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Colorado Medicaid Benefits Collaborative Policy Statement EMERGENCY MEDICAL TRANSPORTATION Brief Coverage Statement Emergency Medical Transportation (NEXT) is provided as an administrative service

How to fill out non-emergency medical transportation

How to fill out non-emergency medical transportation:

1. Contact the transportation provider: Start by reaching out to the non-emergency medical transportation provider. They will guide you through the process of filling out the necessary forms and provide any information or assistance you may need.
2. Provide personal information: You will be required to fill out personal details such as your full name, contact information, and address. This information is necessary for the transportation provider to schedule and coordinate your transportation needs.
3. Medical information: You may need to provide relevant medical information, including your diagnosis, medical condition, and any special requirements or accommodations needed during transportation. This information helps the transportation provider ensure that appropriate arrangements are made to meet your specific healthcare needs.
4. Insurance details: If applicable, you may need to provide insurance information. This includes your insurance provider, policy number, and any relevant authorization codes. Insurance details are necessary to determine coverage and bill the appropriate parties for the transportation services.
5. Scheduling preferences: Indicate your preferred date and time for transportation. If you have any specific scheduling requirements or considerations, such as recurring appointments, it is important to communicate these preferences to the transportation provider.
6. Communication preferences: Specify your preferred method of communication for scheduling and coordination purposes. This could be through phone calls, emails, or any other means preferred by the transportation provider. It is important to ensure effective communication to avoid any confusion or scheduling conflicts.

Who needs non-emergency medical transportation?

1. Individuals with limited mobility: Non-emergency medical transportation is often needed by individuals who have limited mobility due to age, injury, disability, or medical conditions. It provides a safe and convenient option for transportation to medical appointments, therapies, or follow-up care.
2. Patients requiring specialized care: Non-emergency medical transportation is essential for patients requiring specialized care, such as those undergoing regular dialysis treatments or chemotherapy sessions. These individuals need reliable transportation options to ensure timely and consistent access to their treatments.
3. Seniors and elderly individuals: Many seniors and elderly individuals require non-emergency medical transportation services to access healthcare services, including routine check-ups, diagnostic tests, or visits to specialists. This population often needs assistance and support during transportation due to age-related limitations or medical conditions.
4. Individuals without access to a vehicle: Non-emergency medical transportation is also beneficial for individuals who do not own a vehicle or have limited access to transportation. It ensures that they can still receive necessary medical care without relying on public transportation or inconveniencing family members or friends.
5. Individuals with mental health conditions: Non-emergency medical transportation may be required by individuals with mental health conditions, who may need transportation to therapy appointments, counseling sessions, or support group meetings. It facilitates access to mental healthcare services and contributes to their overall well-being.

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