摘要: |
Federal regulations (42 CFR SC 431.53) require each State to ensure that Medicaid recipients have necessary transportation to and from medical providers and to describe the methods that the State will use to meet this requirement in its State plan. Federal regulations (42 CFR SC 440.170) define transportation as expenses for transportation that the State deems necessary to secure medical examinations and treatment for Medicaid recipients. The Rhode Island Department of Human Services (the State agency) administers the nonemergency transportation (NET) program, and the Rhode Island Public Transit Authority (RIPTA) provides mass transit service within the State. RIPTA and the State agency have partnered to provide NET for Medicaid-eligible Rhode Island residents enrolled in either of the States two managed care insurance programs. Through this partnership, RIPTA provides Medicaid beneficiaries with monthly bus passes that enable the beneficiaries to access transportation to and from medical services, including visits to doctors, hospitals, and pharmacies. Our objective was to determine whether the State agency claimed NET costs for the period March 1, 2004, through May 31, 2005, that complied with Federal and State requirements. |