March, 2015
Iowa secured a temporary, one-year waiver of NEMT and was required to evaluate the impact of the waiver on access to care (CMS 2014b). In its September 2014 request to continue the exclusion in year two, the state reported that enrollees are using services and therefore access has not been affected without NEMT. Even so, […]
March, 2014
Because people on hemodialysis must receive treatment 2-3 times/week, reliable transportation is essential to ensure that hemodialysis patients have access to their treatment centers. According to the US Renal Data System, the majority of hemodialysis patients rely on others to transport them to and from the clinic, with 66.8% of patients being driven by others, […]
March, 2014
The states that currently have CMS-approved premium assistance programs anticipate a small number of newly eligible beneficiaries will be considered medically frail through self-attestation. For example, the AR waiver request projected that of the 225,000 newly eligible individuals, 10% will be deemed medically frail. In IA, the state waiver request estimates that 15.8% of the […]
March, 2014
A previous analysis of National Health Interview Survey data (1999 to 2009) found that 7% of Medicaid beneficiaries reported transportation as a barrier to accessing timely primary care treatment and even 0.6% of those with private coverage reported struggles with similar transportation barriers. As many states propose to scale back the Medicaid transportation benefit, it […]