(COLORADO) — Non-emergent Medical Transportation (NEMT) provider MedRide has reached a settlement agreement with the State of Colorado after having its Medicaid contract terminated in February.
The Colorado Department of Health Care Policy and Financing (HCPF) said MedRide can now continue serving Medicaid patients, but only if the company meets state-outlined requirements. This includes employing a compliance officer to ensure MedRide follows regulations.
“We are pleased to have reached this agreement so both MedRide and HCPF can focus our time and resources on providing safe, affordable transportation services to eligible Colorado Medicaid members,” said Medicaid Director, Adela Flores-Brennan.
The company was originally accused of failing to complete required criminal background checks for more than 200 drivers. Also among the reasons for the termination was MedRide’s alleged failure to ensure proper safety inspections and registrations for vehicles used to transport Health First Colorado members.
The conditions of the settlement stipulate that MedRide must:
- Maintain all required documentation to achieve successful credentials that verify driver and vehicle safety and fitness prior to transporting Health First Colorado members
- Create and administer a driver training program to ensure compliance with the Medicaid NEMT program
- Reinforce processes to ensure that the customer is eligible for Medicaid coverage and that the trip is eligible for Medicaid NEMT reimbursement
- Employ a compliance officer to ensure MedRide operates in compliance with regulations and guidance intended to protect members
- Contract with a third-party auditor to screen MedRide’s claims to ensure completion and compliance prior to submission for reimbursement
- Limit the number of rides MedRide can provide to Medicaid members until program compliance is established and maintained
The settlement agreement was effective June 10, 2025.
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