Get the free LogistiCare Rhode Island Facility Network Downloads

LEVEL OF SERVICE CERTIFICATION 4149 High line Blvd. Ste. 200 Oklahoma City, Ok 731082103 Fax # 18666970497Required for All Clients IT IS THE PATIENTS SOLE RESPONSIBILITY TO ENSURE THIS FORM IS RECEIVED

How to fill out logisticare rhode island facility

How to fill out logisticare rhode island facility

1. To fill out Logisticare Rhode Island Facility, follow these steps:
2. Start by opening the facility form provided by Logisticare Rhode Island.
3. Fill in the required personal information such as your name, date of birth, and contact details.
4. Provide your insurance information, including the name of your insurance provider and policy number.
5. Specify any special medical needs or requirements you may have, such as wheelchair accessibility or medical equipment.
6. Indicate the type of transportation service you require, whether it's ambulatory, stretcher, or wheelchair transportation.
7. If you have a preferred healthcare provider or facility, mention it in the form.
8. Review all the information entered for accuracy and completeness.
9. Submit the filled-out form to Logisticare Rhode Island through their designated method, whether it's online submission or mailing.
10. Keep a copy of the submitted form for your records.
11. Wait for Logisticare Rhode Island to review your application and contact you for further instructions if needed.

Who needs logisticare rhode island facility?

1. Logisticare Rhode Island facility is designed for individuals who require non-emergency medical transportation services in Rhode Island.
2. It is primarily targeted towards:
3. - People with disabilities or physical limitations who are unable to use public transportation for their medical appointments.
4. - Medicaid recipients in need of transportation to medical facilities.
5. - Low-income individuals who lack the means to arrange and afford their medical transportation.
6. The facility aims to provide safe and efficient transportation solutions for those who may face challenges in accessing healthcare services due to transportation barriers.

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What is logisticare Rhode Island facility?

Logisticare Rhode Island facility is a transportation provider that arranges rides for individuals who have Medicaid benefits and need assistance getting to and from medical appointments.

Who is required to file logisticare Rhode Island facility?

Logisticare Rhode Island facility is required to be filed by transportation providers who are contracted with Medicaid to provide rides for eligible individuals in Rhode Island.

How to fill out logisticare Rhode Island facility?

To fill out a Logisticare Rhode Island facility form, transportation providers must provide details about the rides they have provided to Medicaid beneficiaries, including date, time, pick-up and drop-off locations, and any additional information required by the Medicaid program.

What is the purpose of logisticare Rhode Island facility?

The purpose of Logisticare Rhode Island facility is to ensure that individuals with Medicaid benefits have access to transportation to medical appointments, increasing their ability to receive necessary healthcare services.

What information must be reported on logisticare Rhode Island facility?

Information that must be reported on Logisticare Rhode Island facility includes details about each ride provided, such as date, time, pick-up and drop-off locations, and any relevant notes or comments.