A failure to track Medicaid patients’ use of publicly financed transportation has left the D.C. government with only a vague idea of how many people use the service, or if their conditions justify the type of transportation provided, a new report finds.

The D.C. Inspector General determined that the Department of Health’s Medical Assistance Administration “did not maintain Medical Necessity forms for nearly all of the 8,607 participants who received transportation benefits at a cost of $16.3 million” in fiscal 2005.

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