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Form 4214 Request for Non-emergency Medical Transportation (Nemt) Services - Texas
What Is Form 4214?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 4214?
A: Form 4214 is the Request for Non-emergency Medical Transportation (NEMT) Services in Texas.
Q: What is NEMT?
A: NEMT stands for Non-emergency Medical Transportation and it provides transportation services for people who need to travel to medical appointments.
Q: Who can use NEMT services in Texas?
A: People who have Medicaid and need transportation to medical appointments can use NEMT services in Texas.
Q: How can I request NEMT services?
A: You can request NEMT services by filling out Form 4214, the Request for Non-emergency Medical Transportation (NEMT) Services.
Q: What information do I need to provide on Form 4214?
A: You will need to provide your personal information, Medicaid ID number, appointment details, and any special transportation needs.
Q: How long does it take to process a NEMT request?
A: The processing time for a NEMT request can vary, but it is generally within a few business days.
Q: Are there any fees for NEMT services?
A: No, there are no fees for NEMT services for eligible Medicaid recipients in Texas.
Q: Can I choose my preferred transportation provider?
A: Yes, you can choose your preferred transportation provider from a list of approved Medicaid transportation providers.
Q: What if I need assistance with completing Form 4214?
A: If you need assistance with completing Form 4214, you can contact your local Medicaid office for help.
Form Details:
- Released on February 1, 2020;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 4214 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
