Non-Emergency Medical Transportation

The Division of Medicaid and Health Financing (DMHF) is submitting a change to the Medicaid State Plan through SPA 13-031-UT Non-Emergency Medical Transportation. Due to a recent change to provide non-emergency medical transportation (NEMT) through a brokerage contractor service, the Centers for Medicare and Medicaid Services (CMS) is requiring DMHF to provide NEMT services under its State Plan instead of under its Non-Emergency Medical Transportation Waiver. DMHF, therefore, is amending its State Plan to specify client eligibility for medically necessary transportation and ambulance services under an NEMT broker, and to specify the method of reimbursement for NEMT providers under the new brokerage contract.

This amendment is not anticipated to result in a fiscal impact.

The proposed effective date of this amendment is January 1, 2014, and is pending CMS approval.

A copy of this change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of this change are also available at local county health department offices.