| Medicaid
Non-Emergency Transportation Reimbursement Rates* |
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Personal
Mileage |
Overnight
& Food Costs
|
Out
of State Travel |
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When public transportation is not available
or does not meet your needs, you may be reimbursed personal mileage
at 18 cents per mile up to $150 a month. You must keep a mileage
log showing the dates and miles traveled. Mileage is only paid When treatment is not available in your local area, you
must receive treatment from the nearest Medicaid provider who Maximum
reimbursement: |
$50 per night (includes food up to $25) | When travel out of the state for medical care because the services are NOT available in the state, a higher reimbursement for lodging may be allowed. The Prior Authorization Unit will decide what costs can be reimbursed as part of the prior authorization to receive the medical care out of state. The prior authorization unit must authorize the medical services AND the travel costs before you receive the services. |
|
| Overnight
costs may be reimbursed if one of the following situations exist: 1) The Traditional Medicaid recipient must travel over 100 miles one-way to obtain medical treatment, and would not arrive home before 8:00 p.m. due to the drive time, or 2) The Traditional Medicaid recipient must travel over 100 miles one-way to obtain medical treatment, and would have to leave home before 6:30 a.m. to arrive at the appointment on time, or 3) The medical treatment requires the Traditional Medicaid recipient to stay overnight. A second night's stay may be approved when extreme circumstances of scheduling or multiple appointments exist. A second night may also be needed when an unexpected situation comes up such as a provider decides at the first appointment that the recipient needs more tests and schedules them for the very next day. |
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| Eligibility workers may request verification of appointments. | Reimbursement includes actual lodging costs or $50 per night, whichever is less. If the lodging cost is less than $50 per night, food costs up to $25 per night may be reimbursed. The total combined reimbursement for both lodging and food cannot exceed $50 per night for the Medicaid recipient and $50 per night for the attendant or parent.** You must provide receipts of the motel/hotel, restaurant and/or grocery costs. |
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| Advance Payments - In rare circumstances, workers can make advance payments for mileage and overnight costs. Whenever an advance payment for overnight costs is made, the recipient must provide receipts and in some cases a mileage log within ten days after returning from the trip. : | |||
| *Non-emergency medical transportation is a covered benefit only for Traditional Medicaid recipients who need transportation to and from Medicaid providers to receive Medicaid covered services. | |||
| **If a Medicaid recipient must stay overnight and has a medical need that requires a companion or attendant, the attendant can only be reimbursed when the Traditional Medicaid recipient stays with the companion or attendant and is not in a medical or treatment facility. If the Medicaid recipient is in-patient in a medical or treatment facility, there is reimbursement of overnight costs for a parent/guardian or an attendant. | |||