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.
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.
Form Details:
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.