Am J Manag Care. 2020; 26 (9): e276-e281. https://doi. org/10.37765/ajmc. 2020.88492 _____ Takeaway Points Ridesharing is an understudied service delivery method deployed by managed care organizations for nonemergency medical transportation (NEMT) for Medicaid enrollees. Some states have used Section 1115 waivers to exclude Medicaid expansion populations from NEMT benefits. 13 CMS drafted a proposed rule that would allow states more flexibility in providing NEMT, 14 and the current administration's budget proposals for fiscal years 2019 and 2020 proposed making NEMT an optional benefit. 15 The rule could reduce patient access to NEMT and, subsequently, to needed medical services. A randomized controlled trial found no significant effect of RMT on missed appointments. 23 A recent analysis of Twitter posts suggested that passengers had overwhelmingly negative experiences with rideshare drivers. 24 Based on Andersen's conceptual model of health care access, 25 perceptions of the ride experience, driver, and vehicle appropriateness may affect individuals' willingness to use NEMT. Enrollees' trips were simply assigned to RMT or traditional NEMT based on availability of rideshare drivers and origin/destination.[...] factors that affect a patient's willingness and ability to use ridesharing and the associated smartphone app did not confound our analysis.