TRB's Transit Cooperative Research Program (TCRP)
Research Report 202: Handbook for Examining the Effects of Non-Emergency Medical
Transportation Brokerages on Transportation Coordination provides background
information and describes the different models available to states for providing
non-emergency medical transportation (NEMT) for Medicaid beneficiaries. The
handbook also discusses why human services transportation and public
transportation providers encourage coordination of NEMT with other
transportation services.
The report is accompanied by a companion document that explores the
state-by-state profiles for examining the effects of NEMT brokerages on
transportation coordination.
The Medicaid program is the largest federal program for human services
transportation, spending approximately $3 billion annually on NEMT. Because the
Medicaid program is administered by states, which are able to set their own
rules within federal regulations and guidelines set by the Centers for Medicare
and Medicaid Services (CMS), coordination of NEMT with public transit and human
services transportation is highly dependent on each state Medicaid agency’s
policies and priorities.