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 […]
Author
MJS & Company
March, 2014
Since the majority of NEMT rides are for individuals who require transportation to behavioral health services, SUD treatment, or dialysis, the majority of NEMT rides are to transport chronically ill beneficiaries requiring a more robust, specialized transportation benefit to more intensive and recurring treatments and services. The dominance of the chronically ill as NEMT users […]
Author
MJS & Company
March, 2014
There is, however, variation from state‐to‐state, which reflects states’ differing benefits and covered populations. For instance, most Medicaid NEMT rides in Connecticut (49.3%) and Pennsylvania (56.8%) were behavioral health services for substance abuse. By comparison, rides for dialysis services were the most prevalent in Mississippi (46%) and Hawaii (42%) while rides to behavioral health services […]
Author
MJS & Company
February, 2014
A study of Delaware Medicaid NEMT found that the reason for treatment was significantly associated with cancelations. In multivariate analyses, trips for a wide variety of treatment reasons were more likely to be canceled compared with dialysis encounters except for obtained alternative transportation cancelations. Doctor’s encounter trip had 2.1 and 2.5 times the odds for […]
Author
Kara E. MacLeod, David R. Ragland, Thomas R. Prohaska, Matthew Lee Smith, Cheryl Irmiter, and William A. Satariano
February, 2014
In the multivariate analysis of Delaware Medicaid NEMT, females were significantly more likely to cancel for health reasons (odds ratio [OR] = 1.4). In bivariate analyses, the oldest old (aged 85+) compared with those aged 65–74 were generally more likely to cancel (ORs ranged 1.4–1.5). However, these results did not hold in the multivariate analyses […]
Author
Kara E. MacLeod, David R. Ragland, Thomas R. Prohaska, Matthew Lee Smith, Cheryl Irmiter, and William A. Satariano
