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Outpatient is on the rise and the number of people with chronic medical conditions is increasing, with nearly 4 million Americans missing or postponing medical care due to lack of transportation. Non-Emergency Medical Transportation (NEMT) provides service to and from medical appointments, emergency room visits, and transfer service between hospitals. Disadvantaged Medicaid recipients, senior citizens, those with disabilities, low-income citizens, and those who can't drive rely on NEMT to access healthcare services due to invalid driver’s license, non-availability of a working vehicle, inability to travel alone, or having physical, cognitive, mental, or developmental limitations.