Issue Brief: Current Issues in NEMT

Executive Summary

The non-emergency medical transportation (NEMT) benefit is a critical component of the Medicaid program. This brief reviews the NEMT requirement and details states’ various implementation options. It then probes some of the potential threats to and the future direction of this benefit as: (1) health care delivery increasingly shifts toward capitated managed care; (2) the courts limit the ability to enforce portions of the Medicaid Act; (3) states experiment with eliminating this key benefit for certain adults through Medicaid demonstration waivers; and (4) CMS and states fail to adequately monitor entities that deliver NEMT services. Each of these distinct but related issues threatens enrollees’ ability to access necessary Medicaid services.

Related Content

For almost 50 years, the National Health Law Program has fought to expand access to quality health care to low-income individuals and underserved communities. Today we are pleased to launch a newly designed website for our future work to make health care a reality for all people. Please take time to peruse our new site, and sign up for our email updates to learn about us, watch the work we do, and become engaged.

Continue to site