More money could be a big help for problems Georgia has struggled with since before the pandemic, including high maternal mortality and prevalence of substance abuse and HIV infection, said…
Since launching our Georgians in the Driver’s Seat initiative with The Arc Georgia, GHF staff have spoken with consumers around the state about their transportation needs as they relate to health. During one of those opportunities, GHF met Tannyetta and her four-month-old daughter Ayla at Atlanta’s CAPN Clinic.
Tanyetta enrolled in Medicaid while she was pregnant and both she and Ayla have Medicaid coverage now. In order to get back and forth from health appointments Tanyetta uses a free transportation service through Medicaid. This benefit, available to Medicaid-covered Georgians who do not have their own transportation, is called non-emergency medical transportation (NEMT). Transportation is provided in the form of pre-loaded public transit cards, van transport, rides with ride-share companies, and in other ways depending on the needs of the individual. Tanyetta does not have her own transportation but is able to get to medical appointments safely because of NEMT.
Much like Tanyetta, Georgians around the state are able to see health providers because they can use NEMT if they do not have another way to travel. For almost 400,000 Georgians each year, the service works well. However, there are times when it falls short of its promise. Patients and families are picked up late going to or from an appointment. In the worst cases, they are never picked up at all. People who use wheelchairs are picked up by vans that cannot accommodate their chairs. Parents who need to take one child to see the doctor are blocked from bringing their sibling, forcing them to find alternative and expensive childcare.
The people for
whom NEMT is breaking down are often those who need it the most: patients with
complex care needs. These riders are children and adults with physical and
intellectual disabilities, seniors who would otherwise have to live in nursing
homes, and people with multiple chronic conditions. Almost four
million NEMT rides are provided to Medicaid-covered Georgians each year. Riders
use an average of nine trips per year, demonstrating that those who use the
service visit the doctor frequently and rely heavily on NEMT to get them there.
When NEMT falls short for these riders, the consequences can be serious, so it
is imperative the system works well all of the time.
In order to improve Georgia’s NEMT services (so that they work all of the time, every time!), we need to hear from the people who use it. You can help! Fill out this rider survey, if you use transportation services to get to health appointments. If you are a caregiver or otherwise help people arrange for NEMT rides, we want to hear from you too.
If you do not fit into one of those categories, share the survey with someone who does! Ask your patients, your social media network, and others to fill out the survey if they have used Medicaid’s transportation services. The survey is available at this link and is open through December 09, 2019: https://www.surveymonkey.com/r/MedicaidTransport.
Have a story about transportation and health that you want to share? Tell us about it! We’ll get in touch with you soon to learn more.