Department of Social Services

Medicaid Transportation Payments

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.