PARATRANSIT ELIGIBILITY FOR PERSONS WITH DISABILITIES INTRODUCTION The purpose of this paper is to clarify the eligibility guidelines for a person with a disability to obtain or retain Paratransit service. The Americans with Disabilities Act (ADA) recognizes the fact that there will always be some people with disabilities who are unable to navigate the fixed route bus systems on their own and therefore requires public transit companies to provide complementary alternate transportation service, such as VIA-Trans in San Antonio. The ADA requires Paratransit service to be provided only for people who are unable to use the fixed route service due to a disability. Eligibility determination by transit companies focuses on the person's functional ability to use the fixed route service, and transit companies are permitted to periodically evaluate or assess rider eligibility. We will address the ADA eligibility rules, talk about important best-practices, do's and don'ts, and attempt to explain the eligibility process. Topics will include: ELIGIBILITY CATEGORIES TYPES OF ELIGIBILITY CONDITIONAL AND UNCONDITIONAL ELIGIBILITY TRIP-BY-TRIP ELIGIBILITY 1 THE ELIGIBILITY DETERMINATION PROCESS THE APPEAL PROCESS – FOR DENIALS OF ELIGIBILITY OR TRIP BY TRIP DENIALS. SUMMARY The primary source of information for this paper is a series of Topic Guides on ADA Transportation compiled and published by the Disability Rights and Education Defense Fund, which can be accessed online at www.dredf.org. We will be providing an overview of the requirements of the ADA and the U.S. Department of Transportation (DOT) ADA regulation, Federal Transit Administration (FTA) determinations, and best operational practices. The Federal Transit Administration enforces the ADA in the area of publicly funded transit. ELIGIBILITY CATAGORIES Eligibility Categories include the following: A. Cannot navigate the “Fixed Route” system independently 1. Unable to safely get to a bus stop due to gaps in sidewalk, or inability to effectively locate a bus stop. 2. A person with a vision disability who cannot travel in an unfamiliar location or cannot navigate complex transfers. 3. A person whose lack of manual dexterity and lack of balance makes him/her unable to stand up and hang on, 2 (since a seat cannot always be guaranteed). Bus drivers (vehicle operators) are required to provide assistance on the vehicle, such as lifts, ramps, securement devices, and so forth. Eligibility for Paratransit should be granted as long as the required assistance is not being provided on fixed routes. 4. Not calling out stops by driver or enunciator for orientation purposes. B. NEEDS AN ACCESSIBLE VEHICLE AND ACCESSIBLE BUS STOP 1. people with disabilities WHO CAN USE ACCESSIBLE BUSES, BUT WHEN THEIR BUS STOP IS NOT ACCESSIBLE DUE TO PHYSICAL CHARACTERISTICS OF THE STOP ARE ELIGIBLE FOR paratransit until the stop in question is made accessible. 2. the ada contains STRICT RULES ABOUT BUSES SERVING EVERY stop with the lift or ramp. 3. A key feature needed to make the fixed route system accessible to certain people with disabilities is stop announcements to aid in orientation. In these cases, such riders have Paratransit eligibility until the problem is remedied and the fixed route system becomes accessible with full stop announcements by the fixed route driver.[9] 3 C. OBSTACLES THAT PREVENT REACHING THE BUS STOP Eligibility is triggered when anyone who, because of a disability, cannot travel to or from the bus stop due to: 1. Distance 2. Terrain 3. Weather 4. Safety (gaps/obstacles in sidewalks for example) To trigger eligibility, the obstacles must hinder the individual beyond simply being inconvenient. D. REASONABLE PERSON TEST 1. It is up to the paratransit company to use judgment as to what is impossible (cannot find a bus stop, or fatigue) 2. To what is considered ‘reasonable’ (someone may be able to physically walk to a bus stop but fatigues so easily that they tire before finishing their trip). Travel is "prevented" if a reasonable person with the disability would be deterred from making the trip. TYPES OF ELIGIBILITY 4 The ADA requires consideration of eligibility for trips that an applicant or rider makes or might make. For this reason, different types of eligibility have developed in the transit industry, including: A. UNCONDITIONAL ELIGIBILITY 1. This is a person's eligibility category when it is not reasonable for them to use the fixed route service under any circumstances B. CONDITIONAL ELIGIBILITY (some trips) In this type of eligibility, the person can be reasonably expected to make some trips on the fixed route service. 1. ADA Paratransit eligibility determinations decisions are functionally based, there is no automatic ADA eligibility based on a diagnosis, a type of disability, or a mobility aid used. This is a transportation and not a medical decision. 2. Riders that can functionally use a fixed route bus for a particular trip even though it may be difficult, uncomfortable, or inconvenient, often will not be eligible for Paratransit for that trip. C. TEMPORARY ELIGIBILITY 1. The ADA also includes temporary eligibility for people with disabilities that prevent them from using the fixed route system for a limited period of time such as needing 5 the service while recovering from a broken leg or temporary injury. TRIP BY TRIP ELIGIBILITY Trip By Trip eligibility is for ParaTransit riders who have conditional eligibility. If the Paratransit company has classified a person as conditionally eligible they may choose to evaluate some of the trips that person may request. There may be environmental conditions that will determine whether a trip they request is eligible or denied. METHODS TRANSIT COMPANIES MAY USE TO DETERMINE TRIP-BY-TRIP ELIGIBILITY 1. They focus on most frequently taken trips and on subscription trips. 2. Implement a choice for conditional riders known as the convenience fare policy. If it has previously been determined that certain trips can be made on a fixed route bus system, the conditional rider may still have an option to request a convenience fare which means that they will pay twice the price in order to take the trip by paratransit. 3. The company saves money by denying these trips. Studies have shown the system of trip by trip eligibility can easily be duplicated by transit companies already doing trip by trip eligibility such as Access in Pittsburgh. 6 4. Travel training could be provided by a trained professional accompanying the rider for the first time on the bus to an unfamiliar fixed route location. This would be a one-on-one effort to assist each individual. The assistance provided to each person could begin as a five-day effort, and then move to four-day-per-week trips focusing on one rider at a time. 5. It is the transit company’s hope that the enforcement of this policy will motivate those who are capable and conditionally eligible to choose to ride fixed route buses to meet most of their transportation needs. ELIGIBILITY DETERMINATION PROCESS A. 21 DAY PROCESS If an eligibility determination has not been made within 21 days of receipt of a completed application Paratransit services must be offered until a determination has been made. A person should inquire after the 21 days. The transit agency should grant temporary eligibility. B. IN-PERSON INTERVIEWS AND FUNCTIONAL ASSESSMENTS* 1. The process may include functional evaluation or testing of applicants. 2. Some disabilities cannot be evaluated by functional assessments, such as seizure disorders and psychiatric disabilities. 7 *Appropriate professionals should perform functional assessments. For visual disabilities, only Orientation and Mobility Specialists should conduct these assessments. Cognitive and Traumatic Brain Injured persons need to be evaluated by a professional with the proper credentials to determine functional strengths and limitations of the disability. NOTE: Some applicants may be denied because of inconsistent information on the paper application forms. So it is important to make sure that the application is consistent in content and complete. If denied, appeal! C. TRANSIT AGENCY LETTERS 1. If eligibility is denied or limited, the written statement must provide the following a. Denial/trip by trip denial and reasons in detail b. The name of the eligible individual c. The name of the transit provider, d. Telephone number of the Paratransit coordinator e. An expiration date for eligibility f. any conditions or limitations on the individual's eligibility, including the use of a personal attendant. g. The written statement must also include information about the appeal process, including how to file an appeal. If not…insist! h. If a denial letters is received by applicants whose applications are merely incomplete, inconsistent, or improperly completed. An "Incomplete" letter should be sent. 8 D. DENIAL APPEAL PROCESS Denial letters and appeal information 1. Information about the appeal process to include how to file an appeal. Anything less than full unconditional eligibility requires appeal information. 2. The agency may require that appeals be filed within 60 days of the denial. If an applicant misses this deadline, he or she may reapply at any time, and may file an appeal if denied again. 3. The appeal process must include an opportunity to be heard and to present information and arguments. If the applicant needs transportation to the appeal hearing, the transit agency must provide it. 4. The decision on an appeal must be made by a person or panel of people not involved with the initial decision to deny eligibility. 5. The agency has 30 days to make a decision. Service must be provided from that time, until a decision to deny the appeal is made. 6. Written notification of the result of the appeal must be provided, with detailed, specific reasons stated. 7. Transit providers may require appeals to be requested in writing, but cannot require more detailed information about why the applicant is appealing. Based on a written request alone, an appeal must be scheduled and heard. 9 8. Generally, the transit agency need not provide Paratransit service to the individual during determination of the appeal. However, if the person filing the appeal received ADA Paratransit service in the past, but was denied eligibility during recertification, it is a best practice to continue Paratransit service during determination of the appeal. Recertification 1. A transit agency may require recertification of eligibility at reasonable intervals. 2. "Waiving recertification for certain customers whose inability to use the fixed route is unlikely to change can avoid associated costs ... and inconvenience to customers." Accessible Formats 1. The ADA requires transit agencies to use accessible formats to ensure communications access for people with impaired vision, speech, or hearing. 2. This includes all information provided to the public about the eligibility determination process, all materials necessary to apply for eligibility, and all notices concerning eligibility. 3. "A document does not necessarily need to be made available in the format a requester prefers, but it does have to be made available in a format the person can use. 10 WHAT ELSE APPLICANTS, RIDERS, AND ADVOCATES NEED TO KNOW Documentation you May Wish To Submit 1. Applicants may provide any information or documentation that will help to show that they are eligible because they cannot use the fixed route transit system. 2. Include information on any secondary disabilities you have, such as disorientation, fatigue, or difficulties with balance, cognitive issues, or limitations that prevent you from walking to a bus stop. You should consider your potential travel throughout the entire bus system, not just your neighborhood or familiar locations. Remember you do not know in advance the physical obstacles everywhere. 3. You may wish to use the Task/Skills List to help you identify the obstacles you face in using the fixed route bus system. Obstacles may include any of the following: 1. Receiving and remembering transit system information; including printed bus schedules, online web access, and automated bus trip planning 2. Announcing the stops you need on a fixed bus route by use of an electronic enunciator system or the driver calling out the stop you request. 11 3. Walk/Wheel to and from Transit Stop/Stations throughout area – up to ¾ mile a. Over various surfaces b. Over various terrain c. Up/down curbs d. Up/down curb cuts e. Cross streets of various widths and with various controls (no stop light, no APS signals etc) f. Find your way in familiar and unfamiliar settings 4. Enter and Exit Transit Stations a. Navigating complex stations with several bus stops within a transit center 5. Wait at a Stop/Transit Center for the bus. a. With and without benches/shelters (determine how long you can stand without discomfort) 6. Locate and Recognize Bus to Take a. Single route and multiple routes with transfers b. Board and Exit Vehicle 12 c. Pay Fare d. Get to Seat/Securement Area e. Ride in Seated or Standing Position f. Recognize where to exit the bus g. Signal for Stop h. Perform Above Tasks in Various Weather and Environmental Conditions: snow, ice, rain, heat, humidity, cold, smog, Bright light, low light, background noise i. Handle Unexpected Situations you face in using the fixed route bus system (Bus detours, changes in bus stop that require vision) All of the limitations need to be clearly identified as part of your certification/recertification application. Bring Help to the functional assessment 1. When you have an in-person ADA Paratransit eligibility interview or functional assessment and you need self-advocacy help, you can bring someone with you. This person could be a friend, family member, advocate, service provider, lawyer, therapist, or other individual. 2. Make sure that you discuss how the person will help you before you go to the assessment. If you need this help, you may request 13 assistance from DARS, SAILS, the Lighthouse, or from us at ACB. WRAP UP AND SUMMARY ADA requires transit companies to Limit Paratransit service, Using Best Practices in the Transit Industry. Transit companies are directed to: 1. Base their decisions on Most Limiting Condition; 2. Develop and use a Comprehensive Task/Skills List; 3. Apply the Reasonable Person Test 4. Identify specific Abilities and/or Limitations 5. Allow applicant Choice of Mobility Aid 6. Manage weather-related Eligibility Appropriately 7. Interpret Safety Issues Properly Transit companies should not 1. Complete Conditional Eligibility decisions only part way 2. Make Blanket Denials Based On Type of Disability 3. Base Eligibility on Travel Training Not Yet Completed 4. Deny eligibility based on prior, occasional use of the fixed route system 5. Require applicants to identify where they cannot go 6. Limit eligibility based on trip purpose 7. Steer applicants away from ADA Paratransit. 14