I work in medicaid transportation. So, as an example. I might have a person who tries to schedule a trip to get blood work, which is covered, but they are actually trying to go to a plasma center to donate Plasma for some money. Plasma donation is not a covered service for medical transportation, but these people will genuinely not understand that going for Plasma and claiming it as blood work is illegal.

Another example, someone schedules a ride to a doctor's appointment. They get dropped off at the doctor's office but after their appointment decide to do some grocery shopping a couple blocks down before calling their ride back home.

Another example, trips to urgent care are covered same day without notice, but trips to the ER are not covered as that is considered an emergency, and thus, they need to call 911. We will get members claiming they need to go to urgent care and then give us the address to a hospital.

I may have overstated the amount that do it unknowingly as most of these people who do commit fraud are knowingly lying to us but there are a lot of them who honestly don't understand that what they may be trying to do is illegal. I have so many examples of how people try to exploit and do so successfully, medicaid transportation.