We collected information about Logisticare Virginia Complaint Form for you. There are links where you can find everything you need to know about Logisticare Virginia Complaint Form.
http://transportation.dmas.virginia.gov/Members/Downloads
Must be completed by a parent or legal guardian when requesting transportation for minor children under the age of 18. This form must be completed and returned to LogistiCare’s Utilization Review Department prior to the transport date. Download: Virginia Medicaid/FAMIS Appeal Form: A form the member uses to explain reasons for an appeal. Download
https://facilityinfo.logisticare.com/Portals/207/Downloads/Complaint%20Form%2010-2012.pdf
Complaint Form Date Submitted: _____ Facility Representative: _____ Facility Name: _____ Facility Contact Number: _____
https://facilityinfo.logisticare.com/vafacility/Downloads
A form, which must be completed by a medical professional, when requesting transportation for a member that has access to a vehicle or can be transported by a friend or relative. LogistiCare 5 Day Notice Requirement Flyer: Informs members a 5 day notice is required to schedule non-emergency transportation Single Trip Request Form
http://transportation.dmas.virginia.gov/Healthcare-Facilities/Downloads
A form, which must be completed by a medical professional, when requesting transportation for a member that has access to a vehicle or can be transported by a friend or relative. Download LogistiCare 5 Day Notice Requirement Flyer for Routine Appointments
http://transportation.dmas.virginia.gov/Transportation-Providers/Downloads
Virginia Medicaid/FAMIS Appeal Form: A form the transportation provider uses to explain reasons for appealing LogistiCare’s decision. Download: Resubmit Trip Log: A form which the transportation provider can use to resubmit corrected billing which was …
https://wecare.logisticare.com/
All information and personal contact information you enter on this form will be securely transmitted to LogistiCare directly and will be kept confidential to the extent required by HIPAA. By submitting your email address along with your feedback, you consent to communication by email from LogistiCare.
https://www.logisticare.com/
Together with subsidiary Circulation, the Company is focused on providing access to convenient, cost-effective, safe and reliable transportation. LogistiCare consistently maintains a 99 percent complaint-free service rate while annually managing over 65 million trips and more than 24 million eligible riders in 49 states and the District of ...
https://www.logisticare.com/contact-us
Together with subsidiary Circulation, the Company is focused on providing access to convenient, cost-effective, safe and reliable transportation. LogistiCare consistently maintains a 99 percent complaint-free service rate while annually managing over 65 million trips and more than 24 million eligible riders in 49 states and the District of Columbia.
http://transportation.dmas.virginia.gov/Contact-Us
LogistiCare Solutions Administrative Office 7443 Lee Davis Road - 2nd Floor, Suite 200 Mechanicsville, VA 23111 Toll Free - 866-810-8305 Fax - 877- 316-3453: Name Title Extension Jo Ann Robinson Administrative Assistant 2600 Cindy Franklin Sr. Director, Client Services 2672 Mary Eaglesfield Director, Provider Relations 2631 Lisa Evans
http://transportation.dmas.virginia.gov/
Welcome to the Virginia Department of Medical Assistance Services (DMAS) website for Fee-for-Service (FFS) Non-Emergency Medicaid Transportation (NEMT).DMAS is the agency that administers Medicaid and the State Children’s Health Insurance Program (CHIP) in Virginia.Non-emergency Medicaid Transportation is a benefit included in most but not all Medicaid programs.
https://www.logisticare.com/transportation
LogistiCare, a wholly owned subsidiary of The Providence Service Corp. (Nasdaq: PRSC), is the nation's largest provider of non-emergency medical transportation programs for state governments and managed care organizations. A long-time advocate for access to …
http://www.logisticarewv.net/
Welcome to the LogistiCare informational website for West Virginia Medicaid Members, healthcare providers, and non-emergency transportation providers. The Bureau for Medical Services has contracted with LogistiCare to manage and coordinate non-emergency medical transportation (NEMT) services in …
http://transportationco.logisticare.com/
LogistiCare Transportation Provider This site is for use by contracted LogistiCare Transportation Providers only. If you are not a validly contracted transportation provider, please leave this site now.
https://facilityinfo.logisticare.com/gafacility/Downloads
The form is completed by the rider, signed by the physician and submitted to LogistiCare for mileage/gas reimbursement. UHC CIP Mileage Reimbursement Letter A letter that describes the required process for members participating in the mileage reimbursement program.
http://www.logisticarewv.net/Portals/124/Documents/WV%20Mileage%20Reimbursement%20Form%20with%20Attestation.pdf
WEST VIRGINIA GAS MILEAGE REIMBURSEMENT TRIP LOG . Mail or Fax to: LogistiCare Claims Department . 798 Park Avenue NW Norton, VA 24273
https://facilityinfo.logisticare.com/vafacility/FAQs
LogistiCare manages different levels of service in all of Virginia Medicaid’s Managed Care and regular Medicaid programs. Please see level of service table listed below for levels of service provided to each program. All transports must be prearranged and confirmed by LogistiCare.
https://facilityinfo.logisticare.com/scfacility/Downloads
South Carolina Facility Network. ... Complaint Form: A form used to document a complaint. Medical Necessity Form: Medical necessity form. Dialysis - Standing Order Form: A form used to request a standing order for plan members requiring dialysis. ... signed by the physician and submitted to LogistiCare for mileage/gas reimbursement.
https://www.logisticare.com/news
Together with subsidiary Circulation, the Company is focused on providing access to convenient, cost-effective, safe and reliable transportation. LogistiCare consistently maintains a 99 percent complaint-free service rate while annually managing over 65 million trips and more than 24 million eligible riders in 49 states and the District of ...
https://www.logisticare.com/community-commitment
LogistiCare holds an annual food drive and 2017 was a record breaking year! LogistiCare is a national sponsor of the National Kidney Foundation and has raised and donated nearly $400,000 to the cause. LogistiCare has taken the goBeyondProfit pledge to give back to the communities of Georgia, our corporate home state.
https://www.courant.com/news/connecticut/hc-medicaid-transportation-hospital-rides-1102-20161101-story.html
After a series of complaints against Logisticare, the state is seeking new bids for a company to arrange non-emergency medical rides for Medicaid patients. The contract was worth $25 million, and ...
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