West Virginia Application for Non-Emergency Medical Transportation Program (NEMT)
Form Template
West Virginia citizens enrolled in Medicaid can use the West Virginia Application for Non-Emergency Medical Transportation Program (NEMT) app to obtain non-emergency medical transportation services that are deemed a medical necessity by their physician.
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The West Virginia Application for Non-Emergency Medical Transportation Program (NEMT) app allows West Virginia users to apply for Medicaid non-emergency medical transportation within sixty days of the earliest trip. Patients must provide: contact information, the purpose of the visit, name and address of medical provider, and appointment information. Patients can keep a copy of the app on file for medical appointments recordkeeping. The app is easy to fill out, edit, and save.
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