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.
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.
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.