Part B: Health Care Provider Certification - MTS Access 2025

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  1. Click ‘Get Form’ to open the Part B: Health Care Provider Certification in the editor.
  2. Begin by filling out your information as the health care provider. Include your name, institution, license number, specialization, and contact details.
  3. Provide a written diagnosis along with the relevant ICD-9CM and/or DSM codes in section 1. This is crucial for assessing eligibility.
  4. Answer questions regarding your treatment history with the patient, including how long you have been treating them and when you last saw them.
  5. Indicate whether the applicant's disability prevents them from using accessible transit independently. If yes, provide detailed explanations in the designated fields.
  6. Complete sections regarding mobility aids required by the applicant and any medications that may affect their ability to travel.
  7. For questions 10-22, select Yes (Y), No (N), or Sometimes (S) as applicable, providing explanations where necessary.
  8. Finally, sign and date the certification section within 60 days of assessment to validate your submission.

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MTS EZ Access allows certified MTS Access riders to schedule trips, change trips, cancel trips, change personal information, receive trip updates, and even track you ride in real time. The functions of this app are available 24/7.
Examples of individuals who would qualify under this category include those with intellectual, cognitive, vision, or psychiatric disabilities who cannot independently navigate the fixed route system for some or all of their trips. A person with a disability who requires an accessible vehicle when one is not available.
At their simplest they may consist of a taxi or small bus that will run along a more or less defined route and then stop to pick up or discharge passengers on request.
Conditional eligibility provides paratransit service on some, but not all, trips. A rider is granted conditional eligibility when they may reasonably be expected to make some trips on the fixed-route service independently, but not all trips. Not all paratransit riders require paratransit service for every trip.