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Modivcare wv mileage reimbursement

Wv dhhr mileage reimbursement 2026

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The document is a supplemental application form for the Non-Emergency Medical Transportation (NEMT) Reimbursement Program by the West Virginia Department of Health and Human Resources. It outlines the process for requesting reimbursement for transportation to medical appointments, including requirements for submitting trip details, verification from medical providers, and necessary documentation for mileage, lodging, and meal expenses.

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Click ‘Get Form’ to open the wv dhhr mileage reimbursement form in the editor.
Begin by entering your name and address as the Driver in the designated section. Ensure accuracy to avoid payment issues.
Fill in the details for each trip, including the Patient’s Name, Purpose of Visit, Date and Time of Appointment, and Medical Provider's information.
Indicate your mode of transportation (e.g., Private Vehicle, Taxi) and provide your SSN or Tax ID number.
Complete the cost sections for Mileage, Parking, Tolls, Lodging, and Meals. Attach any necessary receipts for verification.
Review all entries for accuracy before submitting. Once satisfied, save or export your completed form directly from our platform.

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Got questions?

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

How do I apply for mileage reimbursement?

To be reimbursed for your business driving, you must provide your employer with consistent mileage records. They should include information for every business trip, including the date, destination, purpose, and total mileage driven.

Does Medicaid cover transportation in WV?

Modivcare provides transportation for Medicaid Members throughout West Virginia. Members must be attending a covered medical service and be traveling to and from their residence address of record with West Virginia Medicaid.

How much does medical transport services cost?

Ambulatory Services: $25 to $50 one way. Wheelchair Services: $50 to $100 one way. Stretcher Services: $200 to $300 one way. Bariatric transport: Can be over $300 per trip due to special equipment and vehicles.

What is the number for WV Medicaid transportation?

Modivcares customer service center is open from 7 a.m. to 6 p.m., Monday through Friday for scheduling routine appointments. Additionally, urgent requests and hospital discharges are taken 24 hours a day, seven days a week. Please call 1-844-549-8353 to phone in transportation requests.

How to get a ride in West Virginia?

To make a request, please call us at 304-529-7433 or email us at tta@tta-wv.com.

modivcare wv mileage reimbursement form

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What does my Medicaid cover in WV?

If you qualify, you will be able to visit doctors and specialists at little or no cost. You will also receive dental, vision, and mental health coverage. Any prescription drugs that you take will often be less expensive, too.

What is the mileage reimbursement law in West Virginia?

For state employees in West Virginia, mileage reimbursement is not just a courtesy its a legal requirement. The current rate is 70 cents per mile, as set by the Department of Administrations Purchasing Division, effective January 1, 2025.