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TRANSPORTATION LOG Date: Bus Company (From Emergency Transportation List)Page of Pages LocationContact/Concurrent Availability Response Timeworn 120 N
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Transportation services provided by the DHCS (Department of Health Care Services) are for eligible Medi-Cal recipients who need assistance getting to and from medical appointments.
Health care providers and transportation providers are required to file transportation services with DHCS.
Transportation services forms can be filled out online through the DHCS website or submitted through the mail.
The purpose of transportation services provided by DHCS is to ensure that Medi-Cal recipients have access to necessary medical appointments.
Information such as the date of service, pick-up location, destination, and reason for transportation must be reported on transportation services forms.
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