Get Dhb 5046 2022-2024

Customer Service Agents are available to answer questions at this toll-free number: Phone: 800-688-6696. Calls are recorded to improve customer satisfaction. The Automated Voice Response System is encouraged to obtain claims status using a touch-tone phone.

Help for urgent trips If you need transportation services right away, call ModivCare at 855-397-3602.

For information about your ride after you set it up, call Ride Assist at 855-397-3602. Use this number to activate a Will Call pickup, or if your transportation is late for a scheduled pickup.

The NCFAST-20020 is a prepopulated renewal form for the beneficiary to validate that current information remains the same or indicate changes and provide self-attestation of eligibility requirements, including income.

ModivCare: Transportation provider shall submit a W-9, Account Setup Agreement, and the trip information (run sheet, driver log, etc.) to ModivCare securely at ncnetwork@modivcare.com or may request authorization by calling 855-397-3604.

Medicaid passengers must obtain approval from DSS prior to scheduling (call 919-560-8607). To schedule transport, phone 919-489-8521, with as much advance notice as possible.

Medicaid is required to assure transportation to medical appointments for all eligible individuals who need and request assistance with transportation. Transportation will be available if the recipient receives a Medicaid covered service provided by a qualified Medicaid provider (enrolled as a NC Medicaid provider).

The county department of social services shall render a decision on an individual's application for Medicaid within 45 calendar days from the date of application, except for applications in which a disability determination has already been made or is needed.