Medical Transportation Show
Non-Emergency Medical Transportation HOW TO ACCESS: All Medicaid beneficiaries, who are eligible for transportation services, and DO NOT receive transportation services through a managed care plan should contact Southeastrans to schedule a ride. Southeastrans may be reached at 1-855-325-7626. Medicaid beneficiaries who DO receive transportation services from a managed care plan should contact the call centers as follows:
All Medicaid beneficiaries with full benefits, except some who have Medicare and Medicaid. COVERED SERVICES: Transportation to and from medical appointments. The medical provider that the Medicaid beneficiary is being transported to, does not have to be a Medicaid enrolled provider. However, the services rendered must be Medicaid-covered services. Recipients under 17 years old must be accompanied by an attendant. COMMENTS: Medicaid beneficiaries should call transportation dispatch offices at least 48 hours before the transport is required. Transportation to out-of-state appointments may be arranged but does require prior approval. Time frame to coordinate approvals may take longer than 48 hours. Transportation requests received within 48 hours of the appointment time may not be scheduled. Non-Emergency Ambulance Transportation (NEAT) ELIGIBILITY: All Medicaid beneficiaries with full benefits who do not otherwise have access to transportation and due to health conditions are unable to ride in a standard vehicle or wheelchair van. Please note that ALL NEAT trips will require a completed, valid Certification of Ambulance Transportation. This form should be submitted to the transportation broker prior to transport. Please see the table below.
Emergency HOW TO ACCESS: Emergency ambulance providers ELIGIBILITY: All Medicaid beneficiaries with full benefits. COVERED SERVICES: Emergency ambulance services may be reimbursed if circumstances exist that make the use of any conveyance other than an ambulance medically inadvisable for transport of the beneficiary. CONTACT: Melanie Doucet (225) 333-7473 Veronica Gonzalez (225) 342-9566
Medicaid plansReferrals from your PCPYour PCP can handle most routine health care needs. If you need to see a network specialist or other network provider, you may need to get a referral from your PCP. Your PCP will make a referral based on your health situation. They may or may not refer you to a particular specialist in this directory who you want to see. Generally, your PCP will provide follow-up care, as needed. Please see the Evidence of Coverage for information about access to specialists. This directory provides a list of skilled nursing facilities for all networks. Contact your PCP for a referral to a network skilled nursing facility. The "network providers" listed in this directory have agreed to provide you with your health care coverage. However, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. Check your Evidence of Coverage to make sure your plan includes additional benefits or that you've signed up for optional supplemental riders before making appointments for dental, vision or hearing services. If you don’t have your copy of the Provider Directory, you can request a copy from Customer Service. FloridaSome providers may choose not to carry out certain services for religious or moral reasons.
Looking for state resources?
KansasOnline Provider Directories are updated more frequently than the printed directory. OhioLooking for specialty disclaimers?
UHC Community Plan of Ohio uses Medical Service Company (MSC) for Respiratory SuppliesOhio Medicaid members must order respiratory supplies from one vendor. The vendor is Medical Service Company. To get supplies contact the Medical Service Company team: Medical Service Company Dedicated Intake TeamHours from 8:30 am to 5:00 pm Monday - Friday
Note: Ohio Medicare Dual SNP and MyCare are excluded. Members under the age of 7 are excluded. Please use the online directory to find a supplier. UHC Community Plan of Ohio uses Edgepark for Incontinence SuppliesOhio Medicaid members must order incontinence supplies from one vendor. The vendor is Edgepark. To get supplies contact the Edgepark team: Edgepark’s Dedicated Intake Team
Note: Ohio Medicare Dual SNP is excluded. Please use the online directory to find a supplier. TennesseeEPSDTThe EPSDT or Early and Periodic Screening, Diagnostic, and Treatment Program is called TennCare Kids in Tennessee. It is the name for the program that provides health care for your child and teen. TennCare Kids is a full program of check ups and health care services for your child, which can be conducted by a Primary Care Provider (PCP) that accepts patients under the age of 21. These check ups are important even if your child seems healthy. They help your PCP find and treat problems early. In TennCare Kids, check ups for children are free until they reach age 21. TennCare Kids also pays for all medically necessary care and medicine to treat problems found at your child’s check up. This includes medical, dental, speech, hearing, vision, and behavior or mental health problems. TennCare Kids check ups include:
Children should have a TennCare Kids check up when they are:
Your child can also have PCP visits at other times if needed. For example, a teacher might see something that calls for a PCP visit. These visits are part of the TennCare Kids program. To schedule a TennCare Kids visit, call your child’s PCP or Member Services at 1-800-690-1606, TTY 711. TexasSTAR/CHIP/STAR+PLUS ¿Necesita ayuda para encontrar un médico o programar una consulta? STAR Kids ¿Necesita ayuda para encontrar un médico o programar una consulta? WashingtonNeed information on whether referrals or prior authorizations are needed? Check with your plan's benefit documents and with the provider you wish to see to find out if a referral is required. If you still have questions, call the number on the back of the health plan ID card. Gender Affirming Treatment We cover primary care, hormone therapy, speech therapy, and mental health services. If you need assistance accessing one of these services, contact your plan to request a list of providers. The number can be found on the back of your member ID card. Other gender-affirming treatments are covered directly by Apple Health fee-for-service and not by your managed care plan. To find a list of providers for other gender affirming treatments, including surgeries and hair removal, email . You can find more information about Apple Health transhealth benefits online at the Transhealth program webpage: www.hca.wa.gov/transhealth. Telemedicine Telemedicine appointments may be available through your provider including video or audio-only services via phone permitting real-time communication between the patient and healthcare professional for the purposes of diagnosis, consultation, or treatment. Please contact your provider to determine what telemedicine services may be available. Beginning January 1, 2023 for audio-only telemedicine services, the covered person must have an established relationship with the provider or has been referred by another provider who has had at least one in-person appointment within the past year. Does Ohio Medicaid provide transportation?If you're covered by Medicaid and you're having trouble getting to health care services, transportation assistance may be available.
Does United Healthcare have chat?Get the answers, treatment and follow-up care you need, when you need it. UHC Doctor Chat is available at no cost 24 hours a day, 7 days a week. Download the app today.
Can you have Medicare and Medicaid in Ohio?MyCare Ohio is a managed care program designed for Ohioans who receive BOTH Medicaid and Medicare benefits. This program has a team approach to coordinating your care based on your needs – a team with you at the center.
How long does UnitedHealthcare prior authorization?A decision on a request for prior authorization for medical services will typically be made within 72 hours of us receiving the request for urgent cases or 15 days for non-urgent cases.
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Unitedhealthcare community plan ohio transportation phone number
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