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Milliman·May 1, 2025

Medicaid NEMT Delivery Models Compared Across Seven States: Cost and Administration Analysis

Milliman analyzed non-emergency medical transportation programs across seven state Medicaid clients, comparing delivery models and per-member-per-month costs as the NEMT market grows toward a projected $15.58 billion by 2028. The analysis examines how states exercise discretion in administering this federally required benefit, which serves 4-5% of Medicaid enrollees annually, and develops hypotheses for improving oversight and cost management. The findings are directly relevant to MCO finance teams and state Medicaid directors responsible for NEMT benefit design and vendor management.

Managed Care · Finance

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This is outside commentary from Milliman, not part of Medicaid Monitor's independently scored news coverage.

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