Program Name

Services it Provides

Who does it help ?

How to apply

Non-emergency Medical transportation NEMT

Non-emergency transportation to and from medical appointments. 

Nationwide

Client must have a medicaid-covered medical condition that prevents them  from using other means of transportation to access medical care. 

No need to apply this is  an included benefit

State Medicaid agency 

 

Emergency Medical Transportation

The federal Medicaid transportation assurance requirement does not recognize emergency medical transportation (EMT) services separately from the overall assurance of transportation requirement. Under section 1902(a)(4) of the Act and implementing regulations, including 42 C.F.R. § 431.53, states must ensure both emergency and non-emergency medical transportation where necessary for the beneficiary to receive covered services. Additionally, though there may be state regulations or policy restricting transportation to an alternate destination, federal Medicaid law and regulations do not specify that emergency transportation must be to an emergency department of a hospital. Examples of alternative destination locations may include urgent care, freestanding behavioral health facilities, group practices, ambulatory care settings, crisis centers, and community clinics.

Navigating Your Healthcare Journey: A Guide to NEMT MAS Services

For individuals facing non-emergency medical transportation (NEMT) challenges, finding reliable and accessible options can be a hurdle. Enter NEMT MAS services, a specialized program designed to bridge the gap and ensure everyone has access to essential medical appointments and treatments. Let’s delve into what NEMT MAS offers:

Reaching Your Healthcare Destination:

  • Service Area: NEMT MAS is a nationwide program, but availability and specific providers vary by state and locality. Contact your state Medicaid agency or healthcare provider for details in your area.
  • Eligibility: To qualify for NEMT MAS, you must have a Medicaid-covered medical condition that prevents you from using other means of transportation to access necessary medical care.

Planning Your Medical Trip:

  • Scheduling: NEMT MAS rides typically require scheduling, often with a minimum notice of 24 hours. This ensures efficient routing and vehicle availability.
  • Restrictions: Same-day or last-minute scheduling might be limited, and prior authorization from your healthcare provider may be required for certain trips. You can avoid problems by having your doctor’s office call MAS to schedule yopur ride. 

Accessibility Tailored to Your Needs:

  • Handicapped Accessibility: NEMT MAS providers must comply with Americans with Disabilities Act (ADA) regulations. Vehicles are generally equipped for various mobility aids, and wheelchair-accessible options are available.
  • Service Options: Depending on your location and needs, NEMT MAS might offer door-to-door service, curb-to-curb service, or a combination of both.

Cost Considerations:

  • Fares: The cost of NEMT MAS rides varies based on your state program and the specific trip details. In most cases, Medicaid covers a significant portion of the cost, and co-pays or deductibles may apply.
  • Payment Options: Payment methods depend on your state program and may include direct billing to Medicaid or out-of-pocket payments.

Navigating the Program:

  • Destination Restrictions: NEMT MAS primarily covers trips to approved medical providers, facilities, and pharmacies within your state. Out-of-state travel might require prior approval or special arrangements.
  • Companion Policy: You may be able to bring a companion on your NEMT MAS ride, depending on vehicle capacity and program guidelines.

Beyond the Basics:

  • Advocacy Groups: Connect with local disability advocacy organizations for support and information about your NEMT MAS rights and resources.
  • Appeals Process: If your NEMT MAS request is denied, you have the right to appeal the decision through proper channels outlined by your state program.

 

NEMT MAS empowers individuals facing transportation challenges to receive essential healthcare services. By understanding your eligibility, planning your trips, and following program guidelines, you can navigate your healthcare journey with confidence and independence.

 

Important Note: This article provides a general overview. Specific details like service areas, eligibility requirements, scheduling procedures, and restrictions may differ significantly depending on your state and Medicaid program. Always consult your state Medicaid agency or healthcare provider for the most accurate and up-to-date information about NEMT MAS services in your area.

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