Medi-Cal 交通服务常见问题解答
Medi-Cal 提供商
我如何才能成为 NMT 提供商？
Transportation providers who are currently enrolled in Medi-Cal may request to become an NMT provider by submitting a completed Medi-Cal Supplemental Changes form (DHCS 6209). NEMT providers wishing to use already reported NEMT vehicles to provide NMT services, must also report that to the department in the “Other Information” section of the DHCS 6209 and submit a letter stating that they will use existing NEMT vehicles and drivers previously approved by DHCS.
NEMT providers requesting to add NMT services should state so in the space provided on page 17, items 37 and 38 of the DHCS 6209 form. NMT vehicles may be added on page 13; copies of the Department of Motor Vehicles vehicle registration and proof of vehicle insurance must be included.
Transportation providers who wish to newly enroll in Medi-Cal for NMT will need to submit a completed Medi-Cal Transportation Provider Application package, which includes a “Medi-Cal Medical Transportation Provider Application” form (DHCS 6206), a “Medi-Cal Provider Agreement” form (DHCS 6208) and a “Medi-Cal Disclosure Statement” form (DHCS 6207).
How can transportation providers verify a beneficiary’s eligibility?
Providers may verify a beneficiary’s eligibility information through Medi-Cal’s Automated Eligibility Verification System (AEVS). Providers must verify beneficiary eligibility and obtain verbal or written attestation before providing NMT or have a written prescription from a licensed Medi-Cal provider for NEMT.
NMT 是否需要持牌提供商的处方？
否。NMT 不需要持牌提供商的处方。 然而，受益人需要口头或书面向提供者证明他们有未满足的交通需求，并且所有其他当前可用的资源都已合理用尽。
受益人需要签署什么表格吗？
不，DHCS 不需要填写任何与 NMT 服务相关的标准表格。 但是，交通服务提供商需要确保并保留文件证明受益人以口头或书面形式证明他们有未满足的交通需求并且所有其他交通选择都已合理用尽。
有里程限制吗？
不，NMT 没有里程限制。
NMT 有任何地理限制吗？
没有，NMT 没有地理限制，可以在全州范围内提供。
NMT 需要事先批准吗？
如果受益人有 FFS Medi-Cal，每月超过八次单程旅行需要在索赔表或附件中提供文件，说明受益人需要交通工具来获得必要的 Medi-Cal 承保服务。
一些 MCP 可能需要事先获得 NMT 批准。 请与 MCP 核对。 有关 Medi-Cal MCP 事先批准要求的信息（如果有），请参阅所有计划信函 17-010 。
Where can I find more information about Medi-Cal’s FFS reimbursement policies for NMT?
更多信息请参阅以下 Medi-Cal 提供商手册部分：
- 医疗运输 – 地面
- 医疗运输 - 地面：计费代码和报销率
- 医疗运输 – 地面：计费示例
其他问题
如果我有疑问，我应该联系谁？
- 对于 NMT 管理式医疗账单和资格问题：
- NMT and NEMT Providers can direct their questions to the Beneficiary’s Managed Care Member Services line. You can also refer to the list of Managed Care Member Services phone numbers.
- 对于 NMT FFS 账单问题：
- NMT and NEMT Providers may direct their questions to the Telephone Service Center at (800) 541-5555.
- 对于 NMT FFS 资格问题：
- NMT and NEMT Providers can email DHCSNMT@dhcs.ca.gov.