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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Handbook for Examining the Effects of NEMT Brokerages on Transportation Coordination. Washington, DC: The National Academies Press. doi: 10.17226/25184.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Handbook for Examining the Effects of NEMT Brokerages on Transportation Coordination. Washington, DC: The National Academies Press. doi: 10.17226/25184.
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© 2018 National Academy of Sciences. All rights reserved. ACKNOWLEDGMENTS The research for this document was conducted through one or more programs administered by the Cooperative Research Programs (CRP) of the Transportation Research Board (TRB) of the National Academies of Sciences, Engineering, and Medicine:  Airport Cooperative Research Program (ACRP) research is sponsored by the Federal Aviation Administration (FAA).  Hazardous Materials Cooperative Research Program (HMCRP) research is sponsored by the Pipeline and Hazardous Materials Safety Administration (PHMSA).  National Cooperative Freight Research Program (NCFRP) research is sponsored by the Office of the Assistant Secretary for Research and Technology.  National Cooperative Highway Research Program (NCHRP) research is sponsored by the American Association of State Highway and Transportation Officials (AASHTO), in cooperation with the Federal Highway Administration (FHWA).  National Cooperative Rail Research Program (NCRRP) research is sponsored by the Federal Railroad Administration.  Transit Cooperative Research Program (TCRP) research is sponsored by the Federal Transit Administration (FTA) in cooperation with the Transit Development Corporation. COPYRIGHT INFORMATION Authors herein are responsible for the authenticity of their materials and for obtaining written permissions from publishers or persons who own the copyright to any previously published or copyrighted material used herein. Cooperative Research Programs (CRP) grants permission to reproduce material in this publication for classroom and not-for-profit purposes. Permission is given with the understanding that none of the material will be used to imply endorsement by TRB and any of its program sponsors of a particular product, method, or practice. It is expected that those reproducing the material in this document for educational and not-for-profit uses will give appropriate acknowledgment of the source of any reprinted or reproduced material. For other uses of the material, request permission from CRP. DISCLAIMER To facilitate more timely dissemination of research findings, this pre-publication document is taken directly from the submission of the research agency. The material has not been edited by TRB. The opinions and conclusions expressed or implied in this document are those of the researchers who performed the research. They are not necessarily those of the Transportation Research Board; the National Academies of Sciences, Engineering, and Medicine; or the program sponsors. The Transportation Research Board, the National Academies, and the sponsors of the Transit Cooperative Research Program do not endorse products or manufacturers. Trade or manufacturers’ names appear herein solely because they are considered essential to the object of the report. This pre-publication document IS NOT an official publication of the Cooperative Research Programs; the Transportation Research Board; or the National Academies of Sciences, Engineering, and Medicine. Recommended citation: Edrington, S., L. Cherrington, J. Burkhardt, R. Garrity, D. Raphael, S. Borders, R. Peterson, J. Dalton, and P.W. Collette. 2018. Handbook for Examining the Effects of NEMT Brokerages on Transportation Coordination. Pre-publication draft of TCRP Research Report 202. Transportation Research Board, Washington, D.C.

Author Acknowledgments This handbook was developed as part of TCRP Project B-44. The principal authors were Suzie Edrington and Linda Cherrington of the Texas A&M Transportation Institute (TTI) and Jon Burkhardt of SkyCastle Enterprises Other authors of the handbook are Patricia Weaver Collette of the University of Kansas Transportation Research Institute; David Raphael of Community Mobility Solutions; Stephen Borders, Ph.D., of Coastal Carolina University; Ross Peterson and Jeremy Dalton of GridWorks; and Richard Garrity of RLS Consulting. Shuman Tan and Jinuk Hwang of TTI provided graphic assistance. Maarit Moran and Jitendra Jan of TTI contributed to final revisions. The TTI Communications staff provided technical editing and handbook design. The researchers thank the project panel and the TCRP senior program officer for their thoughtful comments and suggestions throughout the project. The researchers wish to acknowledge the many organizations and their staff members who took the time to participate in interviews during the case study research.

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TRB's Transit Cooperative Research Program (TCRP) has released a pre-publication, non-edited version of Research Report 202: Handbook for Examining the Effects of NEMT Brokerages on Transportation Coordination. The Medicaid program is the largest federal program for human services transportation, spending approximately $3 billion annually on Non-Emergency Medical Transportation (NEMT).

The report is accompanied by a companion document that explores the state-by-state profiles for examining the effects of NEMT brokerages on transportation coordination.

Because the Medicaid program is administered by states, which are able to set their own rules within federal regulations and guidelines set by the Centers for Medicare and Medicaid Services (CMS), coordination of NEMT with public transit and human services transportation is highly dependent on each state Medicaid agency’s policies and priorities. This report provides background information about NEMT and describes the different models available to states for providing NEMT for Medicaid beneficiaries. The handbook also discusses why human services transportation and public transportation providers encourage coordination of NEMT with other transportation services.

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