Transportation Services for Montana Medicaid Program, Department of Public Health & Human Services : Limited Scope Review 1996

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Contract Requirements Page 4 Although both the contractor and department staff indicated a sample of appointments are verified prior to payment for transportation services, the written contract does not include this requirement. The percentage of claims to be verified is not specified and differences were noted in the number indicated by the department and by contract staff. Department staff indicated 25 percent of the appointments are being verified, contractor staff Transportation Services fo
...r Montana Medicaid Program indicated 10 to 15 percent of the appointments are verified. The department should specify in the contract the verification rate to ensure the level of program monitoring is adequate.
County Involvement One of the primary goals of contracting with a private entity for administering this program was to minimize county staff involve- ment. Prior to the contract, county staff reported they were spending approximately 960 hours per month to administer transportation services.


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