South Dakota Medicaid Transportation Exceptions Form - South Dakota

South Dakota Medicaid Transportation Exceptions Form - South Dakota

South Dakota Medicaid Transportation Exceptions Form 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 South Dakota Medicaid Transportation Exceptions Form?
A: The South Dakota Medicaid Transportation Exceptions Form is a document used to request transportation services for Medicaid beneficiaries in South Dakota who do not qualify for regular non-emergency transportation.

Q: Who can use the South Dakota Medicaid Transportation Exceptions Form?
A: The South Dakota Medicaid Transportation Exceptions Form can be used by Medicaid beneficiaries in South Dakota who do not meet the criteria for regular non-emergency transportation.

Q: What information is required on the South Dakota Medicaid Transportation Exceptions Form?
A: The South Dakota Medicaid Transportation Exceptions Form requires information about the Medicaid beneficiary, the requested transportation service, and the reason for the exception.

Q: What types of transportation services can be requested using the South Dakota Medicaid Transportation Exceptions Form?
A: The South Dakota Medicaid Transportation Exceptions Form can be used to request transportation by private vehicle, taxi, bus, or air ambulance.

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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 South Dakota Medicaid Transportation Exceptions Form - South Dakota

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