Appendix C FFS Medicaid Beneficiaries with NEMT Eligibility Plan.pdf

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NEMT Broker for Medicaid FFS Beneficiaries
Solicitation number
RFP 491 260000002254 1
Issued by
Wayne County, Michigan

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Appendix C - FFS Medicaid Beneficiaries with NEMT Eligibility Plan

This appendix to RFP 260000002254 provides beneficiary enrollment data for the Non-Emergency Medical Transportation (NEMT) Broker service for Medicaid Fee-for-Service (FFS) beneficiaries in Michigan. The document presents monthly projections of eligible FFS Medicaid beneficiaries for the period January 2025 through June 2026, organized by county across three geographic scopes: the tri-county region (Macomb, Oakland, and Wayne counties), and statewide coverage including all 83 Michigan counties. The tri-county region represents the highest concentration of eligible beneficiaries, with combined average enrollment of 193,021 beneficiaries for the 2025-2026 period, representing approximately 35.5% of the statewide caseload. Wayne County alone accounts for the largest single-county population at an average of 109,474 beneficiaries (56.72% of the tri-county total), followed by Macomb County at 38,828 beneficiaries (20.12%) and Oakland County at 44,719 beneficiaries (23.17%). Statewide enrollment averages 544,229 beneficiaries across the contract period.

The beneficiary projections demonstrate a general downward trend from January 2025 through June 2026, with statewide enrollment declining from 660,068 in January 2025 to 509,862 by June 2026. County-level data reveals significant variation in eligible populations, ranging from 67 beneficiaries in Keweenaw County to 109,474 in Wayne County. The data provides the baseline for service volume expectations and bid development, enabling potential NEMT brokers to accurately forecast operational requirements, staffing levels, and resource allocation across Michigan's diverse geographic and demographic service areas. This beneficiary enrollment information is fundamental to cost estimation and service delivery planning for respondents to the NEMT Broker RFP.

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RFP 260000002254 NEMT Broker for Medicaid FFS 1

APPENDIX C – FFS MEDICAID BENEFICIARIES WITH NEMT

ELIGIBILITY PLAN

RFP 260000002254

Non-Emergency Medical Transportation (NEMT) Broker for Medicaid Fee for Service (FFS) Beneficiaries

FFS MEDICAID BENEFICIARIES WITH NEMT ELIGIBILITY PLAN (MACOMB, OAKLAND, WAYNE ONLY)

COUNTY NAME Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 MACOMB 53,700 52,845 51,834 51,300 51,228 51,016 49,729 50,249 49,485 48,979 48,920 49,881 OAKLAND 51,064 49,784 47,813 47,124 47,224 46,817 46,109 46,370 45,775 45,358 45,866 47,110 WAYNE 153,432 151,602 149,313 148,758 149,640 148,993 146,037 146,501 143,596 141,881 140,184 140,976

TOTAL TRI-COUNTY 258,196 254,231 248,960 247,182 248,092 246,826 241,875 243,120 238,856 236,218 234,970 237,967

FFS MEDICAID BENEFICIARIES WITH NEMT ELIGIBILITY PLAN (STATEWIDE, ALL COUNTIES)

COUNTY NAME Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25

TOTAL STATEWIDE 660,068 652,144 639,615 634,635 635,668 633,580 620,517 623,174 614,188 606,101 602,585 610,463

ALCONA 646 630 610 611 598 579 538 531 543 555 562 559

ALGER 379 379 377 386 380 382 382 378 368 371 368 380

ALLEGAN 6,060 6,001 5,780 5,811 5,819 5,843 5,712 5,777 5,633 5,506 5,528 5,626

ALPENA 2,248 2,201 2,162 2,087 2,084 2,083 2,052 2,104 2,087 2,028 2,019 2,027

ANTRIM 1,350 1,326 1,287 1,255 1,235 1,245 1,201 1,205 1,177 1,172 1,182 1,176

ARENAC 1,130 1,109 1,092 1,059 1,066 1,051 1,016 1,021 1,056 992 987 1,019

BARAGA 772 756 757 751 756 771 751 753 751 745 738 757

BARRY 3,031 3,044 2,921 2,871 2,834 2,895 2,865 2,915 2,871 2,851 2,836 2,841

BAY 6,791 6,748 6,621 6,677 6,702 6,702 6,570 6,582 6,483 6,304 6,352 6,475

BENZIE 982 972 953 942 942 919 879 887 853 818 817 818

BERRIEN 9,761 9,650 9,509 9,401 9,476 9,433 9,167 9,234 9,177 8,952 8,872 9,015

BRANCH 3,018 2,916 2,997 2,965 3,019 3,007 2,928 2,898 2,923 2,875 2,868 2,880

CALHOUN 10,962 10,971 10,649 10,429 10,565 10,342 10,028 9,967 9,925 9,915 9,883 9,902

CASS 2,958 2,847 2,778 2,691 2,650 2,677 2,640 2,715 2,729 2,667 2,632 2,669

CHARLEVOIX 1,449 1,497 1,451 1,438 1,382 1,346 1,330 1,344 1,334 1,316 1,288 1,337 CHEBOYGAN 1,856 1,781 1,786 1,753 1,753 1,740 1,725 1,710 1,689 1,678 1,671 1,700

CHIPPEWA 3,141 3,179 3,176 3,167 3,136 3,155 3,082 3,063 3,076 3,059 2,971 3,015

CLARE 2,659 2,581 2,484 2,490 2,489 2,484 2,455 2,469 2,458 2,404 2,384 2,398

CLINTON 2,980 2,962 2,920 2,821 2,816 2,859 2,801 2,802 2,692 2,645 2,635 2,695

CRAWFORD 1,010 1,015 994 960 974 961 928 975 968 931 900 939

DELTA 2,012 1,988 1,919 1,906 1,897 1,878 1,855 1,870 1,866 1,845 1,838 1,925

DICKINSON 1,210 1,198 1,148 1,166 1,149 1,117 1,120 1,135 1,140 1,161 1,130 1,191

EATON 6,312 6,281 6,130 6,017 5,943 5,918 5,879 5,918 5,756 5,657 5,626 5,678

EMMET 1,830 1,766 1,728 1,724 1,724 1,686 1,638 1,613 1,568 1,493 1,494 1,516

GENESEE 28,804 28,413 28,170 28,002 27,934 27,760 27,200 27,461 26,988 26,381 26,079 26,306

GLADWIN 1,769 1,731 1,703 1,688 1,704 1,739 1,702 1,718 1,658 1,663 1,624 1,611

GOGEBIC 939 937 919 922 932 921 884 900 895 871 881 920

GRAND TRAVERSE 4,551 4,397 4,391 4,277 4,289 4,306 4,163 4,127 4,079 4,023 3,973 3,987

GRATIOT 2,588 2,537 2,469 2,450 2,418 2,445 2,351 2,356 2,336 2,283 2,289 2,305

HILLSDALE 2,843 2,691 2,619 2,590 2,625 2,637 2,636 2,629 2,539 2,514 2,605 2,667

HOUGHTON 1,435 1,485 1,460 1,481 1,462 1,480 1,479 1,468 1,401 1,419 1,419 1,461

HURON 1,739 1,710 1,661 1,665 1,675 1,658 1,576 1,595 1,581 1,545 1,537 1,551

INGHAM 19,654 19,421 19,040 18,971 18,938 18,860 18,363 18,550 18,442 18,099 17,727 17,836

IONIA 3,400 3,367 3,279 3,265 3,338 3,324 3,254 3,248 3,163 3,116 3,060 3,086

IOSCO 1,999 1,965 1,931 1,889 1,902 1,871 1,836 1,830 1,757 1,738 1,702 1,709

IRON 711 667 661 659 654 642 647 642 643 641 639 648

ISABELLA 4,323 4,232 4,148 4,087 4,104 4,146 4,052 4,022 3,965 3,956 3,874 3,848

JACKSON 9,802 9,753 9,552 9,568 9,675 9,611 9,404 9,437 9,266 9,088 9,031 9,108

KALAMAZOO 16,024 15,794 15,425 15,265 15,397 15,101 14,449 14,494 14,189 14,083 13,881 14,051

KALKASKA 1,314 1,313 1,268 1,244 1,221 1,225 1,198 1,196 1,188 1,151 1,122 1,132

KENT 34,438 34,649 34,210 33,865 33,887 34,139 33,483 33,597 33,002 32,417 32,062 32,418

KEWEENAW 80 73 78 85 76 74 69 74 73 73 65 69

RFP 260000002254 NEMT Broker for Medicaid FFS

COUNTY NAME Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25

LAKE 816 832 812 798 818 823 770 805 797 798 763 822

LAPEER 4,113 3,992 3,854 3,851 3,813 3,785 3,681 3,727 3,674 3,619 3,662 3,742

LEELANAU 801 809 781 776 779 754 752 750 755 717 696 710

LENAWEE 5,444 5,400 5,277 5,228 5,207 5,108 5,044 5,144 5,057 4,960 4,893 5,012

LIVINGSTON 5,409 5,260 5,092 4,985 4,936 5,015 4,861 4,863 4,827 4,826 4,876 5,109

LUCE 400 384 404 403 392 390 381 373 350 341 341 360

MACKINAC 802 800 769 762 764 739 733 733 767 737 727 747

MACOMB 53,700 52,845 51,834 51,300 51,228 51,016 49,729 50,249 49,485 48,979 48,920 49,881

MANISTEE 1,652 1,593 1,572 1,564 1,560 1,547 1,505 1,503 1,500 1,499 1,515 1,501

MARQUETTE 2,846 2,761 2,686 2,658 2,632 2,616 2,589 2,651 2,606 2,588 2,549 2,618

MASON 1,626 1,633 1,602 1,580 1,576 1,576 1,553 1,542 1,503 1,491 1,512 1,504

MECOSTA 2,723 2,714 2,584 2,601 2,546 2,509 2,416 2,408 2,371 2,325 2,303 2,430

MENOMINEE 1,359 1,338 1,335 1,332 1,317 1,337 1,304 1,296 1,260 1,245 1,247 1,288

MIDLAND 4,257 4,165 4,046 4,080 4,157 4,116 4,037 4,046 4,021 4,014 4,030 4,058

MISSAUKEE 1,223 1,157 1,132 1,140 1,113 1,084 1,058 1,064 1,081 1,028 1,032 1,020

MONROE 7,226 7,140 7,064 7,078 7,047 6,999 6,823 6,801 6,690 6,611 6,748 6,837

MONTCALM 3,899 3,956 3,908 3,851 3,838 3,897 3,751 3,771 3,709 3,587 3,471 3,529

MONTMORENCY 721 709 687 675 671 648 622 623 608 594 595 601

MUSKEGON 13,166 13,246 12,856 12,740 12,779 12,770 12,378 12,336 12,153 12,139 12,025 12,167

NEWAYGO 3,149 3,122 3,018 2,995 3,000 2,987 2,932 2,923 2,899 2,835 2,840 2,921

OAKLAND 51,064 49,784 47,813 47,124 47,224 46,817 46,109 46,370 45,775 45,358 45,866 47,110

OCEANA 1,838 1,837 1,809 1,687 1,682 1,743 1,728 1,703 1,718 1,704 1,701 1,697

OGEMAW 1,754 1,729 1,688 1,706 1,694 1,684 1,661 1,618 1,623 1,588 1,537 1,562

ONTONAGON 267 266 257 269 284 281 267 262 255 253 256 267

OSCEOLA 1,685 1,686 1,689 1,674 1,658 1,695 1,622 1,635 1,593 1,520 1,521 1,574

OSCODA 666 646 636 620 609 600 600 610 604 585 593 604

OTSEGO 1,730 1,716 1,671 1,670 1,642 1,603 1,531 1,534 1,499 1,456 1,462 1,508

OTTAWA 12,072 11,867 11,489 11,192 11,189 11,376 11,105 11,083 10,908 10,554 10,526 10,748

PRESQUE ISLE 814 798 785 792 783 808 779 772 762 759 765 786

ROSCOMMON 1,867 1,806 1,764 1,749 1,696 1,676 1,607 1,600 1,548 1,567 1,575 1,583 SAGINAW 14,692 14,527 14,225 14,127 14,157 13,934 13,717 13,848 13,775 13,636 13,550 13,698 SAINT CLAIR 9,604 9,441 9,108 9,036 9,131 9,134 8,862 8,868 8,750 8,635 8,587 8,773 SAINT JOSEPH 3,920 3,815 3,665 3,551 3,521 3,572 3,512 3,548 3,515 3,429 3,409 3,511

SANILAC 2,632 2,555 2,598 2,553 2,503 2,490 2,394 2,391 2,340 2,278 2,244 2,275

SCHOOLCRAFT 513 507 505 479 466 479 489 496 477 466 463 476

SHIAWASSEE 3,951 3,890 3,781 3,764 3,811 3,769 3,690 3,651 3,548 3,498 3,503 3,475

TUSCOLA 3,262 3,202 3,144 3,146 3,173 3,092 2,993 3,030 3,001 2,924 2,914 3,055

VAN BUREN 5,145 5,134 5,047 4,984 5,017 5,026 4,858 4,888 4,791 4,773 4,738 4,914 WASHTENAW 14,279 13,952 13,561 13,444 13,432 13,505 13,207 13,355 13,143 12,801 12,787 13,217 WAYNE 153,432 151,602 149,313 148,758 149,640 148,993 146,037 146,501 143,596 141,881 140,184 140,976

WEXFORD 2,931 2,906 2,824 2,814 2,785 2,766 2,703 2,723 2,665 2,571 2,546 2,554

TOTAL STATEWIDE 660,068 652,144 639,615 634,635 635,668 633,580 620,517 623,174 614,188 606,101 602,585 610,463

FFS MEDICAID BENE

COUNTY NAME

MACOMB

OAKLAND

WAYNE

TOTAL TRI-COUNTY

FFS MEDICAID BENE

COUNTY NAME

TOTAL STATEWIDE

ALCONA

ALGER

ALLEGAN

ALPENA

ANTRIM

ARENAC

BARAGA

BARRY

BAY

BENZIE

BERRIEN

BRANCH

CALHOUN

CASS

CHARLEVOIX

CHEBOYGAN

CHIPPEWA

CLARE

CLINTON

CRAWFORD

DELTA

DICKINSON

EATON

EMMET

GENESEE

GLADWIN

GOGEBIC

GRAND TRAVERSE

GRATIOT

HILLSDALE

HOUGHTON

HURON

INGHAM

IONIA

IOSCO

IRON

ISABELLA

JACKSON

KALAMAZOO

KALKASKA

KENT

KEWEENAW

Jan-26 Feb-26 Mar-26 Apr-26 May-26 Jun-26 2025-26

AVERAGE 2026 AVERAGE

% 2026 TRI-COUNTY

AVERAGE

40,712 40,992 40,006 38,662 37,042 35,554 46,785 38,828 20.12% 46,531 46,852 45,967 44,608 42,971 41,384 46,374 44,719 23.17%

110,343 114,237 113,984 110,772 105,903 101,607 134,320 109,474 56.72%

197,586 202,081 199,957 194,042 185,916 178,545 227,479 193,021 ─

Jan-26 Feb-26 Mar-26 Apr-26 May-26 Jun-26 2025-26

AVERAGE 2026 AVERAGE

% 2026 TRI-COUNTY

AVERAGE

558,873 566,540 558,013 545,071 527,017 509,862 599,895 544,229 ─

561 543 526 536 529 519 565 536 0.28% 363 332 341 329 300 287 360 325 0.17%

5,576 5,626 5,524 5,364 5,254 5,055 5,639 5,400 2.80% 2,033 2,012 1,949 1,902 1,845 1,818 2,041 1,927 1.00% 1,137 1,132 1,115 1,076 1,057 1,031 1,187 1,091 0.57% 982 988 948 914 897 873 1,011 934 0.48% 712 716 684 656 657 649 730 679 0.35%

2,456 2,423 2,356 2,257 2,237 2,147 2,703 2,313 1.20% 6,387 6,383 6,231 6,162 6,006 5,953 6,452 6,187 3.21% 790 807 802 779 730 708 855 769 0.40%

7,244 7,214 7,109 6,894 6,669 6,430 8,512 6,927 3.59% 2,365 2,364 2,297 2,226 2,161 2,055 2,709 2,245 1.16% 7,941 7,985 7,856 7,670 7,240 6,875 9,395 7,595 3.93% 2,201 2,188 2,146 2,094 2,033 2,021 2,519 2,114 1.10% 1,297 1,328 1,291 1,261 1,178 1,127 1,333 1,247 0.65% 1,709 1,690 1,637 1,604 1,568 1,519 1,698 1,621 0.84% 3,304 3,235 3,246 3,230 3,156 3,110 3,139 3,214 1.66% 2,386 2,400 2,397 2,265 2,198 2,157 2,420 2,301 1.19% 2,695 2,784 2,718 2,678 2,556 2,403 2,748 2,639 1.37% 959 943 929 906 864 826 943 905 0.47%

1,857 1,763 1,740 1,675 1,630 1,532 1,833 1,700 0.88% 1,090 1,059 1,042 1,018 980 953 1,112 1,024 0.53% 5,583 5,691 5,528 5,396 5,209 5,045 5,754 5,409 2.80% 1,534 1,527 1,522 1,476 1,425 1,378 1,591 1,477 0.77%

26,284 26,632 26,304 25,803 25,386 24,739 26,925 25,858 13.40% 1,631 1,621 1,621 1,620 1,554 1,522 1,660 1,595 0.83% 1,141 1,161 1,119 1,100 1,042 1,039 974 1,100 0.57% 3,934 3,933 3,822 3,756 3,646 3,559 4,067 3,775 1.96% 2,280 2,278 2,230 2,212 2,193 2,162 2,343 2,226 1.15% 2,645 2,614 2,566 2,468 2,359 2,282 2,585 2,489 1.29% 1,391 1,325 1,287 1,272 1,195 1,206 1,396 1,279 0.66% 1,536 1,544 1,557 1,498 1,434 1,412 1,582 1,497 0.78%

17,531 17,719 17,108 16,833 16,436 15,886 18,079 16,919 8.77% 3,098 3,088 3,047 2,940 2,834 2,755 3,148 2,960 1.53% 1,693 1,684 1,679 1,658 1,629 1,573 1,780 1,653 0.86% 574 585 566 551 517 515 620 551 0.29%

3,787 3,794 3,655 3,506 3,430 3,423 3,908 3,599 1.86% 8,927 9,094 9,014 8,896 8,589 8,260 9,226 8,797 4.56%

11,528 11,793 11,527 11,339 10,924 10,392 13,648 11,251 5.83% 1,126 1,100 1,098 1,071 1,013 997 1,165 1,068 0.55%

32,215 32,750 31,913 31,086 29,819 28,576 32,696 31,060 16.09% 74 64 72 61 67 65 72 67 0.03%

COUNTY NAME

LAKE

LAPEER

LEELANAU

LENAWEE

LIVINGSTON

LUCE

MACKINAC

MACOMB

MANISTEE

MARQUETTE

MASON

MECOSTA

MENOMINEE

MIDLAND

MISSAUKEE

MONROE

MONTCALM

MONTMORENCY

MUSKEGON

NEWAYGO

OAKLAND

OCEANA

OGEMAW

ONTONAGON

OSCEOLA

OSCODA

OTSEGO

OTTAWA

PRESQUE ISLE

ROSCOMMON

SAGINAW

SAINT CLAIR

SAINT JOSEPH

SANILAC

SCHOOLCRAFT

SHIAWASSEE

TUSCOLA

VAN BUREN

WASHTENAW

WAYNE

WEXFORD

TOTAL STATEWIDE

Jan-26 Feb-26 Mar-26 Apr-26 May-26 Jun-26 2025-26

AVERAGE 2026 AVERAGE

% 2026 TRI-COUNTY

AVERAGE

811 830 851 822 798 761 807 812 0.42% 3,730 3,721 3,685 3,537 3,440 3,379 3,723 3,582 1.86% 715 704 676 648 628 629 727 667 0.35%

4,954 4,972 4,898 4,816 4,663 4,456 5,030 4,793 2.48% 5,049 5,108 4,981 4,901 4,785 4,531 4,967 4,893 2.53% 366 356 346 357 336 332 367 349 0.18% 733 708 680 684 679 660 735 691 0.36%

40,712 40,992 40,006 38,662 37,042 35,554 46,785 38,828 20.12% 1,466 1,498 1,456 1,444 1,395 1,382 1,508 1,440 0.75% 2,543 2,507 2,498 2,432 2,278 2,148 2,567 2,401 1.24% 1,523 1,592 1,540 1,560 1,462 1,424 1,544 1,517 0.79% 2,417 2,423 2,405 2,353 2,213 2,141 2,438 2,325 1.20% 1,450 1,474 1,459 1,449 1,430 1,391 1,351 1,442 0.75% 4,040 4,110 4,017 3,917 3,705 3,584 4,022 3,896 2.02% 1,006 1,028 1,015 983 925 909 1,055 978 0.51% 6,895 6,941 6,824 6,624 6,449 6,187 6,832 6,653 3.45% 3,515 3,534 3,523 3,440 3,288 3,179 3,647 3,413 1.77% 604 617 613 606 601 554 631 599 0.31%

12,043 12,265 12,064 11,673 11,340 11,147 12,294 11,755 6.09% 2,914 2,996 2,950 2,869 2,753 2,666 2,932 2,858 1.48%

46,531 46,852 45,967 44,608 42,971 41,384 46,374 44,719 23.17% 1,650 1,689 1,620 1,602 1,557 1,525 1,694 1,607 0.83% 1,543 1,538 1,494 1,468 1,430 1,399 1,595 1,479 0.77% 256 241 258 250 252 234 260 249 0.13%

1,591 1,627 1,581 1,594 1,503 1,466 1,606 1,560 0.81% 612 622 606 577 577 556 607 592 0.31%

1,495 1,504 1,487 1,421 1,377 1,337 1,536 1,437 0.74% 10,592 10,671 10,276 10,013 9,644 9,232 10,808 10,071 5.22%

759 774 747 728 712 684 767 734 0.38% 1,588 1,578 1,542 1,533 1,488 1,469 1,624 1,533 0.79%

13,520 13,824 13,677 13,411 13,013 12,572 13,772 13,336 6.91% 8,704 8,932 8,756 8,573 8,302 8,092 8,849 8,560 4.43% 2,846 2,908 2,835 2,795 2,666 2,570 3,310 2,770 1.44% 2,310 2,316 2,227 2,162 2,154 2,095 2,362 2,211 1.15% 467 443 432 430 405 386 466 427 0.22%

3,454 3,553 3,539 3,496 3,397 3,277 3,614 3,453 1.79% 3,044 3,106 3,031 3,016 2,862 2,737 3,041 2,966 1.54% 3,906 3,859 3,757 3,708 3,506 3,415 4,526 3,692 1.91%

13,011 13,256 12,931 12,505 12,095 11,475 13,109 12,546 6.50% 110,343 114,237 113,984 110,772 105,903 101,607 134,320 109,474 56.72%

2,585 2,668 2,578 2,481 2,404 2,328 2,657 2,507 1.30%

558,873 566,540 558,013 545,071 527,017 509,862 599,895 544,229 ─

Appendix C – FFS Medicaid Beneficiaries with NEMT Eligibility Plan.pdf
Appendix C – FFS Medicaid Beneficiaries With NEMT Eligibility Plan
County Stats for RFP.pdf
FFS NEMT Count By County

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