MedicaidAdministrativeMedium impact
BT202443: IHCP clarifies NEMT responsibilities for nursing facilities and hospitals
Indiana Medicaid (IHCP)·IN · General Practice·Specialty Services
Effective date
Apr 11, 2024
We identified it
Jun 19, 2026
Summary
IHCP has clarified who is responsible for arranging and paying for non-emergency medical transportation (NEMT) between nursing facilities and hospitals. The key change is that hospitals are now responsible for transportation only when discharging patients to nursing facilities as NEW admissions, while nursing facilities handle all other NEMT scenarios.
Action Required
Immediately: Billing teams at hospitals and nursing facilities must review current NEMT billing practices. Hospitals should only arrange transportation through the FFS transportation broker (Verida) when discharging patients to nursing facilities as NEW admissions. Nursing facilities must arrange and claim NEMT expenses on their cost reports for all other scenarios (home to facility, facility to hospital, hospital back to original facility). Ensure communication protocols exist between discharging and admitting facilities to verify admission status.