Form 2015-2025

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2024 4.4 Satisfied (57 Votes)
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New Yorks Medicaid Transportation Program offers free non-emergency medical transportation. You can contact the Medicaid Answering Service (MAS) with your appointment details to arrange free transportation. There are no out-of-pocket costs for these services.
The Form-2015 must be completed when a patient has a condition that necessitates a mode of transportation other than mass transit. The Form-2015 is not necessary when a patient can use mass transit (i.e., public transportation).
Trips are arranged at the most medically appropriate, cost-effect level of service. These include public transit, taxi/livery, ambulette, ambulance (ALS/BLS), and personal vehicle mileage reimbursement. Members generally travel using the same mode they use for daily living.
Medical Transportation for Medicaid Clients Agency: Medicaid Transportation Management. Phone Number: (844) 666-6270. Business Hours: 24 hours, 7 days a week.
MAS (Medical Answering Services) Transportation The enrollees medical practitioner must complete the MAS transportation application before sending it to the transportation manager. MAS will then review, approve, and file the form.
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Medical providers are required to complete the Verification of Medicaid Transportation Abilities (Form- 2015) to provide a medical justification when requesting a specific mode of transportation for an enrollee. To be approved, the Form-2015 must: Be fully completed.

2015 form pdf