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Mathias, Rosemary G.
Brevard County Local Coordinating Board trip priorities & eligibility workshop
h [electronic resource] :
b summary report /
conducted by Rosemary G. Mathias, Jennifer A. Hardin.
Tampa, Fla. :
University of South Florida, Center for Urban Transportation Research,
1 online resource (various pagings) :
Title from cover of e-book (viewed Aug. 8, 2011).
"April 24, 1995."
People with disabilities
Hardin, Jennifer A.
University of South Florida.
Center for Urban Transportation Research.
i Print version:
Mathias, Rosemary G.
t Brevard County Local Coordinating Board trip priorities & eligibility workshop.
d Tampa, Fla. : University of South Florida, Center for Urban Transportation Research, 
Center for Urban Transportation Research Publications [USF].
y USF ONLINE ACCESS
Brevard County Local Coordinating Board Trip Priorities & Eligibility Workshop Summary Report April 24, 1995 Conducted by: Rosemary G. Mathias Jennifer A. Hardin Center for Urban Transportation Research University of South Florida 4202 E. Fowler Avenue, ENB 118 Tampa, Florida 33620 Tel: (813) 974-3120 Fax: (813) 974-5168
Brevard Cowtty Local Coor dinating Board Trip Priorities & Eligibility Workshop Overview Brevard County Local Coordinating Board Trip Priorities & Eligibility April 24, 1995 O n April 24, 1995, the Ce n ter for Urban Transportation Research (CUTR) conducted a Trip Priori ties & E ligi bility Workshop fo r the Brevard County Local Coordinating Board (LCB). The purp ose of the workshop was to provide an interactive fo r um for LCB members to discuss trip priority and eligibility issues wjth the goal of decid ing whether to recommend that Space Coast Area T ransit (SCAT) implement more fo rma l client eligibility and priority setting proc e d u res. SCAT ou tline d se ve n goals for the workshop:
Brevard County Local Coordinating Board Trip Priorities & Eligibility Workshop The workshop was able to achieve each of these goals, as well as providing for enhanced audience participation not anticipated at the time the workshop was originally requested Background In October 1991, Coastal Health Systems began operating demand-responsiv e paratransit services under contract to the county. In June 1992, after grappling with various ap proaches to control the demand for transportation disadvantaged (TD) paratransit service, the LCB and Board of County Commissioners (BOCC) adopted a Passe nge r Managem ent System (PMS) to set trip purpose priorities for TO trips (the PMS program does not include trips purchased by sponsoring agencies such as Medicaid) In 1994, SCAT began providing the TO paratransit trips itself, except for Medicaid trips, which are still provided by Coastal. Passenger Management System The Passenger Management System was approved on June 22, 1992. The system was es tablis hed to acknowledge that the demand for TD transportation service exceeds the available supply and/or available funding for non-sponsored TO trips. The LCB and BOCC approved the following four priorities for TO trips provided by SCAT and any subcontractors: I ) medical/doctor appointments/physical therapy, prescriptions; 2) food shopping; 3) employment; and 4) other trips including recreation, general shopping and personal business. Further, the system established quantified goals to use as a guideline for ensuring the desired mix of TO trips were provided, given scarce resources The following table shows the goals and actual percentages of trips. Brevard County Passenger Management System Goal Actual 1. Medical-related 55% 53% 2. Food shopping & nutrition 5% 2% 3. Employment 20% 22% 4. Other 20% 23% Sources: Passenger Management System and SCA T (April 1995). Center for Ol'ban Transportauon ResearCh Pilge 2
Brevard County Local Coordinating Board Trip Priorities & Eligibility Workshop Prior to the workshop, SCAT staff provided LCB members with copies of all relevant information in a 120-page bound document, titled "Historical Information I Brevard County Local Coordinating Board for Transportation Disadvantaged Services: Trip Priorities & Eligibility Workshop I April 24, 1995." The document included the following items: II> Overview II> Chapter 41-2 Florida Administrative Code II> 1211 7/91 Board Action II> I 0/28/91 LCB Minutes II> 11/01/91 -Memo from Perry Maull II> 11118/91 LCB Minutes II> 03130192 -LCB Agenda Item II> 03/30/92 LCB Minutes II> 06122192 LCB Agenda Item, Re: Low Income Procedures II> 06/22192 LCB Agenda Item, Re: Passenger Management System II> 06/22192 LCB Minutes II> 01125/93 Goals Agenda Item & LCB Minutes II> 12106194 -Board Agenda & Minutes, RE: Request to Review Eligibility Copies of CUTR's 1993 publication, "Guidelin es for Developing Trip Priority Procedures for Non-Sponsored T rips Purchased with TO Commission Funds," also were distributed to the LCB members for reference. WorkshopIntroduction The workshop was conducted as a public meeting The workshop facilitators, Rosemary Matbias and Jennifer Hardin, decided to design a workshop that would allow participation by both the LCB members and the audience observers. This approach was especially appropriate given tbe topic and the six-hour duration of the workshop. Accommodations were made to enable tbe audience members to eat lunch with the LCB members, allowing them to be fully involved in the day's activities. Twelve of the LCB members participated; 18 audience members also participated, primarily representing agencies whose clients use TO transportation services. Copies of tbe workshop agenda and handouts are included in Appendix A The introduction to the workshop was used to introduce the topics of eligibility and trip priorities in general. It included a description of the issue of unmet demand for services; Center lor Orban Transportation Research Page 3
Brevard County Local Coordinating Board Trip Priorities & Eligibility Wori
Brevard County Local Coordinating Board Trip Priorities & Eligibility Workshop and audience members ranked their top five responses using the audience list). The results of the separate group rankings are shown below. LCB Initial Rankings
Brevard County Local Coordinating Board Trip Priorilies & E ligibility Workshop Combined Final Rankings Low income health care (working poor) Dialysis Work transportation (for those without transportation options) @ Working poor The purpose of the nominal group process was to illustrate the complexity of the issue of determining who is most important to serve when resources are limited. Further, the workshop provided a forum for structured discussion, which allowed each person an opportunity to express his or her opinion. The rankings by the LCB and audience were similar, as shown above. The combined top priority list, which was weighted to reflect the different numbers of participants in each group, incorporated all of the concerns of the two groups except for audience concerns about geographically isolated individuals. Workshop Conclusions CUTR concluded the workshop with an overview of options available to the LCB for establishing more stringent trip priorities and/or eligibility requirements, if it so desired. The discussion was based on a Trip Priority Decision Process developed by CUTR, which is shown in Appendix A. This process suggests answering the following questions to determine whether a formal trip priority procedure would be desirable, given local circumstances: Which trip purposes are currently served? What is the current distribution of trips? Wbt is the system's productivity? Can productivity be improved? Are trips being refused? When are trips being refused? How many trips are being refused? @ Are trip priorities needed? If so, which trip priority procedure should be used (trip purpose, time of trip, number of trips etc.)? Center for Orban Transportation Reseatcli Page 6
Brevard County Local Coordinating Board Trip Priorities & Eligibility Workshop In SCAT's case, the current trip distribution very closely matches the Passenger Management System described on page 2 of this report. According to SCAT's records, system productivity is approximately 2.0 passenger trips per vehicle hour. This productivity is probably reasonable, considering the elongated service area; however, SCAT should continue to work to improve productivity, which would result in trips being provided. According to SCAT's records, three percent of the trips requested are turned down. Given these conditions it may not be necessary to institute additional trip priority restrictions at this point; however, SCAT should closely monitor its trip refusal rate and the types of trips that are being refused to ensure that the turndown rate does not increase. Second, the LCB members were asked to consider the fundamental issue of passenger eligibility. At this time SCAT does not require age or (low) income verification. The TD transportation program was created for those persons who are "transportation disadvantaged," as defined by rule 41-2 FAC (see handouts in Appendix B). Income verification is difficult to do because of confidentiality issues and the myriad of ways in which income can be calculated. CUTR suggested four strategies for dealing with eligibility issues:
Brevard County Local Coordinating Board Trip Priorities & Eligibility Worl
R revsrd County I .neal Coordinating Rosr d Appendix A Workshop Handouts Center for Urban TrMSpOJ1&tion Re:<:;earch T rip Prioritie.' & F.ligihilitv Worhhop Appendix
Cen ter for Urba n Trensportation Res earc h ____________ Brevard County Local Coordinating Board for Transportation Disadvantaged Services April 24, 1995 Workshop Agenda I. Introduction expectat i ons definitions II. Interact i ve Session board members aud i ence members Lunch II. Interactive Sess i on -continued Ill. Review eligib i lity & trip priorities SCAT IV Interactive Discussion results of morning session options recommended actions
RELATED TO PROGRAM GOALS Unmet Demand t. While medical transportation needs are critical, all needs should be reviewed so that no segment of our community is left unserved 2. Work and training trips are important to self-sufficiency, expand such opportunities by establishing a plan to address needs, provided funds are available to defray cost. 3. Review the transportation needs of the socially isolated individuals 5. Implement no-show policy and evaluate results.
RELATED TRANSIT DEVELOPMENT PLAN (TOP) RECOMMENDATIONS Immediate Actions 4. Develop a plan for using new TO Trust Fund money. 26. Establish eligibility requirements for TO & ADA service.
TRANSPORTATION DISADVANTAGED F.A.C. 41-2.002(30) '"Transportation Disadvantaged (TO)' means those persons who because of physical or mental disability, income status or age are unable to transport themselves or to purchase transportation and are, therefore, dependent upon others to obtain access to health care, employment, education, shopping, social activities, or other life sustaining activities, or children. who are handicapped or high risk or at-risk ...
AMERICANS WITH DISABILITIES ACT Complementary Paratransit Eligibility 49 CFR 37.123(e) "The following persons are ADA paratransit eligible: (1) Any individual with a disability who is unable as the result of a physical or mental impairment (including a vision impairment) ... to board, ride, or disembark from any vehicle on the systern which is readily accessible to and usable (by) individuals with disabilities."
AMERICANS WITH DISABILITIES ACT Trip Purpose 49 CFR 37 .131 (d) "Trip Purpose Restrictions The entity shall not impose restrictions or priorities based on trip purpose." 49 CFR 37.131 (f) "Capacity Constraints. The entity shall not limit the availability of complementary paratransit services to ADA paratransit eligible individuals ...
TO PROGRAM ELIGIBILITY CRITERIA Strateg i es 1. Continue status quo 2 Use existing agency eligibility determination 3. Develop a new eli gibility determination process a. Self-certification b. Documentation 4. Combination of 2 & 3
RrevArd County I .ocal CoordinsJin g Rosrd T ri p Priorit ie.< & Eligibility W ork:
Rrevard County I .ocal C(l(lf\'j_inating Board Trip & F.ligihility Worksh
Rrevard County l.ocal Coordinating iloaTd Trip Priorilie< & F.ligihilitv Wnrhhop Audience Priority List A. What are the characteristics of people in Brevard County who most need TD tran s portation? (responses shown in random order) Medical transportation out of county Transplant patient transportation needs Lack of public transportation More accessible bus stops/hubs Infrastructure/lack of access problems (unpaved) Non-medical emergency (shelter, protection, food, clothing) Extended public transportation hours Emotionally impaired Parents with special needs individuals Day care center auxiliary trips Education Need attendants to travel Low income health care needs (working poor) Snowbirds Elderly Lack of sheltered/secured waiting areas Economically disadvantaged Physically Impaired Low in come elderly Unfamiliar-need transportation Mentally Impaired/unable to drive Economically disadvantaged pre-school Developmentally disabled (to center/program, etc ... ) Cancer treatment, needs, etc ... Socially isolated Scooters/not bus accessible Dialysis Single parent with limited transportation No viable transportation for work Subsidize hous ing resident Vocationaltraining Micco!Little Hollywood residents medical needs to Indian River County Geographically isolated/problem Transportation to seek work Unable to drive/can't afford automobile Social outings C'.enter for Urt>M Transpo