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Table of Contents>>Non-emergency
Medical Transportation>>
BadgerCare Plus Standard, Benchmark and Medicaid Plans
Non-Emergency Medicaid Transportation
(to Medical Services)
Please Note: The following is about non-emergency medical
transportation. If you have a medical emergency you should call 911.
Non-emergency transportation are rides to a covered service by common
carrier, such as public transportation (bus, taxi cabs) or specialized
medical vehicles.
If you have no other way to get a ride, members can get a ride
through LogistiCare to services covered by Medicaid or BadgerCare Plus.
If neighbors, friends, relatives, or voluntary organizations can give
you a ride to your appointment, you are not eligible for a ride through LogistiCare.
LogistiCare will schedule rides to appointment for members enrolled
the following programs:
- Wisconsin Medicaid
- The BadgerCare Plus Standard Plan
- The BadgerCare Plus Benchmark Plan
- Family Planning Only Services
- Tuberculosis-Related Services-Only Benefit
- BadgerCare Plus Express Enrollment for Pregnant Women
If you are enrolled in one of the following programs, non-emergency
rides are not covered:
- BadgerCare Plus Core Plan
- BadgerCare Plus Basic Plan
- SeniorCare
You will continue to receive rides as you do now, if you are:
- Enrolled in Family Care, Family Care Partnership or Program of
All-Inclusive Care for the Elderly (PACE)
- Residing in a nursing home.
Please Note: If you are enrolled in the Core Plan or the Basic Plan
and Family
Planning Only Services, you can get a ride only to services covered
under Family Planning Only Services.
LogistiCare is available to schedule appointment from 7:00 a.m. and
6:00 p.m. Monday through Friday.
Call LogistiCare — 1-866-907-1493 or 1-866-288-3133 (TTY)
Call at least two business days before a routine appointment to schedule a
ride. If you do not call two days before an appointment, LogistiCare may
not be able to provide you a ride and you may have to reschedule your
appointment.
If you have an urgent appointment and cannot wait two days to go to
an appointment, a ride may be scheduled within three hours.
If you have regularly scheduled appointments three or more times a
week, talk with your doctor. Your doctor can work with LogistiCare to
schedule these rides.
You will need the following when you call:
- Your name, street address, and telephone number.
- Your ForwardHealth member identification number. (This is the
10-digit number listed on your ForwardHealth card.)
- The street address and the telephone number where you want to be
picked up.
- The name, telephone number, address and Zip Code of the doctor
or other health care provider with whom you have the appointment.
- The date and time of your appointment.
- Any special transportation needs.
- General reason for the appointment (doctor’s visit, check-up,
eye appointment, etc.)
If you do not have all of this information when you call, you may not
be able to schedule your ride and will have to call LogistiCare back.
At the end of the call, LogistiCare will give you a confirmation
number for your ride and tell you when your ride will pick you up.
You should be ready for your ride at the time you were told your the
ride was coming. If you are more than 10 minutes late, you may miss your
ride. If you have been waiting for your ride for more than 15 minutes,
you should call LogistiCare’s “Where’s My Ride” number at
1-866-907-1494. They can tell you when your ride will arrive. You should
also call your doctor to let them know you are running late.
You will be asked by the driver to sign a driver log for the trip to
your appointment and for the trip home. Do not sign the driver log for
the trip home until you are returning home.
Your ride should arrive within 15 minutes. If you are not sure when
your appointment will be over, you can call LogistiCare after the
appointment is over and a ride will come to pick you up within one hour.
You will be asked by the driver to sign a driver log for your trip
home.
If your ride is by special medical vehicle, you will have a $1 copay,
unless you are exempt from copays. You should not pay for anything else
for the ride such as a tip or gas money.
Members will not be paid for driving themselves to a covered medical
appointment. Also, friend or family members will not be paid for giving
rides to members going to a covered medical appointment.
LogistiCare is required to follow federal and state law and only pay
for rides after all other options for free transportation such as family
and friends have been exhausted.
Do I Need a Car Seat for My Child?
Parents/guardians are responsible for providing any car seats or booster
seats for the ride. State law require car seats for any children under the age
of 4 or for any children who weighs less than 40 pounds. Booster seats are
required for children who are under 8 years old, weighs less than 80 pounds, or
under 4 feet 9 inches tall. LogistiCare will not provide any car seats or
booster seats. If you do not have a car seat or booster seat at the time of your
ride for any children that need them, LogistiCare will deny your ride.
What If Someone Else
Needs to Come Along?
No one besides a medically required attendant or a parent accompanying a
minor child to the child’s appointment is allowed to go along on the ride to an
appointment. You can take your own car and request gas money and then you may
take an additional passenger. You may also request a bus pass from LogistiCare
and the additional rider may purchase their own bus pass and ride along.
Wisconsin Medicaid and BadgerCare Plus have rules for when members can get
payment for meals and overnight stays when you travel by non-emergency medical
transportation to covered appointments.
Rules for Meals and Overnight Stays
- You may be paid for one meal if you are going to a covered service and
have to be away from home for at least four hours and are traveling at least
100 miles one way.
- You may be paid for two meals if you are going to a covered service and
have to be away from home for at least eight hours and are traveling at
least 100 miles one way.
- You may be paid for two meals and one overnight stay if you are going to
a covered service and have to be away from home for at least eight hours and
are traveling at least 200 miles one way.
If you are going to a covered appointment and need to be away from home for
more than one night, you should talk with LogistiCare about what meals and
overnight stays you can get paid for.
Medically required attendants may be allowed the same meal and overnight stay
payment as you are. An attendant could be someone in your family.
Asking for Meals and Overnight Stays
While you are scheduling your ride, ask if you meet the rules for payment of
your meals or overnight stays.
LogistiCare will pay you up to $10 per meal if you meet the payment rules.
You need to keep receipts for all your meals and mail them to LogistiCare with a
form. Once LogistiCare receives your receipts and form, they will send you a
check for the amount you spent on your meal or up to $10 per meal, whichever is
less. LogistiCare will arrange any required overnight stays. LogistiCare will
not pay for any alcohol or recreational activities.
If you are cannot pay for your overnight stay at the time of your
appointment, LogistiCare will arrange and pay for it for you. If you are unable
to pay for your meals at the time of your appointment, LogistiCare will pre-pay
for your meal at locations where this is possible, such as a hospital cafeteria.
Payment for Meals and Overnight Stays
You will need to work with LogistiCare, if you are enrolled in any of the
following Wisconsin health care programs:
- Medicaid
- BadgerCare Plus Standard Plan
- BadgerCare Plus Benchmark Plan
- Family Planning Only Services
- Tuberculosis-Related Services-Only Benefit
- BadgerCare Plus Express Enrollment for Pregnant Women.
The rules about meals and overnight stay limits does not apply to the
following members and you can receive your rides as you do now:
- Members who live in a nursing home.
- Members enrolled in Family Care, Family Care Partnership or Program of
the All-Inclusive Care for the Elderly (PACE).
If you are enrolled in one of the following programs, non-emergency medical
transportation as well as meals and overnight stays are not covered:
- BadgerCare Plus Core Plan.
- BadgerCare Plus Basic Plan.
- SeniorCare.
Please Note: If you are enrolled in the Core Plan or the Basic Plan
and Family Planning Only Services, you can get a ride only to services and get
payment for meals and overnight stays to services covered by Family Planning
Only Services.
If you have a complaint about the service provided to you by LogistiCare, you
may file a complaint. Complaints may be about, but is not limited to:
- Having a hard time getting a ride,
- Long waiting times, or
- Rude drivers.
You can call LogistiCare at 1-866-907-1494 or 1-866-288-3133 (TTY). You may
also write to LogistiCare at:
LogistiCare Solutions, LLC
2335 City View Dr Ste 200
Madison WI 53718
LogistiCare will get back to you with an initial response within 10 business
days. A final response will be sent to you in writing within 30 business days of
receiving a complaint.
If you do not agree with the decision you get from LogistiCare, you may
appeal to the LogistiCare Ombudsmen.
Please Note: You have the right to appeal denials of rides by
LogistiCare to the Department of Health Services.
If you have filed a complaint with LogistiCare and the LogistiCare Ombudsman
but you are still not satisfied with their decision, you may file a complaint
with the State of Wisconsin, by writing to:
Department of Health Services
Attn: Medicaid Transportation Analyst
P.O. Box 309
Madison WI, 53701-0309
Or, by calling Member Services at 1-800-362-3002.
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Last Revised:
February 07, 2013 |
