加州醫療補助健康保健計畫交通服務常見問題解答
加州醫療補助健康保健計劃提供者
我如何成為 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 是否需要持牌提供者處方？
不NMT 不需要獲授權提供商處方。 但是，受益人需要口頭或書面向提供者證明他們有未滿足的運輸需求，並且所有其他目前可用的資源已合理耗盡。
受益人是否需要簽署任何表格？
不需要，DHCS 不要求填寫任何與 NMT 服務相關的標準表格。 然而，運輸供應商將需要確保及保存受益人的文件，以口頭或書面證明他們有未滿足的運輸需求，並且所有其他交通選項已合理用盡。
是否有里程限制？
不，NMT 沒有里程限制。
NMT 是否有任何地理限制？
不，NMT 沒有地理限制，可以在全州提供。
NMT 需要事先批准嗎？
如果受益人有FFS加州醫療補助健康保健計劃，每月超過 8 次單程旅行，需要在索賠表或附件中提供文件，說明受益人需要交通以獲得必要的加州醫療補助健康保健計劃承保服務。
某些 MCP 可能需要事先批准 NMT。 請向 MCP 查詢。 有關加州醫療補助健康保健計劃 MCP 事先批准要求的資訊（如有），請參閱所有計劃信函 17-010 。
Where can I find more information about Medi-Cal’s FFS reimbursement policies for NMT?
更多資訊請參閱以下《加州醫療補助健康保健計劃提供者手冊》部分：
- 醫療運輸 — 地面
- 醫療運輸 — 地面：帳單代碼和退款費率
- 醫療運輸 — 地面：計費範例
其他問題
如果我有疑問，我可以聯絡誰？
- 對於 NMT 管理式醫療計費和資格問題：
- 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.
- 對於 NMT FFS 計費問題：
- NMT and NEMT Providers may direct their questions to the Telephone Service Center at (800) 541-5555.
- 對於 NMT FFS 資格問題：
- NMT and NEMT Providers can email DHCSNMT@dhcs.ca.gov.