North Carolina Improperly Claimed Federal Reimbursement for Some Medicaid Nonemergency Transportation Services 

The North Carolina Department of Health and Human Services (State agency) claimed Federal Medicaid reimbursement for some nonemergency medical transportation (NEMT) services that did not comply with Federal or State requirements. Of the 200 sample items, 82 complied with Federal and State requirements, but 118 did not. Of the 118 items, 48 contained more than 1 deficiency. On the basis of our sample results, we estimated that the State agency improperly claimed at least $18.7 million ($12 million Federal share) for unallowable NEMT services for the audit period.