Here is a quick overview of the fundamentals of documentation for non-medical transportation!
Documentation requirements include:
• Mode of NMT service (per trip, per mile or commercial)
• Date of service
• License plate number of vehicle used to provide service
• Name of individual receiving service
• Medicaid # of individual
• Name of provider
• Contract # of provider
• Origination and destination points of NMT provided
• Times the trip started and stopped
• Written or electronic signature of the driver
• Names of individuals in the vehicle during any portion of the trip
In addition, for per mile:
• Total number of miles in each distinct commute (beginning/ending odometer readings)
• Number of individuals (ratio/group size)
In addition, for per trip, to/from competitive integrated employment (CIE):
• The name and address of the individual’s employer
• The number of miles in each one-way trip by recording beginning and ending odometer readings
In addition, for commercial:
• Type (ie; bus, transit, taxicab, etc)
• If date of service is not applicable, date of purchase of fares, tokens, or vouchers
• Receipt showing amount paid
Non-medical transportation shall be provided pursuant to an ISP conforming to rule 5123-4-02 of the Administrative Code.
For details, see Frequently Asked Questions, or reach out to us!
If you have questions, please Email Our Service Team.
