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, […]
Author
MACPAC (citing Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services. 2014d. Section 1115 of the Social Security Act Medicaid demonstration: Iowa Medicaid healthy behaviors program and premium monitoring protocols. July 3, 2014. Baltimore, MD: CMS. Iowa Department of Human Services (Iowa). 2014c. Iowa Health and Wellness Plan proposed non-emergency medical transportation waiver amendment)
October, 2014
It is anticipated that fixed-route transit services, where available, will meet most NEMT needs of the Medicaid expansion population. Annual expenditures to meet the NEMT demand of this population are estimated at just under $90 million per year.
Author
Richard Garrity and Kathy McGehee, National Academy of Sciences
October, 2014
Based on projections in participating states, it is estimated that nearly 9 million individuals will enroll in the Medicaid program because of the ACA expansion. Of these 9 million, it is estimated that only about 270,000 new enrollees will require NEMT because they will be more ambulatory and less transit-dependent than the traditional Medicaid-eligible population.
Author
Richard Garrity and Kathy McGehee, National Academy of Sciences
October, 2014
Under Medicaid expansion, an additional 270,000 new enrollees would need transportation services, one 2016 estimate from the National Academies suggested.
Author
Richard Garrity and Kathy McGehee, National Academy of Sciences
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, […]
Author
MJS & Company (citing CE Latham, Obstacles to achieving adequate dialysis dose: Compliance, education, transportation, and reimbursement, American Journal of Kidney Diseases, Vol. 32, Issue 6, Supplement 4, Dec. 1998, pages S93-S95)