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West Virginia Income Maintenance Manual Chapter 27

West Virginia Income Maintenance Manual Page 1 Chapter 27 Non-Emergency Medical Transportation (NEMT)

27.1 INTRODUCTION Non-emergency medical transportation (NEMT) is a reimbursement program for clients of Medicaid and Children with Special Health Care Needs (CSHCN) for the cost of transportation and other expenses associated with receiving medical services. Because the program is intended for reimbursement only, payment in advance of a scheduled appointment is not appropriate and cannot be issued from the eligibility system. Beginning October 1, 2014, NEMT administration is the responsibility of the contracted NEMT broker. The broker is responsible for full administration of the program, including customer services, provider enrollment, benefit replacement, safety requirements, and monitoring for fraud, waste, and abuse. The NEMT provider policy can be found in Chapter 524 of the Bureau for Medical Services (BMS) Provider Manual.

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Page 2162

Official source

West Virginia Income Maintenance Manual Chapter 27

West Virginia Income Maintenance Manual Page 1 Chapter 27 Non-Emergency Medical Transportation (NEMT)

27.1 INTRODUCTION Non-emergency medical transportation (NEMT) is a reimbursement program for clients of Medicaid and Children with Special Health Care Needs (CSHCN) for the cost of transportation and other expenses associated with receiving medical services. Because the program is intended for reimbursement only, payment in advance of a scheduled appointment is not appropriate and cannot be issued from the eligibility system. Beginning October 1, 2014, NEMT administration is the responsibility of the contracted NEMT broker. The broker is responsible for full administration of the program, including customer services, provider enrollment, benefit replacement, safety requirements, and monitoring for fraud, waste, and abuse. The NEMT provider policy can be found in Chapter 524 of the Bureau for Medical Services (BMS) Provider Manual.