all or some of the time.
For example, in 2011 MTM Transit found 17% of applicants to be conditionally eligible, and 12.4% of recertified consumers were moved from unconditionally to conditionally eligible. Assuming these newly conditionally eligible consumers now take two round trips per week on fixed route service instead of LIFT, TriMet receives an annual cost savings of $903,760. The agency has been so pleased with MTM Transit’s assessment process that it issued a new five year contract to continue assessment delivery and implement a new trip-by-trip determination process. These efforts will continue to encourage individuals with disabilities to use fixed route and minimize paratransit growth.
Through the use of functional assessments, TriMet has greatly improved its ability to make more accurate eligibility determinations. Using an in-person process has also promoted better understanding of appropriate paratransit use within the community, including service agencies and organizations that promote paratransit to individuals with disabilities.
– Kathy Miller, Manager of LIFT and Community Relations
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