Department of Social Services
Ambulances, ambulettes, taxi cabs, and other
transportation providers may
be reimbursed when they transport Medicaid recipients to receive
medical services. We
examined the procedures used by the Department of Social Services
to control these
payments. We found that adequate steps are not taken by the
Department to ensure that the
reimbursement claims submitted by the transportation providers
are genuine. As a result, the
providers can be paid even though they did not transport Medicaid
recipients to receive
medical treatment. We identified several such providers and
estimate that, over a two-year
period, millions of dollars in Medicaid may have been paid to
providers who did not provide
the services claimed. We recommend that the Department recover
the overpayments and
require that, in the future, a sample of transportation claims
routinely be verified.
For a complete copy of 95-S-61 here.
For a copy of the 90-day response click here.