The above timeline is based on the location of the medical practitioner and not the enrollee.- For example, an enrollee who lives in Queens but is receiving Medicaid covered services in Brooklyn can request transportation from LogistiCare starting on April 9, 2012. A Brooklyn- based enrollee receiving services in Manhattan would not request transportation from LogistiCare until July 18, 2012 for trips starting in August.
The following are the basic rules for ordering transportation:
- An enrollee’s family member, care-giver or Brooklyn medical provider can request NEMT services for an enrollee with certain conditions.
- LogistiCare takes requests for routine transportation by phone (877-564-5922) or fax (877-585-8758) Monday through Friday from 7:00 a.m. to 6:00 p.m. Requests may be submitted on-line 24 hours a day.
- Please submit requests for routine transportation 72 hours in advance of the trip.
- Requests for urgent transportation are taken 24x7 by phone. Requests for emergency medical service do not go through LogistiCare and should be directed to 911.
- If the enrollee lives within 10 blocks of the medical practitioner and can walk there, the enrollee should not request transportation services from LogistiCare.
- If the enrollee is able to utilize mass transit and is traveling to a medical practitioner who participates in the Public Transit Automated Reimbursement (PTAR) system, the enrollee must request a Metro Card directly from that medical practitioner. If the medical practitioner does not participate in PTAR, the enrollee may request transportation from LogistiCare.
- Enrollees who are not able to utilize mass transit must ask their medical practitioner to request their transportation from LogistiCare for the first trip. Trip requests for a mode of transportation other than mass transit require that the medical practitioner fill out and sign a Medical Necessity Form (MNF). For a copy of the MNF, click here.
- If a medical practitioner has previously requested transportation for an enrollee and has already filled out the MNF, and the medical needs of the enrollee have not changed, then the enrollee may book the ride themselves with LogistiCare.
- Enrollees are expected to attend services in their Common Medical Marketing Area (CMMA). The CMMA is considered to be the area around the enrollee’s home address that is within 5 miles as traveled. Enrollees can attend services outside their CMMA if referred there by a practitioner or if they are going to a specialist that provides specific services and those services are not available in the CMMA.
- Enrollees and medical practitioners can request that a specific transportation company provide their transportation. LogistiCare will make every effort to assign transportation to the requested transportation provider.
- For more information, see the Frequently Asked Questions (FAQ) page.
Guidelines for ordering each mode of transport:
Bus/Subway: The enrollee lives within 10 blocks of a bus or subway stop, the medical facility is within 10 blocks of the bus/subway, the enrollee can walk 10 blocks and understands common signs and directions.
Livery: The enrollee can walk to the curb and board and exit the vehicle unassisted, but cannot utilize the bus or subway.
Ambulette Ambulatory: The enrollee can walk but requires driver assistance from residence to the medical appointment.
Ambulette Wheelchair: The enrollee is a wheelchair user, requires a lift-equipped or roll-up wheelchair vehicle and driver assistance.
Stretcher Van: The enrollee is confined to bed, cannot sit in a wheelchair, and does not require medical attention/monitoring during transport.
BLS Ambulance: The enrollee is confined to bed, cannot sit in a wheelchair, and requires medical attention/monitoring during transport for reasons such as isolation precautions, oxygen not self-administered by patient, sedated patient.
ALS Ambulance: The enrollee is confined to bed, cannot sit in a wheelchair, and requires medical attention/monitoring during transport for reasons such as IV requiring monitoring, cardiac monitoring, tracheotomy.