Nonemergency medical transportation and health care visits among chronically ill urban and rural medicaid beneficiaries

Soc Work Public Health. 2014;29(6):629-39. doi: 10.1080/19371918.2013.865292.


Inaccessibility to health care services due to lack of transportation affects the most vulnerable segments of the society. The effect of Medicaid-provided nonemergency medical transportation (NEMT) in Oklahoma on health care visits for the management of chronic illnesses is examined. Analyses of claims data show that African Americans are the highest users of NEMT. Medicaid beneficiaries who use NEMT services are significantly more likely to make the recommended number of annual visits for the management of chronic conditions than those who do not use NEMT. Increased use of NEMT by making the services more accommodating and convenient for beneficiaries is proposed.

Keywords: Medicaid; NEMT; health care visit; nonemergency medical transportation.

MeSH terms

  • Aged
  • Chronic Disease* / ethnology
  • Female
  • Health Services Accessibility
  • Humans
  • Male
  • Medicaid*
  • Oklahoma
  • Rural Population
  • Transportation of Patients*
  • United States
  • Urban Population