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Click ‘Get Form’ to open the va dmv authority medical transportation application in the editor.
Begin with SECTION 1 - BUSINESS INFORMATION. Fill in your business name, federal tax identification number, and trade name if applicable. Ensure all fields are completed accurately.
Continue to SECTION 2 - BUSINESS ENTITY INFORMATION. Indicate your business structure and list all required business officials as per your entity type.
Move to SECTION 3 - LICENSE / CERTIFICATE INFORMATION. Answer the questions regarding any previous licenses or certificates that may have been denied, suspended, or revoked.
In SECTION 4 - CERTIFICATION, read through the statements carefully and sign where indicated to affirm your compliance with regulations.
Finally, complete SECTION 5 - PAYMENT OPTIONS by including the non-refundable fee of $50. Choose your payment method and provide necessary details.

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How do I schedule a Medicaid cab in Virginia?

Just call ModivCare (formerly LogistiCare) directly at 1-800-734-0430 (TTY: 711). Or schedule your ride online. Theyre here for you 24 hours a day, 7 days a week.

How do you qualify for Medicaid transportation?

Medicaid may give you a ride if you do not have a car that works or do not have a drivers license. You may also be able to get a ride if you have a physical or mental disability or are unable to travel or wait for a ride alone. Coverage for these rides may be different depending on your individual situation and needs.

Does Medicaid provide transportation in VA?

Transportation is covered by Medicaid when you do not have another way to get to your doctor appointment or other Medicaid services.

How much does Medicaid pay for non-emergency transportation in Virginia?

NEMT trips for almost 20,000 riders each year Virginia spent about one percent ($77.8 million) of the Medicaid budget on fee-for-ser- vice NEMT in contract year 2015. This amounts to an average of $24 per enrollee per month or about $19 per trip (Table 1-1).