State Medicaid programs often contract with third party transportation brokers or managed care organizations to arrange nonemergency transportation for beneficiaries who can’t get to medical appointments on their own. Medicaid fraud investigations led to about 200 criminal convictions, civil settlements, and judgments against transportation providers in 25 states from FY 2015–20. Fraud included these providers billing for trips that didn’t occur and using unauthorized drivers or vehicles. To curb fraud, some states’ Medicaid programs verify eligibility before scheduling or validate completed trips via trip logs, GPS data, and claim reviews.
