Provider Agreement to Participate in the Title Xix Non-emergency Medical Transportation Program - South Dakota

Provider Agreement to Participate in the Title Xix Non-emergency Medical Transportation Program - South Dakota

Provider Agreement to Participate in the Title Xix Non-emergency Medical Transportation Program is a legal document that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota.

FAQ

Q: What is the Title XIX Non-emergency Medical Transportation Program?
A: The Title XIX Non-emergency Medical Transportation Program is a program in South Dakota that provides transportation services to individuals enrolled in Medicaid who need to travel to medical appointments.

Q: Who is eligible for the Title XIX Non-emergency Medical Transportation Program?
A: Individuals enrolled in Medicaid in South Dakota are eligible for the program if they require transportation to medical appointments and meet certain criteria.

Q: What services does the Title XIX Non-emergency Medical Transportation Program provide?
A: The program provides transportation services to eligible individuals for non-emergency medical appointments, such as doctor visits, specialist appointments, and therapy sessions.

Q: How do I apply for the Title XIX Non-emergency Medical Transportation Program?
A: To apply for the program, you should contact your local Medicaid office in South Dakota and inquire about the application process.

Q: Is there a cost for using the Title XIX Non-emergency Medical Transportation Program?
A: No, there is no cost for eligible individuals to use the program. The transportation services are covered by Medicaid.

Q: What types of transportation are provided by the program?
A: The program offers various transportation options, including wheelchair-accessible vehicles, ambulances, taxis, and mileage reimbursement for private vehicles.

Q: Can I bring a companion with me to my medical appointment?
A: Yes, eligible individuals may bring a companion with them to their medical appointment. However, the companion's transportation may be subject to certain restrictions.

Q: Are there any limitations on the number of trips I can request through the program?
A: The program does have limitations on the number of trips an individual can request. It is best to check with your local Medicaid office for specific details.

Q: What if I have a scheduled appointment outside of South Dakota?
A: The program generally covers transportation within South Dakota. If you have a scheduled appointment outside of the state, you should contact your local Medicaid office for guidance.

Q: What if I need transportation for emergencies?
A: The Title XIX Non-emergency Medical Transportation Program does not cover transportation for emergencies. In case of an emergency, you should call 911 or seek immediate medical attention.

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Form Details:

  • The latest edition currently provided by the South Dakota Department of Social Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Provider Agreement to Participate in the Title Xix Non-emergency Medical Transportation Program - South Dakota

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