Covered Services

In order to be approved for Non-Emergency Transportation services, the Participant must be transported to an appointment where they will receive a covered medical service. A covered medical service is a Medicaid Eligible Medical Service (MEMS).

Examples of Covered and non-covered services are:

Covered Services

  • Chemotherapy
  • Radiation
  • Wellness exam, or annual physical exam
  • Glaucoma, Cataracts
  • X-Rays, MRI, CAT scan, or other diagnostic Testing
  • Blood test
  • Hospital admit or discharge
  • Sleep study
  • Outpatient surgery
  • IV infusion
  • Birth control
  • Prenatal care
  • Gastrointestinal problems

Covered Services with Limitations

Non-Covered Services

(Please note, this is not a full list)

  • Massage therapy
  • Prescription pickup
  • Social Security / SSI medical evaluation
  • Wheelchair Repair
  • Smoking cessation for non pregnant women and Participants 21 and older
  • Day care (child or adult)
  • Acupuncture
  • Flu shots or vaccinations at local pharmacies
  • Methadone pickup or treatment
  • Transportation for Emergency services is not covered under NETSPAP. Refer to the handbook for Transportation Services T-200 for emergency transportation procedures.
  • One-way hospital to hospital Transports NOT receiving a Higher Level of Care at the destination hospital
  • Round-trip hospital to hospital transports; the transportation provider must seek payment from the inpatient hospital.
  • ‘No Show’ trips (patient was not transported or was transported but not seen by the medical doctor)
  • Transportation for a Participant who has been declared deceased
  • Medical transportation provided for patients who reside in state-operated facilities; the transportation provider must seek payment from the state-operated facility
  • Artificial insemination
  • Medical or surgical transsexual treatment services
  • Preparation of routine records, forms and reports
  • Services provided only, or primarily, for the convenience of patients or their families
  • Equipment pickup, such as walkers, crutches, bed pans, sick room supplies, etc
  • Pick up for filling prescriptions or any other pharmacy-related item
  • Experimental procedures
  • Infertility/sterility diagnostic or therapeutic procedures
  • Early intervention services
  • Sheltered workshops
  • Social rehabilitation programs
  • Day training programs
  • Cosmetic medical treatments
  • Gym
  • Group therapy for Participants 21 years of age or older who reside in a long term care facility