Review of Nonemergency Medical Transportation Costs in the State of Texas (Transportation Provided by Capital Area Rural Transit System)

摘要

During our audit period, the Texas Health and Human Services Commission (the State agency) contracted with the Texas Department of Transportation (TxDOT) to administer the nonemergency medical transportation (transportation) program. This program provides transportation to and from covered health care service providers for Medicaid beneficiaries and other eligible recipients. TxDOT subcontracts with transportation providers. One transportation provider, Capital Area Rural Transportation System (CARTS), provides these transportation services to 10 Texas counties. During calendar year (CY) 2007, the State agency claimed $2,686,558 ($1,343,279 Federal share) for medical transportation services provided by CARTS. Our objective was to determine whether the State agency claimed Medicaid reimbursement for transportation services provided by CARTS in accordance with Federal and State requirements.