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Upcoming Non-Emergency Medical Transportation (NEMT) Listening Sessions

Dear Non-Emergency Medical Transportation Partners,

CMS will host four listening sessions centered on non-emergency medical transportation (NEMT).  These sessions, open to the public, will be held March 10, March 31, April 28, and April 13.

Through these listening sessions, CMS would like to obtain your input regarding potential practices for improving Medicaid program integrity for Non-Emergency Medical Transportation. In support of this goal, there will be one session on each of the following topic areas:

  • Provider Enrollment Requirements and Eligibility Determinations for Providers/Drivers
  • Program Integrity, Correct Billing Concerns, Documentation and Data Requirements for NEMT Providers 
  • Economic Factors and Cost Containment Challenges in NEMT
  • NEMT Coordination Topics – Brokers, MCO’s, Community Transportation and Paratransit Services
All four sessions are open to the public. Please find below the timing of each session along with a link for you to complete registration. After registering, you will receive a confirmation email containing information about joining the webinar.

For questions or concerns, please contact nemtengagement@mitre.org.

Thank you!

 

NEMT Listening Session 1:
Provider Enrollment Requirements and Eligibility Determinations for Providers/Drivers – March 10

Date: March 10, 2022 
Time: 2:30-4:00 PM EST

In this session, we are seeking your input on provider enrollment requirements and eligibility for providers and drivers, including topics such as:

  • Driver background screenings
  • Patient abuse, neglect, and exploitation by drivers.
  • Driver identification to the State Medicaid Agency (SMA)
  • Subcontracted transportation company identification to the SMA?

NEMT Listening Session 2: Program Integrity, Correct Billing Concerns, Documentation and Data Requirements for NEMT Providers

Date: March 31, 2022 
Time: 2:00-3:30 PM EST

In this session, we are seeking your input on program integrity, billing, documentation, and data requirements, including topics such as:

  • No shows/payment for missed NEMT appointments
  • No-shows for rides
  • No load trips and/or miles
  • Trips for non-medical services
  • Trips to nowhere
  • Late pick-ups and/or driver no-shows
  • Up-coded services and exaggerated miles
  • Inappropriate/unapproved transportation for family members
  • Patient brokering, kickbacks, etc.

NEMT Listening Session 3: Economic Factors and Cost Containment Challenges in NEMT

Date: April 28, 2022 
Time: 2:00-3:30 PM EST

In this session, we are seeking your input on broker arrangements as well as usage of community transportation and paratransit services, including topics such as:

  • Transportation related expenses and direct payments
  • Meals, lodging and payment for an attendant
  • Transportation for beneficiaries with challenging behaviors
  • Direct payments to beneficiaries, family, and volunteer drivers
  • Broker conflict of interest (COI)
  • Broker prohibition on providing transportation

NEMT Listening Session 4:  NEMT Coordination Topics – Brokers, MCO’s Community Transportation and Paratransit Services

Date: April 13, 2022 
Time: 2:00-3:30 PM EST

In this session, we are seeking your input on broker arrangements as well as usage of community transportation and paratransit services, including topics such as:

  • Access to services, timely arrival and drop off
  • Rural issues
  • Tribal land issues
  • Coverage of transportation to services not provided by Medicaid.
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