Non-Medical Transportation Service Provider Certification Form
As part of the Medicaid program, patients may be eligible for non-emergency, non-medical transportation services for medical appointments.
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The Non-Medical Transportation Service Provider Certification Form app allows transportation service providers to apply for certification to provide non-emergency transportation to patients. The provider agency must maintain documentation that the company meets the required criteria and standards for the Non-Medical Transportation service; and have records available to complete quality review audits. Within the Non-Medical Transportation Service Provider Certification Form app, providers must supply the following details for certification: service program information, provider type documentation, clinical documentation, other standards documentation, training documentation, and miscellaneous documentation.
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