Ross McDonald discusses Vermont's braided model for medical transport services

The Senate Transportation Committee meeting held on April 25, 2025, focused on the discussion of Vermont's braided model for medical transport services. Ross McDonald presented an overview of this system, which has been in place for decades and is recognized nationally for its effectiveness.

McDonald emphasized the importance of the braided model, which integrates various transportation programs, including services for older adults, individuals with disabilities, and non-emergency medical transportation (NEMT). This approach allows for greater efficiency by consolidating resources and services into a single clearinghouse for each transit region. By utilizing the same call centers and vehicles across programs, the system reduces overhead costs and streamlines service delivery.

The committee learned that the braided model prioritizes Medicaid as the primary funding source, followed by other programs based on cost-effectiveness and demand. McDonald highlighted the role of public transit in coordinating trips and managing schedules, which enhances accessibility for users.

Additionally, McDonald discussed the procurement process for scheduling and dispatch software, which has a significant financial investment of over $4 million. This investment aims to improve service across all demand response programs and facilitate better coordination among regional partners.

The meeting concluded with an invitation for questions, indicating a willingness to engage further on the details of the braided system and its implications for Vermont's transportation services. Overall, the discussion underscored the state's commitment to enhancing medical transport efficiency and accessibility through innovative service models.