Review of Costs Claimed by the State of Nebraska for Non-Emergency Medical Transportation Services Provided by Shared Mobility Coach

The Nebraska Department of Health & Human Services (State agency) did not always claim Medicaid reimbursement for non-emergency medical transportation (NEMT) services in accordance with Federal and State requirements. Of the 100 paid claims in our random sample, 33 claims had 70 errors of improper Medicaid reimbursement (some claims had more than 1 type of error). The errors included claims with 59 NEMT services that were not rendered, including instances for recipients who had either canceled the requested service or were "no-shows" at the scheduled origination address, and claims with 11 unsupported services.

Based on our random sample, we estimated that the State agency improperly claimed $90,000 ($55,000 Federal share) in Medicaid reimbursement for NEMT services from July 1, 2007, through June 30, 2009.