Here is a quick overview of the fundamentals of documentation for non-medical transportation!
Documentation requirements include:
- Type 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
- Written or electronic signature of staff delivering the service
- Names of all passengers in the vehicle during any portion of the trip (including staff and volunteers)
- Times the trip started and stopped
In addition, for per mile:
- Total number of miles provided
- Number of individuals (ratio/group size)
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.
