The Client refuses the appropriate mode of transportation.Additional documentation was requested and was not received timely.The trip was not requested timely and the request cannot be accommodated because of this reason.Transportation to the medical service for which NEMT service is requested is covered under another program.The client has access to available transportation.The medical service for which NEMT service is requested is not a covered medical service.The Client does not have a medical need that requires NEMT services.The Client is not eligible for NEMT services on the date of service.If a request for NEMT falls under one or more of the denial criteria listed below, then Modivcare must deny the request: Can I call Modivcare to request managed care trips? I have to contact Modivcare for my managed care patients, and that process is different.Saturday Wednesday before Sunday Wednesday before Monday Wednesday before Otherwise, the appointment will have to be rescheduled for another day. All trips requested with less than 3 business days prior notice will have to be confirmed with the medical provider that the client needs to come in today or tomorrow and that the treatment cannot be delayed to another day. Urgent care, hospital discharges, same day and next day trip requests can be requested with less than 3 business days’ notice during regular reservation hours. For example, call on Monday for an appointment on Thursday as shown in the chart below. 3 business days prior notice includes the day of the call but not the day of the appointment. Requests for routine NEMT services must be pre-arranged at least 3 business days in advance during our reservation hours: Monday – Friday between 8:30 a.m.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |