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Arkansas medicaid transportation reimbursement form

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Arkansas Federal Government Transportation Prgrm - get access to a huge library of legal forms. Professionally drafted and regularly updated online templates. Easily download and print documents with US Legal Forms.. We never lose focus on the human needs of our riders and the practical day-to-day challenges faced by their health care providers. Health and Safety are our #1 priority. Learn what we are doing in response to COVID-19 (the coronavirus) . LogistiCare provides information and forms organized by state at the links below. Arizona. 212.500 Non-Medical Transportation II-26 ... Services II-26 213.000 Additional Services II-27 214.000 Benefit Limits II-27 215.000 Reserved Section II-27 . Arkansas Medicaid Manual: LIVING CHOICES Page: ASSISTED LIVING Effective Date: 1-1-03 ... Form EDS-MFR-001-Medicaid Form Request III-14 . Arkansas Medicaid Manual: LIVING CHOICES Page:. Home Travel Portal Travel Forms. Travel Forms. NOTE: State employees should always refer to their agency's policy and procedures. ... Hertz Account Set Up: 02/27/2013: Travel Expense Reconciliation: 04/08/2011: Travel Reimbursement Form | TR-1: 11/21/2016: Travel Portal; Air Transportation; Credit Cards; Travel Forms; Ground Transportation. About Non-Emergency Medical Transportation (NEMT) Transportation is provided to Arkansas Medicaid Members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Southeastrans arranges transportation for all Arkansas Medicaid Members residing in counties located in Regions A, B, C, D, and G of the.

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NEMT brokers are paid a monthly capitated rate based on the number of eligible Medicaid members residing in their contracted region (s). Transportation services are provided at no cost. To schedule transportation, members must contact the NEMT Broker. Monday through Friday from 7 a.m. to 6 p.m. Logisticare 1-888-224-7981 (Central), 1-888-224.

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