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Medical Necessity Form Delaware Non-Emergency Transportation Services Facility Department Telephone 866-469-2824 Fax 877-813-5599 In an effort to insure every member is transported by the most appropriate means necessary LogistiCare requires completion of this form for all wheelchair and stretcher transport requests. Please complete this form as accurately as possible and fax to the number shown above. The form will be kept on file for 6 months. The form can be completed by any Physician Physician Assistant Nurse Practitioner or Registered Nurse who has provided direct care for the client. Member Name Date of Birth Member s Medicaid Does Member require a Wheelchair. Yes No Is Member able to transfer stand and pivot. Must meet all 3 criteria to qualify for stretcher transport Can Member self-administer his or her own O2. Will the Member have an escort. Mode of Transportation Required Ambulatory Member uses wheelchair but is able to transfer safely in and out of a vehicle Wheelchair Van ....

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Insure Related content

DMMA Services: Medical Transportation - Delaware...
Once both criteria are confirmed, LogistiCare will arrange for appropriate transportation...
Learn more
Social Work Corner: The Medical Assistance...
Dec 30, 2020 — Logisticare Delaware: 1-866-412-3778; Logisticare Philadelphia:...
Learn more

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Logisticare transportation delaware Questions & Answers

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Click the Sign Up link on the Login page to open the Pre-register page. Enter your First and Last Name. Enter the E-mail Address where you want to receive messages from LogistiCare. Enter it again to confirm the e-mail address.

For example, in Florida, where several national brokers such as Logisticare and MTM are thriving, making more money with the expansion of Obamacare, one provider is currently making almost $40 per one-way wheelchair plus $2.50 per mile for a minimum of 7 miles.

If you are a staff member calling from a facility, LogistiCare Solutions has a dedicated Facility Line at 866-469-2824. If you are waiting for a ride or have an issue with transportation the Where's My Ride Line is available at 866-896-7211.

from the pick-up time, you should call the LogistiCare Where's My Ride? line at 1-866-527-9934. We will do everything we can to help you. ride or another part of the service? service, call us at 1-866-527-9934.

SIGN IN. Book and manage your ride by signing in now. DOWNLOAD APP. LogistiCare Trip Manager is available for iOS and Android. CALL. Find the nearest Operations Center to assist you. EMAIL. Send us an email to book your ride. Your operations center can assist you. FAX. Send your request by fax.

Gas Reimbursement Procedure Your friend, neighbor or relative will be reimbursed $.40 per mile from your residence to your medical appointment and for your return trip home. Prior to your medical appointment, you will need to call 866-386-8331 to schedule your transportation as gas reimbursement.

You can also call us at 800-486-7647 and we'll be happy to route you to the appropriate customer service representative.

Average LogistiCare hourly pay ranges from approximately $12.28 per hour for Customer Service Representative to $26.98 per hour for Field Service Technician.

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Keywords relevant to Logisticare Transportation Delaware

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232