Research for the AASHTO Standing Committee on Public Transportation. Task 64. Health and Human Services (particularly Medicaid) Revenue as Match

Even with published research on a variety of related items surrounding Medicaid transportation and the coordination of such specialized transportation services with traditional public transportation, State Departments of Transportation (DOT's) continue to get questions and make decisions as to how best account for Medicaid revenues, especially if used to match Federal Transit Administration (FTA) funds. A helpful brief to respond to some of the most popular questions and situations will provide State DOT's with a resource they can use for determining and documenting match when an FTA funded subrecipient is also an agency who is coordinating their transportation services with health and human service programs, such as Medicaid. The objective of this research is to develop a report which answers some of the most basic questions regarding match to FTA funds when such match comes from revenues associated with coordinated transportation service provided by an agency which is also a subrecipient for which the State DOT has oversight responsibilities. The report should also outline advantages and disadvantages when there may be multiple approaches to the application of human service contract revenue. Further, the report should provide examples of application and resource references. National Cooperative Highway Research Program (NCHRP) Research Result Digest 353: Identification of Local Matching Fund Requirements for State-Administered Federal and Non-Federal Public Transportation Programs and Research Results Digest 354: A Review of Human Services Transportation Plans and Grant Programs address local match, Medicaid transportation, accounting practices, and similar items. Many transit systems overseen by State DOT's also play various roles, such as the prime contractor or a subcontractor. These roles should also be considered. In developing the report, some items to be addressed where the transit system is the prime or subcontractor might include, but are not limited to, the following: (1) Can the public transit system count Medicaid trips when reporting to National Transit Database (NTD)? (2) Can the public transit system use FTA funded vehicles for Medicaid service? (3) Does the public transit system have to fully allocate my costs? (4) Can the public transit system use revenue from other contracts to satisfy match to FTA funds? And if so, what should be considered when accounting for such match? (5) Since the public transit system is also FTA funded, when providing Medicaid trips, does the public transit system have to adhere to FTA and State DOT rules/regulations? Such as Drug and Alcohol (D&A) and civil rights? (6) If the public transit system provides Medicaid trips, do those have to be within my current public transit service hours/areas and advance reservation requirements? and (7) If the public transit system provides Medicaid trips, can it prioritize those trips over public transit trips?


  • English


  • Status: Active
  • Contract Numbers:

    Project 20-65, Task

  • Sponsor Organizations:

    Federal Highway Administration

    1200 New Jersey Avenue, SE
    Washington, DC  United States  20590

    American Association of State Highway & Transportation Officials

    444 North Capitol Street, NW, Suite 225
    Washington, DC  United States  20001

    National Cooperative Highway Research Program

    Transportation Research Board
    500 Fifth Street, NW
    Washington, DC  United States  20001
  • Project Managers:

    Chisholm-Smith, Gwen

  • Start Date: 20150310
  • Expected Completion Date: 0
  • Actual Completion Date: 0
  • Source Data: RiP Project 39204

Subject/Index Terms

Filing Info

  • Accession Number: 01556641
  • Record Type: Research project
  • Source Agency: Transportation Research Board
  • Contract Numbers: Project 20-65, Task
  • Files: TRB, RiP
  • Created Date: Mar 11 2015 1:01AM