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Logisticare standing order form 2025

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The document is a standing order form from LogistiCare Solutions for scheduling transportation services for members, including details such as appointment information, service levels, special needs, and physician's signature. It includes sections for pick-up and drop-off information, treatment types, and confidentiality notice.

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Versions	Form popularity	Fillable & printable
2021	4.3 Satisfied (51 Votes)
2017	4.3 Satisfied (43 Votes)

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Does modivcare have an app?

You can download the Modivcare App from Google Play or the Apple App Store. Modivcare App - Mymodivcare.com mymodivcare.com modivcare-app mymodivcare.com modivcare-app

How do I get a standing order for modivcare in Virginia?

Facilities who would like to arrange a standing order appointment for Medicaid members should contact a Utilization Review/Facility Representative, or submit by fax a Transportation Request Form at least five (5) days in advance. The phone number is 866-679-6330 and fax number is 866-907-1491.

Does SC Medicaid provide transportation?

Transportation is available for doctor appointments, dialysis, x-rays, lab work, drug store or other non-emergency medical appointments. To ask for a ride, call the Healthy Connections transportation broker between 8 a.m. and 5 p.m., local time. Medicaid Transportation Services - SC Medicaid Benefits molinahealthcare.com services transport molinahealthcare.com services transport

modivcare standing order form

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How do I cancel my Modivcare ride?

If the pick-up time changes or you have to cancel the trip request on behalf of the member, please contact us immediately at the appropriate reservation phone number for the members insurance these numbers are listed on this web site in the DOWNLOADs section. California | Modivcare modivcare.com facilities modivcare.com facilities

Wheres my ride phone number Texas?

Call our Wheres My Ride Line at 1-888-513-0706 (HHSC) 1-844-549-8356 (MTO) Texas Facility Resource Guide - MTM, Inc. mtm-inc.net 2016-tx-eto-sm-resources mtm-inc.net 2016-tx-eto-sm-resources

What is a standing order for Modivcare SC?

A Standing Order for a Member is valid for three months and will be recertified by Modivcare staff to make sure the trip continues to be necessary. The Facility will be asked to provide information at that time, but the Facility will not have to submit a new standing order.

How do I schedule a ride with Modivcare NJ?

Serving patients across all of New Jersey Amerigroup/DMAS. 1-866-527-9933. Humana National Medicare (MCR) New Jersey Medicaid. 1-866-527-9933. New Jersey Medicaid Ride Wesbite. Cigna Healthcare Medicare Advantage. 1-866-214-5126.

Logisticare standing order form 2025

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