Form ODM01960 Certification of Necessity for Non-emergency Transportation by Ground Ambulance - Ohio

What Is Form ODM01960?

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

FAQ

Q: What is ODM01960?
A: ODM01960 is a certification form for non-emergency transportation by ground ambulance in Ohio.

Q: Who needs to complete this form?
A: Medical providers who provide non-emergency transportation by ground ambulance in Ohio need to complete this form.

Q: What is the purpose of this form?
A: The purpose of this form is to certify the medical necessity of non-emergency transportation by ground ambulance.

Q: Is this form specific to Ohio?
A: Yes, this form is specific to Ohio.

Q: When should this form be completed?
A: This form should be completed when certifying the medical necessity of non-emergency transportation by ground ambulance.

Q: Can individuals complete this form?
A: No, only medical providers can complete this form.

Q: Are there any fees associated with this form?
A: No, there are no fees associated with this form.

Q: What documentation is required to complete this form?
A: Documentation that supports the medical necessity of non-emergency transportation by ground ambulance is required to complete this form.

Q: How long does it take to process this form?
A: The processing time for this form can vary. It is recommended to contact the Ohio Department of Medicaid for more information.