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Click ‘Get Form’ to open the Michigan Medicaid Mileage Reimbursement Form in our platform.
Begin by entering your name as the driver in the designated field, followed by your relationship to the member. Ensure that your mailing address, city/state/ZIP code, and phone number are accurately filled out.
If applicable, provide the member's name and ID number. This is crucial for linking the reimbursement request to the correct individual.
For each trip taken, fill in the trip date and job number. Include the medical provider's name and phone number for verification purposes.
Ensure that a physician or clinician signs off on each trip log entry to validate attendance at appointments. This signature is essential for processing payments.
Finally, calculate and enter the total miles driven and total amount for this invoice before signing at the bottom of the form to certify accuracy.

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Does Michigan Medicaid reimburse for mileage?

To be eligible for mileage reimbursement, the Medicaid participant must be in the vehicle. Mileage is reimbursed at the level of $0.25 per mile. Reimbursement is calculated based on the most direct route from your home to your medical provider as generated by our mapping software.

Is there a form for mileage reimbursement?

Mileage reimbursement forms are documents used by employees to claim compensation for the miles driven in their personal vehicles for work-related purposes. These forms typically require details such as the date of travel, starting and ending locations, total miles driven, purpose of the trip, and employee information.

Does Michigan Medicaid pay for transportation?

Non-emergency medical transportation, or NEMT, is a special kind of transportation for rides to doctors appointments or other non-emergency medical appointments. Here is what you need to know: If you have Medicaid, you have a right to use NEMT at no cost.

What is the mileage reimbursement in Michigan?

Medicaid covers rides for eligible individuals to and from the doctors office, the hospital, or another medical office for Medicaid-approved care. This coverage is called non-emergency medical transportation, because it does not involve a medical emergency.

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