The Department of Health Care Policy & Financing (HCPF) and MedRide, LLC (MedRide) reached a settlement of litigation related to HCPF’s termination of MedRide’s enrollment as a Non-emergent Medical Transportation (NEMT) provider in the Colorado Medicaid program, Health First Colorado.
Under the terms of the agreement, HCPF rescinded its termination of MedRide’s provider Medicaid agreement and MedRide continues to provide NEMT services while meeting a number of requirements including, but not limited to:
- Maintaining all required documentation to achieve successful credentialing that verifies driver and vehicle safety and fitness prior to transporting Health First Colorado members
- Creating and administering a driver training program to ensure compliance with the Medicaid NEMT program
- Reenforcing processes to ensure that the customer is eligible for Medicaid coverage and that the trip is eligible for Medicaid NEMT reimbursement
- Employing a compliance officer to ensure MedRide operates in compliance with regulations and guidance intended to protect members
- Contracting with a third-party auditor to screen MedRide’s claims to ensure completion and compliance prior to submission for reimbursement
- Limiting the number of rides MedRide can provide to Medicaid members until program compliance is established and maintained
“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 settlement agreement was effective June 10, 2025.
