Iowa Medicaid Non-emergency Medical Transportation System Review and Options for Improvements: Transportation supply and demand PDF Download
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Author: Publisher: ISBN: Category : Medicaid Languages : en Pages : 140
Book Description
Inadequate transportation has long been identified as a major issue in rural Iowa, and it is particularly acute for people of all ages with disabilities and their families, including Medicaid members. In 2005 the Iowa Department of Human Services (DHS) received a federal Real Choices Systems Transportation Grant to address a number of barriers to community living faced by this population, including transportation. Iowa Medicaid Enterprise (IME), charged with administration of the grant, was interested in the ways in which a statewide, Medicaid-funded transportation brokerage could improve services for Medicaid members. Currently, Medicaid members are reimbursed for transporting themselves, or providers are reimbursed for transporting individuals, which places the bulk of the responsibility on consumers, DHS Income Maintenance workers and case managers. Under a brokerage, IME would contract with an entity to (1) establish a network of transportation providers; (2) maintain a call center; (3) ensure compliance with Medicaid regulations related to eligibility of the individual and trip; (4) arrange and pay for the trips; and (5) monitor services and transportation providers for compliance and quality. States that have established brokerages have, in general, experienced an increase in the number of trips and a reduction in the cost per trip. In some instances, significant problems with fraud have been addressed. The brokerage concept has been actively supported at the federal level for both Medicaid and the general population.
Author: Publisher: ISBN: Category : Medicaid Languages : en Pages : 140
Book Description
Inadequate transportation has long been identified as a major issue in rural Iowa, and it is particularly acute for people of all ages with disabilities and their families, including Medicaid members. In 2005 the Iowa Department of Human Services (DHS) received a federal Real Choices Systems Transportation Grant to address a number of barriers to community living faced by this population, including transportation. Iowa Medicaid Enterprise (IME), charged with administration of the grant, was interested in the ways in which a statewide, Medicaid-funded transportation brokerage could improve services for Medicaid members. Currently, Medicaid members are reimbursed for transporting themselves, or providers are reimbursed for transporting individuals, which places the bulk of the responsibility on consumers, DHS Income Maintenance workers and case managers. Under a brokerage, IME would contract with an entity to (1) establish a network of transportation providers; (2) maintain a call center; (3) ensure compliance with Medicaid regulations related to eligibility of the individual and trip; (4) arrange and pay for the trips; and (5) monitor services and transportation providers for compliance and quality. States that have established brokerages have, in general, experienced an increase in the number of trips and a reduction in the cost per trip. In some instances, significant problems with fraud have been addressed. The brokerage concept has been actively supported at the federal level for both Medicaid and the general population.
Author: Publisher: ISBN: Category : Ambulatory medical care Languages : en Pages : 342
Book Description
Inadequate transportation has long been identified as a major issue in rural Iowa, and it is particularly acute for people of all ages with disabilities and their families, including Medicaid members. In 2005 the Iowa Department of Human Services (DHS) received a federal Real Choices Systems Transportation Grant to address a number of barriers to community living faced by this population, including transportation. Iowa Medicaid Enterprise (IME), charged with administration of the grant, was interested in the ways in which a statewide, Medicaid-funded transportation brokerage could improve services for Medicaid members. Currently, Medicaid members are reimbursed for transporting themselves, or providers are reimbursed for transporting individuals, which places the bulk of the responsibility on consumers, DHS Income Maintenance workers and case managers. Under a brokerage, IME would contract with an entity to (1) establish a network of transportation providers; (2) maintain a call center; (3) ensure compliance with Medicaid regulations related to eligibility of the individual and trip; (4) arrange and pay for the trips; and (5) monitor services and transportation providers for compliance and quality. States that have established brokerages have, in general, experienced an increase in the number of trips and a reduction in the cost per trip. In some instances, significant problems with fraud have been addressed. The brokerage concept has been actively supported at the federal level for both Medicaid and the general population.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309449383 Category : Medical Languages : en Pages : 269
Book Description
Evidence from the public health sector demonstrates that health care is only one of the determinants of health, which also include genes, behavior, social factors, and the built environment. These contextual elements are key to understanding why health care organizations are motivated to focus beyond their walls and to consider and respond in unprecedented ways to the social needs of patients, including transportation needs. In June 2016 the National Academies of Sciences, Engineering, and Medicine held a joint workshop to explore partnerships, data, and measurement at the intersection of the health care and transportation sectors. This publication summarizes the presentations and discussions from the workshop.
Author: United States Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781977542823 Category : Languages : en Pages : 36
Book Description
Medicare and Medicaid provide NEMT services to eligible beneficiaries who need transportation to scheduled nonemergency care. CMS administers Medicare NEMT benefits and is responsible for overseeing Medicaid at the federal level. Spending on NEMT under these programs was $2.7 billion in 2013-$1.2 billion for Medicare and $1.5 billion for Medicaid. Increased demand for NEMT because of increased Medicaid enrollment has led states to seek ways to more efficiently operate NEMT. GAO was asked to review NEMT under Medicare and Medicaid. This report examines 1) key features of NEMT services under Medicare and Medicaid and how these services are delivered; 2) steps CMS has taken to oversee NEMT under Medicare as well as Medicaid; and 3) the challenges that exist in providing NEMT under Medicaid and steps that selected state Medicaid agencies have taken to address those challenges. GAO reviewed key documents and interviewed officials from CMS; 15 selected states that range in terms of Medicaid enrollment and geography; and stakeholders, including transportation brokers, health plans, and health care and transportation industry groups.
Author: Publisher: ISBN: Category : Languages : en Pages : 776
Book Description
Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.
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Author: National Academies of Sciences, Engineering, and Medicine
Author: Jo Vos
Author: United States Government Accountability Office
Author: South Carolina. General Assembly. Legislative Audit Council
Author: United States. General Accounting Office
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