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Counties seek clarity as state moves to take over non‑emergency medical transportation
Summary
Staff warned commissioners that a 2024 law to transition Medicaid non‑emergency medical transportation (NEMT) to state control has timeline and operational risks; Scott County has already removed the service from its budget and counties have asked state agencies for guidance on continuity and reimbursement.
Human‑services staff told the joint Dakota‑Scott workshop that a 2024 legislative change would transfer non‑emergency medical transportation (NEMT) responsibilities toward the state, raising continuity and fiscal questions for counties.
A presenter described NEMT as a federally required Medicaid service and said counties are watching a state procurement and vendor selection process that has lagged.…
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