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Using Targeted Reviews to Reduce Fraud, Waste, and Abuse in Medicaid Nonemergency Medical Transportation

Announced on  | Last Modified on  | Project Number: OEI-02-25-00360
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

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.

TIMELINE

  • October 15, 2025
    Announced
  • Today
    Office of Evaluation and Inspections In-Progress
  • Est FY2027
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Evaluation and Inspections
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship
Target Groups
Elderly
Financial Groups
Medicaid