Using Targeted Reviews to Reduce Fraud, Waste, and Abuse in Medicaid Nonemergency Medical Transportation
Medicaid covers nonemergency medical transportation for eligible enrollees, allowing them to travel to doctors' offices, hospitals, or other settings where Medicaid-approved services are provided. However, transportation services can pose a significant risk of fraud, waste, and abuse in Medicaid. Past OIG work has identified significant vulnerabilities in State and Federal efforts to reduce fraud, waste, and abuse involving nonemergency medical transportation in Medicaid. This report will use key indicators of concerning billing to conduct a targeted review of nonemergency medical transportation services. It will determine the extent to which these services did not meet Medicaid requirements and will identify the amount that could be saved by using indicators to target reviews of nonemergency medical transportation services.
| Announced or Revised | Agency | Title | Component | Report Number(s) | Expected Issue Date (FY) |
|---|---|---|---|---|---|
| October 2025 | CMS | Using Targeted Reviews to Reduce Fraud, Waste, and Abuse in Medicaid Nonemergency Medical Transportation | Office of Evaluation and Inspection | OEI-02-25-00360 | 2027 |