You need your Medicaid ID number (this is the ID listed on your Medicaid card formatted as 2 letters, 5 numbers, 1 letter; like XX12345X). You will need the name, address, zip code and telephone number of your medical practitioner. You will need the street address and the telephone number where you want to be picked up. You will also need the date and time of your appointment, any special needs you have and the general reason for the appointment (doctor's visit, check-up, eye appointment, etc.).