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HCPF seeks $2.25M to continue non‑emergency medical transport fraud reviews and to move to a statewide broker
Summary
The Health Care Policy and Financing department told the Joint Budget Committee its prepayment reviews identified more than $14.4M in inappropriate NEMT payments; HCPF requested funding to continue clearing questionable claims and to implement a statewide broker model intended to reduce fraud and improve payment accuracy.
Health Care Policy and Financing (HCPF) told the Joint Budget Committee the department has reviewed over 30,000 non‑emergency medical transportation (NEMT) claims and estimated it prevented about $14.4 million in inappropriate payments. The department requested roughly $2.25 million to continue prepayment reviews and to develop a centralized statewide broker to reduce fraud and improve administration of NEMT services.
HCPF Budget Director Erin Gates told the…
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