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Form ODM10199 Request for Approval of Claim Specialty Care Transport (Sct) and Related Mileage - Ohio
What Is Form ODM10199?
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 Form ODM10199?
A: Form ODM10199 is a request for approval of claim for Specialty Care Transport (SCT) and related mileage in Ohio.
Q: What is Specialty Care Transport (SCT)?
A: Specialty Care Transport (SCT) refers to the transportation of patients who require specialized medical care during transport.
Q: What is related mileage in the context of Form ODM10199?
A: Related mileage in the context of Form ODM10199 refers to the distance traveled in transporting the patient to the desired destination.
Q: Who should use Form ODM10199?
A: Form ODM10199 should be used by healthcare providers or transport agencies in Ohio who are seeking approval for reimbursement for Specialty Care Transport (SCT) and related mileage.
Q: Is Form ODM10199 specific to Ohio?
A: Yes, Form ODM10199 is specific to Ohio and is used for requesting approval of claim for Specialty Care Transport (SCT) and related mileage in the state.
Q: What information is required on Form ODM10199?
A: Form ODM10199 requires information such as patient details, transport provider information, service details, and any supporting documentation.
Q: How long does it take to get approval using Form ODM10199?
A: The time taken to get approval using Form ODM10199 may vary, but healthcare providers or transport agencies can contact the Ohio Department of Medicaid for more information on the process and timeline.
Q: Are there any fees associated with using Form ODM10199?
A: There may be associated fees for the approval process using Form ODM10199. It is recommended to inquire with the Ohio Department of Medicaid or the relevant agency for more information.
Q: Can Form ODM10199 be used for other types of medical transport claims?
A: No, Form ODM10199 is specific to Specialty Care Transport (SCT) and related mileage claims in Ohio. For other types of medical transport claims, different forms or procedures may be required.
Form Details:
- Released on March 1, 2017;
- The latest edition provided by the Ohio Department of Medicaid;
- 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 ODM10199 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
