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Modivcare mileage reimbursement

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The document is a Kansas Gas Mileage Reimbursement Trip Log used by the LogistiCare Claims Department for drivers to record details of trips taken for medical purposes. It includes sections for driver and member information, trip details, medical provider contact, total miles traveled, and requires physician or clinician signatures for reimbursement approval.

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Click ‘Get Form’ to open the Kansas Gas Mileage Reimbursement Trip Log in the editor.
Begin by entering your name in the 'DRIVER NAME' field, followed by your relationship to the member and your mailing address.
Input your phone number and complete the 'CITY/STATE/ZIP' section. If you are not the member, provide their name and ID number.
Indicate whether this trip is a standing order by selecting 'YES' or 'NO'. Fill in the trip date and job number as required.
For trips that are standing orders, circle the days traveled on the provided weekly calendar.
List the medical provider's name and phone number. Ensure each date of service has a physician or clinician signature for reimbursement approval.
Calculate total miles traveled and enter this information along with any additional provider details as needed.
Finally, certify that all information is accurate by signing at the bottom of the form before submitting it for processing.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is LogistiCare and ModivCare the same company?

On January 6, 2021, LogistiCare changed its name to ModivCareTM. This change focuses on the member experience that delivers consistent, positive healthcare outcomes through a tech-enabled healthcare company.

How does LogistiCare work?

We go beyond typical nurse triage programs that refer members out for services. Instead, LogistiCare stays connected to members while they find appropriate providers, schedule appointments, and get the care they need.

What was ModivCare called before?

Modivcare Inc. is an American social services corporation based in Denver, Colorado, primarily providing non-emergency medical transportation for Medicaid recipients nationwide.

How much does ModivCare pay per mile in Kansas?

Effective January 1, 2024, the mileage reimbursement rate changed from 65.5 cents to 67 cents per mile as directed by Internal Revenue Service (IRS). Effective January 1, 2024, the mileage reimbursement rate changed from 65.5 cents to 67 cents per mile as directed by Internal Revenue Service (IRS).

What is the monthly income limit for Medicaid in Kansas?

Income Asset Limits for Eligibility 2025 Kansas Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (one spouse applying) Regular Medicaid / Aged Blind and Disabled $967 / month $3,0003 more rows Jun 4, 2025

modivcare mileage reimbursement trip log phone number

Logisticare kansas phone number Kansas Medicaid transportation phone number LogistiCare transportation LogistiCare phone number Modivcare phone number Modivcare LogistiCare LogistiCare customer service phone number Modivcare transportation phone number

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Who owns ModivCare?

About Modivcare Effective today, January 6, 2021, The Providence Service Corporation became Modivcare Inc. and LogistiCare Solutions, LLC became Modivcare Solutions, LLC.