Does medicaid cover non emergency medical transportation

Nonemergency medical transportation services are available for a Medicaid beneficiary or their child. These services include rides to doctor's office, dentist's office, hospital, drug store or any place that provides covered health care services.

Types of rides include:

  • Public transportation, like the city bus.
  • A taxi or van service.
  • Commercial transit, like a bus or plane, to go to another city for an appointment.

Services may also include:

  • Money for gas.
  • Meals and lodging for children and youth 20 and younger staying overnight to get covered health care services.
  • Payment for some out-of-state travel to neighboring states (Louisiana, Arkansas, Oklahoma and New Mexico).

Services do not include making arrangements for emergency or nonemergency transportation by ambulance.

Can I get a ride?

To get a ride, you must be enrolled in one of the following programs and not have any other means of transportation

  • Medicaid
  • Children with Special Health Care Needs
  • Transportation for Indigent Cancer Patients

How do I get a ride?

First, set up an appointment with your doctor or provider.

To request a ride, call at least two workdays before your appointment, or five days before the appointment if it is outside your county. Phones are answered Monday through Friday, 8 a.m.-5 p.m. local time.

You may be able to be approved for same day rides when:

  • Your doctor or dentist must see you on the same day.
  • You are released from a hospital, clinic, or other health care facility.
  • You need a ride to a drugstore.

If you or your child have a Medicaid health plan:

  • Call your health plan’s medical transportation contact number.

If you or your child do not have a health plan:

  • Call 877-633-8747 (877-MED- TRIP).

Children 14 and younger may not travel without a parent or guardian. Children 15 through 17 may travel without a parent, but the parent must provide written permission before the trip is scheduled.

When requesting a ride, make sure to have the following information:

  • Medicaid ID or Social Security number for the person with the appointment
  • Name of the medical professional you or your child will be seeing
  • Address, and phone number of your appointment location
  • Address and phone number of your pickup location
  • Reason for the visit
  • Date and time of appointment
  • If you or your children have any unique needs including wheelchair, lift, or a walker, so we can send the right type of vehicle
  • Affirmation that other means of transportation are unavailable

I have a car, but no money for gas. What can I do?

Call us just like you would to schedule a ride, using the steps outlined above. When you call, tell the representative you have a car but need help with gas money. They will mail you an application form to become an Individual Transportation Participant (ITP).

Medicaid can also pay someone else to drive you to your appointments, like a relative, friend or neighbor, if they sign up to become an ITP.

You or your driver must have a current driver’s license, license plates, up-to-date inspection sticker and car insurance.

NEMT.jpg

In order for the Georgia Department of Community Health (DCH) to achieve its mission of providing access to affordable, quality health care services for Medicaid members, these members must be able to get to and from their medically necessary appointments. 

The Non-Emergency Medical Transportation (NEMT) program provides eligible members transportation needed to get to their medical appointments. To be eligible for these services, members must have no other means of transportation available and are only transported to those medical services covered under the Medicaid program.

In accordance with the Code of Federal Regulation (CFR) (42CFR431.53), the NEMT program provides transportation for the purpose of:

  • Medical treatment
  • Medical evaluations
  • Obtaining prescription drugs
  • Obtaining medical equipment

To provide the necessary non-emergency medical transportation, DCH utilizes a brokerage system and it is these two Brokers, LogistiCare and Southeastrans, who coordinate and provide NEMT services for the state's five regions (North, Atlanta, Central, East and Southwest). NEMT Broker responsibilities include, but are not limited to:

  • Recruiting and contracting with transportation providers;
  • Making payments to providers;
  • Gate keeping and verifiying member's need for NEMT;
  • Reserving and assigning trips;
  • Assuring quality; and
  • Overseeing administration and reporting.

NEMT brokers are paid a monthly capitated rate based on the number of eligible Medicaid members residing in their contracted region(s). Transportation services are provided at no cost. 

To schedule transportation, members must contact the NEMT Broker. Monday through Friday from 7 a.m. to 6 p.m.

Logisticare 1-888-224-7981 (Central), 1-888-224-7985 (Southwest), 1-888-224-7988 (East)

Southeastrans 1-866-388-9844 (North) and 404-209-4000 (Atlanta)

If you have questions, comments, or complaints about a broker or a service, call the Member Call Center's toll free number, 1-866-211-0950. 

Does Florida Medicaid provide transportation?

Transportation is covered by all Managed Medical Assistance, Long-term Care and Comprehensive Long-term Care plans serving Medicaid enrollees. Medicaid will pay for non-emergency transportation services for a Medicaid eligible recipient who has no other means of transportation to a Medicaid covered service.

Does GA Medicaid provide transportation?

Transportation services are provided at no cost. If you have questions, comments, or complaints about a broker or a service, call the Member Call Center's toll free number, 1-866-211-0950.

Does Indiana Medicaid pay for transportation?

Medicaid will pay for 20 one-way trips per rolling 12-month period. More trips may be provided if your doctor requests them and they are approved through Southeastrans. If you have questions you can call the Trip Reservation Line at 855-325-7586.

Does Florida Medicaid cover ambulance services?

Florida Medicaid's Covered Services and HCBS Waivers Medicaid reimburses for medically necessary emergency ground or air ambulance transportation. This service is one of the minimum covered services for all Managed Medical Assistance, Long-Term Care, and Comprehensive Long-Term Care plans serving Medicaid enrollees.

Toplist

Latest post

TAGs