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State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review Post Office Box 2590 Fairmont, WV 265552590 Joe Man chin III Governor Martha Yeager Walker
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How to fill out for non-emergency medical transportation

01
Start by gathering all necessary documents such as a referral form from the healthcare provider and any insurance information.
02
Contact the non-emergency medical transportation provider in your area to schedule an appointment.
03
During the appointment, provide the necessary documents and provide information about the destination, date, and time of the appointment.
04
Confirm the details with the transportation provider and ask about any specific requirements or preparations you need to make.
05
On the day of the appointment, be ready at the agreed-upon time and ensure you have any necessary medical equipment or supplies with you.
06
Wait for the transportation to arrive and follow any instructions provided by the driver.
07
Arrive at your medical appointment safely and on time.
08
After the appointment, contact the transportation provider to schedule your return trip if needed.
09
Provide any updated information or changes in schedule to the transportation provider as necessary.
10
Follow any discharge instructions or recommendations provided by your healthcare provider during the transportation process.

Who needs for non-emergency medical transportation?

01
People who require non-emergency medical care or assistance but are unable to transport themselves.
02
Those with mobility limitations, disabilities, or medical conditions that prevent them from driving or using public transportation.
03
Patients who require regular medical appointments for ongoing treatment or therapy.
04
Elderly individuals who may have difficulty accessing transportation options.
05
Individuals who live in rural or remote areas with limited public transportation availability.
06
Individuals without access to a personal vehicle or reliable transportation.
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Non-emergency medical transportation refers to transportation services provided to individuals who do not require immediate medical attention.
Patients or their caregivers are typically required to file for non-emergency medical transportation.
To fill out for non-emergency medical transportation, one must provide relevant medical information and scheduling preferences.
The purpose of non-emergency medical transportation is to ensure that individuals can safely and comfortably travel to and from medical appointments.
Information such as the patient's name, contact information, medical condition, appointment details, and preferred mode of transportation must be reported for non-emergency medical transportation.
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