From Forbes McIntosh, Government Policy Solutions, WALA Lobbyist
The state Legislature’s Joint Legislative Audit Committee held a public hearing this morning (September 2) on an audit report prepared earlier this year on the state’s Non Emergency Medical Transportation (NEMT) program.
In fiscal year 2013-14, the Wisconsin Department of Health Services (DHS) spent $56.1 million to provide NEMT services to Medical Assistance recipients who did not receive long-term care services. The NEMT service broker during this time was Medical Transportation Management (MTM) Inc., which had been awarded the contract following continuing problems with the previous provider, Logisticare.
According to the audit report:
- MTM Inc. provided 2.3 million trips to approximately 69,300 MA recipients between August 2013 and June 2014, paying the transportation providers $39.8 million.
- Of the 103,431 calls made to the MTM call center in June 2014, 14.3 percent were abandoned before they were answered. From September 2014 through December 2014, the rate of call abandonment and call hold times decreased.
- From August 2013 through June 2014, there were 4,154 instances in which transportation providers did not arrive to provide a scheduled trip and 55,320 instances in which they arrived more than 15 minutes late for their pickup.
Among the audit recommendations:
- DHS should establish standards for the number or percentage of provider no-shows and late arrivals that will be permitted.
- DHS should consider the establishment of additional performance standards related to caller hold times and abandoned calls.
- DHS should report to the Joint Legislative Audit Committee by December 1, 2015, on its efforts to implement the audit recommendations.
Click here to read the audit report.