VectorCare is the proof-of-completion layer for Medicaid transportation. Every trip starts from a verified order, runs on a credentialed driver and vehicle, and closes with a GPS-timestamped pickup and dropoff and a signed completion record. Trips that can't prove themselves are flagged before payment. Plans, states, and brokers keep their systems. VectorCare is the rails underneath them.
Illustrative example
3 trips held · evidence packet ready.
of FY 2025 Medicaid improper payments came from insufficient documentation
CMS FY 2025 Improper Payments Fact Sheet [S1]
fraud convictions of non-emergency transportation providers by state Medicaid Fraud Control Units in FY 2025, tied for third among all provider types
HHS-OIG MFCU FY 2025 case outcomes data [S2]
healthcare facilities coordinating logistics on VectorCare
Medicaid pays for a trip because a claim says it happened. In most programs the first durable record is that claim. The order lives on a fax or a phone call, the driver's credentials live in a binder, and the pickup lives on a trip sheet that may or may not exist when an auditor asks for it.
VectorCare moves the record to the start of the trip. The order is captured at the source, the level of service is checked against the record, the assignment goes only to credentialed drivers and vehicles, and the trip closes with GPS pickup and dropoff, timestamps, and signed forms where the program requires them. That completion record is what the claim is checked against. A trip that can't produce one is an exception, not a payment.
That is integrity at the trip rather than recovery after the audit. Read how it played out in a recent federal case: War Room: $12M Medicaid NEMT fraud and integrity at the trip.
One record for every trip, from order to completion, shared by the plan or state, the broker, and the transportation provider.
VectorCare doesn't take the contract or the trip. Plans and brokers keep their call centers, networks, and systems. Brokers can run on the platform as participants.
Claims analytics find patterns after the money moves. VectorCare captures the evidence before it moves, then hands it to your claims, SIU, and audit teams.
Transportation claims are usually adjudicated one at a time, on data the provider submits. Review happens later, on a sample. By then the trip sheet is missing, the driver can't be identified, or the ride never happened.
Auditors keep finding the same gap: not proof of fraud, but no proof at all.
Federal auditors are looking again: HHS-OIG opened a new series of Medicaid NEMT payment audits in May 2026. [S7]
A 2025 state audit of Medicaid nonemergency transportation found brokers could not produce trip sheets for 18 of 75 sampled claims, and 10 of 75 had no qualifying medical service that day. [S3]
Source: Massachusetts State Auditor, Audit No. 2024-1374-3M2, May 8, 2025
HHS-OIG found New York claimed $196 million in federal reimbursement for New York City NEMT payments that did not meet, or may not have met, Medicaid requirements. Only 17 of 100 sampled payments complied. [S4]
An HHS-OIG audit of one state's NEMT program estimated at least $14.1 million in improper payments, and found driver qualifications and vehicle records inadequately documented for all 100 sampled items. [S5]
In August 2026 the Justice Department charged four people with logging rides that never happened and using a GPS spoofing app to fake pickup and dropoff locations, tied to over $12 million in unmatched Medicaid claims. The charges are allegations. [S6]
The request starts from the source: a care team in the EHR through SMART on FHIR, a facility, a program, or the member booking digitally. Eligibility is checked for the date of service. The level of service is recommended from the record with the evidence shown, and overrides are logged. Where the program requires a PCS or practitioner order, it's generated from chart data and e-signed by a valid signer.
The trip goes only to providers who meet your rules. Licenses, insurance, and vehicle records are held in VectorCare Trust, and drivers and vendors are checked against federal and state exclusion lists at dispatch, not once a year. Excluded or lapsed parties never see the request.
Pickup and dropoff are GPS-timestamped and tied to the assigned driver and vehicle. The driven route is compared with billed miles. No-shows and cancellations are recorded as no-shows, not billed trips. GPS is one signal among several, tied to the order, the assignment, and the completion record, so a coordinate trail alone doesn't make a trip payable.
Each trip ends with a completion record: order, eligibility, level of service, credentials, GPS trace, timestamps, and signed forms where required. Your claims system checks against it. Trips with no qualifying appointment, missing proof, or mileage variance are flagged before claims pay, not in the next audit.
Wheelchair van when it's safe, ambulance when it's needed, with the evidence captured when the order is placed. Upcoding gets stopped at the order.
Eligibility, the practitioner order, and the PCS form checked against the record, not a fax.
Driver and vendor licenses, insurance, vehicle records, and exclusion screening checked live when the trip is assigned.
GPS pickup and dropoff, timestamps, driver and vehicle identity, sealed per trip.
Billed miles compared with the route actually driven, with variance flagged per trip.
Same driver, same member, same distant clinic; duplicates; trips with no qualifying medical service that day. Surfaced on a dashboard and joined to claims before payment.
Keep your broker, your network, and your claims platform. VectorCare adds the evidence layer underneath them.
One trip record across brokers, plans, providers, and facilities, from order to completion.
The state pays two or more brokers who subcontract to hundreds of local transportation companies. Most rides are recurring and booked by phone, and audits sample a few dozen claims out of millions. With VectorCare underneath, brokers keep operating. Every trip, from the first ride of a standing order to the fortieth, needs the same proof: a verified order, a credentialed driver and vehicle, and GPS pickup and dropoff. The state gets payment tied to verified completion, a central repository of trip logs and credentials, and continuous audit across every trip instead of a sample.
Under DHCS All Plan Letter 22-008, NEMT needs an approved PCS form on file, the plan can't delegate PCS review to its broker, brokers must be able to identify the driver by date, time, pickup and dropoff location, and member, and the plan must monitor its brokers at least quarterly. [S8] VectorCare turns those requirements into the workflow: the PCS is generated and e-signed at the order, the driver and vehicle are attached to every trip, and quarterly monitoring becomes a dashboard. The plan keeps its broker and its claims system. VectorCare supplies the proof that each trip happened as ordered.
VectorCare has completed a SOC 2 Type II audit, is HIPAA compliant, signs BAAs with every covered entity, hosts on AWS in the United States, and is listed on Epic's Connection Hub. Full data export is available on request. See security details.
See the completion record a plan or state gets for every Medicaid trip.