Department of Health

Medicaid Payments to Transportation Providers While Recipients Were Hospitalized

If a Medicaid recipient needs medical services, but cannot get to those services, federal regulations require that transportation be provided to the recipient. We audited Medicaid payments to transportation providers over a 55-month period. We identified more than $4 million in potentially inappropriate payments. The payments were potentially inappropriate because the recipients appeared to be hospitalized at the time the transportation was supposedly provided. We recommended that the Department of Health investigate the potential overpayments, recover all actual overpayments, and develop controls to prevent such overpayments in the future.

For a complete copy of Report 2006-S-78 click here.
For a copy of the 90-day response click here.
For a copy of the associated follow-up report click here.