Transportation to and from providers is a critical component for Medicaid beneficiaries to obtain necessary health care. Non-Emergency Medical Transportation (NEMT) services consist of arranging and/or paying for transportation. When the beneficiary has access to a suitable mode of transportation, but lacks the means to use it, the county must assist with the means through gas vouchers (mileage reimbursement, reimbursement for parking, etc.). When the beneficiary lacks both means and mode, the county is responsible for arranging transportation at a cost within allowable Medicaid regulations. However, the obligation to provide transportation is not without qualifications.
Federal regulations require that the state assure necessary transportation (see 42 CFR 431.53). Necessary means no other appropriate transportation resources are available to the beneficiary.
Medicaid only pays for transportation:
- By the least expensive mode available and appropriate for the beneficiary.
- To the nearest appropriate medical provider.
- For a Medicaid-covered service provided by a NC enrolled Medicaid provider.
Gas Vouchers and Mileage Reimbursement
Vouchers are issued to eligible beneficiaries who can use their own car or a friend or relative’s car for transportation to a Medicaid covered service. Vouchers can be redeemed at local gas stations. Mileage reimbursement may not exceed half the current IRS business rate (see Standard Mileage Rates) unless the gas provider requires a minimum rate. Both mileage reimbursement and gas vouchers must be provided in an amount sufficient to cover the cost of gas. Because beneficiaries are unlikely to have fuel efficient vehicles, the amount of fuel required to complete the trip must be calculated using a conservative miles-per-gallon figure.
How to apply:
Granville County Department of Social Services