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Assurance of Transportation: A Medicaid Transportation Coverage Guide (SMD 23-006)

This Medicaid Transportation Coverage Guide addresses the transportation assurance
requirement in section 1902(a)(4)(A) of the Social Security Act (the Act), and includes new
guidance to improve access to necessary transportation services in more complex scenarios,
including where beneficiaries may encounter extended wait times and need to make longdistance trips. The guidance also provides references and greater context on certain overlapping
requirements so states are better able to navigate complex issues and consider impacts across
their Medicaid programs.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 28, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.