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FAQ's

Nassau and Suffolk County: July 1, 2015.

January 1, 2016 (tentative) ModivCare will take over management for Medicaid enrollees who are members of Medicaid managed care plans as well as those Medicaid enrollees residing on Long Island whose Medicaid eligibility is secured through the New York State Office of Mental Health or the Office for Persons with Developmental Disabilities.

Transportation providers will finalize an EDI (Electronic Data Interchange) Agreement with ModivCare and thereafter download their trip manifests from www.longislandmedicaidride.net.

Transportation provider should call ModivCare's toll free transportation provider number 844-678-1105, or fax to its toll free transportation provider fax number 844-678-1110.

The job number that you submitted is in ModivCare's system; however, it is assigned to another transportation provider. If you performed the trip, contact 844-678-1105 for resolution.

Mileage is calculated as the shortest distance in street or road miles from the pick-up point to the destination. ModivCare is able to determine mileage to the one-tenth mile, and will round up to the next mile. If you believe there to be a mileage error, you must bring it to ModivCare's attention before running the trip. ModivCare will review the trip or trips in question and may reference other software to verify the distance. Any correction remains the sole decision of ModivCare. If you are not satisfied with ModivCare's decision regarding the mileage, you may submit your justification, including some mapping software printout showing the mileage of the trip, and ModivCare will reconsider its decision.

Yes. Responses to complaints are due within 24 hours of when the transportation provider receives the complaint from ModivCare.

The pick-up standard for a routine and standing order trip is not earlier than 15 minutes before or later than 15 minutes after the scheduled pick-up time. There is a 60 minutes (1 hour) pick-up standard on a “will call” or unscheduled return to residence following a medical appointment. The pick-up standard for an urgent care request (e.g., a hospital discharge) is within 180 minutes (3 hours) from when LGTC gets the request from the hospital and communicates it to you. The drop-off standard is on-time or early however not more than 30 minutes before the enrollee’s appointment.