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Utah Medicaid Provider Manual
Division of Medicaid and Health FinancingMedical Transportation
July 2017SECTION 2
MEDICAL TRANSPORTATION
Tables of Contents1NonEmergency Medical Transportation Services.......................................................................................
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How to fill out non-emergency medical transportation services

How to fill out non-emergency medical transportation services
01
Step 1: Gather all necessary information and documents such as patient's name, address, contact details, medical history, and insurance information.
02
Step 2: Contact a non-emergency medical transportation provider in your area and provide them with the patient's information.
03
Step 3: Schedule the transportation service according to the patient's medical appointments or needs.
04
Step 4: Verify with the transportation provider if any special medical equipment or assistance is required during the transportation.
05
Step 5: Ensure the patient is ready and prepared for the transportation service.
06
Step 6: Accompany the patient or arrange for a caregiver to accompany them during the transportation if necessary.
07
Step 7: During the transportation, ensure the patient's comfort and safety by following any guidelines provided by the transportation provider.
08
Step 8: Upon reaching the destination, ensure the patient is safely dropped off and assist them if needed.
09
Step 9: If required, provide feedback or report any concerns or issues to the transportation provider for improvement.
10
Step 10: Keep a record of the transportation services for future reference or billing purposes.
Who needs non-emergency medical transportation services?
01
Individuals who are unable to use public transportation due to their medical condition or physical limitations.
02
Patients who require regular medical appointments or treatments but are unable to drive themselves.
03
Elderly individuals who may need assistance or specialized transport to medical facilities.
04
People with disabilities who require wheelchair-accessible vehicles or additional support during transportation.
05
Individuals who live in rural areas with limited access to medical facilities or public transportation.
06
Those recovering from surgery, injuries, or medical procedures who need transportation for follow-up appointments.
07
Patients undergoing medical tests or procedures that require sedation or anesthesia and need a safe means of transportation.
08
Individuals with chronic illnesses or conditions that require frequent medical visits or therapies.
09
Families or caregivers who are unable to provide transportation due to other responsibilities or limitations.
10
Insurance companies or healthcare providers seeking to ensure their patients receive necessary medical care.
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What is non-emergency medical transportation services?
Non-emergency medical transportation services are services provided to individuals who do not require immediate medical attention but need assistance in getting to and from medical appointments.
Who is required to file non-emergency medical transportation services?
Non-emergency medical transportation services are usually provided by transportation companies, healthcare organizations, or government agencies.
How to fill out non-emergency medical transportation services?
Non-emergency medical transportation services should be filled out with details of the patient, the appointment, the mode of transportation, and any special requirements.
What is the purpose of non-emergency medical transportation services?
The purpose of non-emergency medical transportation services is to ensure that individuals can access medical care even if they do not have their own means of transportation.
What information must be reported on non-emergency medical transportation services?
Information such as the patient's name, date of birth, medical condition, appointment details, and transportation provider must be reported on non-emergency medical transportation services.
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