Transportation barriers for Iowa Medicaid-enrolled adults with and without non-emergency medical transportation services.

ABSTRACT:

Introduction

State Medicaid programs must provide transportation to medical appointments through the non-emergency medical transportation (NEMT) benefit. Iowa is one of a few states not required to provide NEMT for adults in their Medicaid expansion program if not medically exempt or under age 21.

Methods

Data from a 2022 survey assessed transportation barriers for 3 adult Iowa Medicaid groups (n = 2181): (1) expansion without NEMT, (2) expansion with NEMT through medical exemption/age, and (3) traditional Medicaid members. Primary outcomes were transportation-related missed health visits, unmet health care needs, unmet transportation needs, and transportation cost concerns. Logistic regression examined transportation barriers by Medicaid group and sociodemographic an

SUBMITTER: Larson K 

PROVIDER: S-EPMC12359131 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature