Get the up-to-date intelliride mileage reimbursement form 2024 now

Get Form
intelliride mileage reimbursement form Preview on Page 1

Here's how it works

01. Edit your intelliride mileage reimbursement online
01. Edit your intelliride colorado forms online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send mileage reimbursement medicaid via email, link, or fax. You can also download it, export it or print it out.

How to modify Intelliride mileage reimbursement form in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Working on documents with our extensive and intuitive PDF editor is easy. Follow the instructions below to fill out Intelliride mileage reimbursement form online easily and quickly:

  1. Log in to your account. Log in with your email and password or create a free account to try the product prior to upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Intelliride mileage reimbursement form. Easily add and underline text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your paperwork.
  4. Get the Intelliride mileage reimbursement form completed. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other participants using a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to promptly handle your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

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.
Contact us
The State of Colorado allows mileage reimbursement at 90% of the prevailing IRS rate for actual necessary travel while on official business. The increased reimbursement rates are detailed below. Concur has been updated to reflect these increased rates on mileage incurred on or after January 1, 2023.
Personal vehicle mileage is reimbursed at the State mandated rate of 46 per mile. Before receiving your reimbursement, you must submit evidence of your attendance at your medical appointment and a signed mileage reimbursement verification form. Still have questions about how this works?
Non-emergent medical transportation (NEMT) is transportation to and from medically necessary services covered by Health First Colorado (Colorados Medicaid Program) for members who have no other means of transportation, including free transportation.
Transportation providers must enroll in Colorados interChange as an NEMT or Urgent Transportation Provider and complete the Departments application for Provider Enrollment to receive a Provider Identification Number.
The IRS mileage reimbursement rate and the State of Colorado rates are effective January 1, 2023.Mileage Reimbursement Rate. Cents Per MileIRS Rate65.562.51 more row
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

MILEAGE REIMBURSEMENT RATES IN CENTS PER MILEEffective 1/1/2023Effective 1/1/2022IRS Rate65.558.5State of Colorado2WD59532 more rows Jan 5, 2023
Mileage reimbursement rules The reimbursement must stem from services done for an employer, i.e. a trip driven for business - not commuting to and from work. Employee mileage and payments must be adequately accounted for. Any excess mileage paid out must be returned within a reasonable period of time.
FAQ. What does mileage reimbursement cover? All expenditures associated with driving for business are covered by reimbursement rates. Gas, insurance, and wear and tear on the vehicle are all factored in.
Call IntelliRide at 855-489-4999 (toll free) (State Relay 711) or go to Gointelliride.com/Colorado.

intelliride level of service form