It's not for urgent transit. They're probably trying to take a cut of the transportation voucher program available to seniors and those with disabilities to access subsidized rides from existing services.
It's considered non-emergency transportation (NEMT).
The voucher program actually goes direct through hospitals, the hospitals negotiate with transportation providers like Uber (or local taxi companies).
Unfortunately, shit doesn't work like this anymore. Hospitals don't always dispatch transportation out to local taxi companies. For Medicaid, most states have Logisticare which is very much a rent-seeking company paid based on the number of Medicaid subscribers (not runs). This company finds local transportation providers (or ride share services) and dispatches out the patients to them. Their job is to get the taxi companies to blind bid in a race to the bottom.
How do I know this? I part-time drove a couple nights a week for a tiny family owned taxi company that sometimes did voucher runs for a local hospital. They also considered Logisticare but backed off when I told them what it would require and how they'd get pushed into accepting below their usual mileage rate.
Also, Logisticare doesn't give a shit about inspecting the transportation providers, so noncompliance is common since they'll contract with any rando that'll work for dirt. [1][2]
http://web1.ctaa.org/webmodules/webarticles/articlefiles/Rur...