Get the free LogistiCare is contracted with various Plans under the Statewide Medicaid Managed Ca...

Physicians Transportation Restriction Form Logistical is contracted with various Plans under the Statewide Medicaid Managed Care (MMC) program to manage their transportation service. As part of our

How to fill out logisticare is contracted with

How to fill out logisticare is contracted with

1. To fill out Logisticare is contracted with, follow these steps:
2. Start by visiting the Logisticare website or call their customer service to access the required forms.
3. Provide your personal information such as full name, address, phone number, and date of birth.
4. Fill in the details of your medical condition or disability that requires transportation services.
5. Mention the type of transportation needed, such as wheelchair-accessible vehicle or non-emergency ambulance.
6. Specify the preferred date and time for your transportation, if applicable.
7. Ensure all information is accurate and review the form before submitting it.
8. Submit the completed form via mail, fax, or online as instructed by Logisticare.
9. Wait for a confirmation or approval from Logisticare regarding your transportation services.
10. Keep a copy of the filled-out form and any communication with Logisticare for reference.

Who needs logisticare is contracted with?

1. Logisticare is contracted with individuals who require non-emergency medical transportation.
2. This includes individuals who have physical disabilities, chronic conditions, and limited mobility.
3. Logisticare provides transportation services for Medicaid recipients, patients of healthcare organizations,
4. and individuals who are unable to use traditional means of transportation due to their medical condition.
5. They ensure safe and reliable transportation for those who need assistance getting to medical appointments,
6. treatments, and other healthcare-related destinations.

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What is logisticare is contracted with?

Logisticare is contracted with state Medicaid agencies for non-emergency medical transportation services.

Who is required to file logisticare is contracted with?

Logisticare services are required to file claims with the state Medicaid agencies for reimbursement.

How to fill out logisticare is contracted with?

Logisticare services can be filled out electronically through the state Medicaid agency's portal.

What is the purpose of logisticare is contracted with?

The purpose of Logisticare is to provide transportation services to Medicaid beneficiaries for medical appointments.

What information must be reported on logisticare is contracted with?

Information such as trip dates, pick-up and drop-off locations, and passenger details must be reported on Logisticare claims.