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Enrollee Introduction Letter
NYS DOH introduction letter
Definitions, Acronyms & Standards
Common terms, acronyms, criteria definitions, and standards used in Non-Emergency Medicaid Transportation
Enrollee Responsibilities and Conduct
Rules and guidelines for using Non-Emergency Medicaid Transportation
List of Essential Contacts
List of key ModivCare contacts
Policy for Travel Related Expenses / Reimbursement Guide
Long Island Department of Health policy regarding travel related expenses for Medicaid Enrollees.
Public Website Links
Internet links for key public services
What to expect from your transportation provider.
NY State Expectations for Quality Transportation Services.
Determining the Appropriate Type of Transportation
Utilization Review of Requests and Determining the Appropriate Type of Transportation
What ModivCare is responsible for.
Describes ModivCare responsibilities for enrollees and how Medicaid enrollees can request transport.
Mileage Reimbursement Forms
Form(s) that are required to be completed by the enrollee, the driver and the physician in order to receive mileage reimbursement.
NYS DOH Care Plan Grid for Transportation of TBI Waiver Participants
Care Plan Grid required by NYS DOH to be submitted for Transportation of TBI Waiver Participants .
Social Transportation Guidance for the Traumatic Brain Injury (TBI) Waiver Program
Guidelines for Approving Requests for Social Transportation of Persons Enrolled in the Traumatic Brain Injury (TBI) Waiver Program.
2021 Mileage Reimbursement Schedule.
2021 Mileage Reimbursement Payment Schedule for Medicaid Enrollees
Outside Common Medical Market Area Form
NYDOH .form necessary to approve trip requests Outside the Nassau and Suffolk Counties Medical Market Area
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