Non-Emergency Medical Transportation Program Provider Agreement
To Participate in the Title XIX Non-Emergency Medical Transportation Program, transportation services providers must fill out the Non-Emergency Medical Transportation Program Provider Agreement app.
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The Medicaid program allows eligible patients to receive non-emergency medical transportation services to medical appointments (when their physician agrees it is a medical necessity). Non-emergency medical transportation services providers must obtain legal certification to provide transportation services to patients and maintain a permit. Transportation providers must also agree to the condition and terms outlined in the Non-Emergency Medical Transportation Program Provider Agreement app. The app outlines general provisions, certification information, responsibilities of the provider/billing agent, and more.
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