Benefit: Transportation Non-emergency (NEMT)

Definition: Transportation for any beneficiary, personal care attendant or escort, if required, who have no other means of transportation available to any medically necessary Medicaid-compensable service for the purpose of receiving treatment, medical evaluation, or therapy. NEMT services do not include ambulance transportation.

Medicaid NEMT services are provided by the Florida Commission for the Transportation Disadvantaged, certain Reform Health Maintenance Organizations (HMO) and Reform Provider Service Networks (PSN).

Limits:  NEMT services are available only to eligible recipients who cannot obtain transportation on their own through any available means such as family, friends or community resources.
NEMT services are scheduled through the Community Transportation Coordinator (CTC) in each county under contract with the Commission for the Transportation Disadvantaged.  All transportation must be the most cost-effective and most appropriate method of transportation available.

Exceptions: Recipients who are enrolled in a Medicaid HMO or PSN that provides transportation in its scope of services must obtain all Medicaid transportation through the HMO’s or PSN’s network of transportation providers. If the HMO or PSN does not provide NEMT services, then transportation is arranged through the Community Transportation Coordinator in the recipient’s county of residence.

Co-pays: There is a $1 beneficiary co-payment for transportation services for each one-way trip, unless the beneficiary is exempt. Round trips require two co-pays or $2.

Reform items that can vary: Co-pays