Form DSS-NEMT-952 Non-emergency Medical Travel (Nemt) Payment Authorization Form - South Dakota (English / Spanish)

What Is Form DSS-NEMT-952?

This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DSS-NEMT-952 form?
A: The DSS-NEMT-952 form is the Non-emergency Medical Travel (Nemt) Payment Authorization Form.

Q: What is the purpose of the form?
A: The purpose of the form is to authorize payment for non-emergency medical travel in South Dakota.

Q: Is the form available in English and Spanish?
A: Yes, the form is available in both English and Spanish.

Q: Who can use this form?
A: This form can be used by individuals who require non-emergency medical travel and are eligible for the program.

Q: What information is required on the form?
A: The form requires information such as the individual's name, date of birth, address, Medicaid ID, and details of the medical trip.