Non-Emergency Medical Transport | Simon&Co., LLC

Letter to CMS from 53 Health Care and Stakeholder Organizations Regarding the Amendment to Iowa’s 1115 Waiver

Patrick Butler — Fri, 13 Jun 2025 19:07:00 +0000

Iowa is seeking an extension to its “Iowa Health and Wellness Plan” Section 1115 waiver demonstration for five years. If approved, the demonstration will allow the state to continue to deny the non-emergency medical transportation (NEMT) benefits for the Medicaid patients made eligible by the Affordable Care Act.

Simon&Co. facilitated The Coalition for NEMT Access’ submission of the attached comments to the Centers for Medicare and Medicaid Services (CMS), urging they reject the state’s waiver request.

NEMT Coalition SignOn Letter IA 1115_Final 6.13.25 Download

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Letter to CMS from 55 Health Care and Stakeholder Organizations Regarding the Amendment to Georgia’s 1115 Waiver

Patrick Butler — Fri, 16 May 2025 18:52:18 +0000

Georgia is seeking an extension to its “Georgia Pathways to Coverage” Section 1115 waiver demonstration for five years. If approved, the demonstration will allow the state to continue to deny the non-emergency medical transportation (NEMT) benefits for the Medicaid patients made eligible by the Affordable Care Act.

Simon&Co. facilitated The Coalition for NEMT Access’ submission of the attached comments to the Centers for Medicare and Medicaid Services (CMS), urging they reject the state’s waiver request.

NEMT Coalition SignOn Letter GA 1115_Final 5.19.25 Download

The post Letter to CMS from 55 Health Care and Stakeholder Organizations Regarding the Amendment to Georgia’s 1115 Waiver appeared first on Simon&Co., LLC.

Introduction of The Access to Critical Non-Emergency Transportation Services Act

Simon&Co. — Thu, 22 Sep 2022 21:35:53 +0000

On September 15^th, 2022, Representative Earl L. “Buddy” Carter (R-GA) introduced The Access to Critical Non-Emergency Transportation Services Act, H.R.8841. The bill will expand access to non-emergency medical transportation (NEMT) for low income, dual eligible Medicare and Medicaid beneficiaries. These vulnerable patients will now be transitioned to Medicaid NEMT services when they lose access to Medicare ambulance NEMT as a result of new Medicare prior authorization requirements. This bill amends the CMMI Repetitive, Scheduled, Non-Emergent Ambulance Transport (RSNAT) model to ensure that dually enrolled, Medicaid and Medicare beneficiaries, have access to appropriate modes of transportation through the Medicaid program. Representative Carter introduced the bill with support of cosponsors Representatives Tony Cárdenas (D-CA) and Sanford D. Bishop, Jr. (D-GA). The bill has been referred to the Energy and Commerce Committee.

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