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Coborrus County Transit System Finol Report — September 2015 provide ADA service after FY2016. Instead the ADA contract will go to the provider that wins the fixed route service contract. Out -of- County Trips Policy The out -of- county policy states that medical trips are the only out -of- county trip purpose currently provided by COTS. Medical transportation is mandated by Title XIX of the Social Security Act, which directs county departments of Social Services to provide transportation for medical care for Medicaid - eligible recipients who have no other means of transportation to access this care. The trips are normally run 3 days a week, Tuesday through Thursday. Exceptions for traveling on other days are made for documented appointments (e.g., FAX doctor appointment documents are required if a passenger wants to ride on any other day). Table 10 below shows the volume and cost of the out -of- county program. Figure 17 shows the hours spent on out -of- county trips in FY 2014. The longest single run recorded in FY 2014 was about 228 miles. Total out -of- county miles for FY 2014 were 66,219 (5.8% of all the miles logged in FY 2014 = 1,152,000) consuming 12,061 hours (15.4% of all the hours logged in FY 2014 = 78,509). The high number of hours is attributable to drivers waiting at remote locations to carry patients back from their out -of- county medical appointments. Table 10: Impact of Out -of- County Medical Trips — FY 2014 L ountxAlllec ordsj Mecklenburg SS7 ,. 6,247 34,573 17,875 Rowan 632 3,591 16,474 9,206 Forsyth 36 236 5,084 434 Union 40 870 3,2SS 3,596 Other 22 138 2,668 2SS Stanly 40 S6S 2,095 1,0S2 Iredell 38 413 2,071 1,968 Totals 1,365 12,061 66,219 34,386 Attachment number 1 \n F -3 Page 130