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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DSS-NEMT-970
for the current year.
Form DSS-NEMT-970 Non-emergency Medical Travel (Nemt) Reimbursement Form - Day Trip - South Dakota
What Is Form DSS-NEMT-970?
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 Form DSS-NEMT-970?
A: Form DSS-NEMT-970 is a Non-emergency Medical Travel (NEMT) Reimbursement Form specifically for day trips in South Dakota.
Q: What is NEMT?
A: NEMT stands for Non-emergency Medical Travel. It refers to transportation services provided to individuals who require medical attention but do not have access to regular transportation.
Q: Who can use Form DSS-NEMT-970?
A: Form DSS-NEMT-970 can be used by individuals in South Dakota who need reimbursement for non-emergency medical travel expenses for a day trip.
Q: What information is required on Form DSS-NEMT-970?
A: The form requires information such as the individual's name, Medicaid ID, trip details, provider information, and receipts for expenses incurred.
Form Details:
- Released on December 1, 2021;
- The latest edition provided by the South Dakota Department of Social 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 printable version of Form DSS-NEMT-970 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.
Download Form DSS-NEMT-970 Non-emergency Medical Travel (Nemt) Reimbursement Form - Day Trip - South Dakota
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