Wisconsin Medicaid and BadgerCare Plus

Non-Emergency Medical Transportation

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Please Note: The following is about non-emergency medical transportation. If you have an emergency you should call 911.

Non-emergency medical transportation are rides to covered medical appointments such as a doctor or dental appointment.

If you have no other way to get a ride, you can get a ride to services covered for the program you are enrolled in such as Medicaid or BadgerCare Plus.

If neighbors, friends, relatives or voluntary organizations can give you a ride to your appointment, you will not be able to get rides through LogistiCare.

Who must schedule rides with LogistiCare?

You may be able to schedule rides with LogistiCare, if you are enrolled in one of the following programs:

• Wisconsin Medicaid
• BadgerCare Plus Standard
• BadgerCare Plus Benchmark
• Family Planning Only Services
• Tuberculosis-Related Services-Only Benefit
• BadgerCare Plus Express Enrollment for Pregnant Women

Who is not covered for LogistiCare Rides?

If you are enrolled in one of the following programs, non-emergency medical transportation is not covered:

• BadgerCare Plus Core Plan
• BadgerCare Plus Basic Plan
• SeniorCare

You will continue to receive rides as you do now, if your 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.

How do I schedule a ride?

Call LogistiCare — 1-866-907-1493 or 1-866-288-3133 (TTY). LogistiCare is available to schedule appointment from 7:00 a.m. and 6:00 p.m. Monday through Friday.

You will need to call at least two business days before a routine appointment to schedule a ride. If you do not call two business 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.

What will I need when asking for a ride?

You will need the following when you call:

• Your name, street address, and telephone number.
• Your ForwardHealth member 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.

What should I expect on the day of my appointment?

You should be ready for your ride at the time you were told your 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 or 1-866-288-3133 (TTY). 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.

After your appointment, 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.

Will I have a copay for my rides?

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.

Can I, or my relative, get paid to drive to me to an appointment?

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.

What if I have a complaint?

Complaints can be made by you to LogistiCare at any time. Complaints may be about such things as 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) or write to LogistiCare at the following address with your complaint:

LogistiCare Solutions, LLC
2335 City View Dr Ste 200
Madison WI 53718

LogistiCare will get back to you with an initial response in 10 business days. A final response will be sent to you in writing within 30 business days of receiving a complaint.

What if I don’t agree with LogistiCare’s response?

If you do not agree with the decision you get from LogistiCare, you may appeal to the LogistiCare Ombudsmen.

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 and you are still not satisfied with their decision, you may file a complaint with the State of Wisconsin, at:

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.

Do I Need a Car Seat for My Child?

Parents or 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.

Go Back to Non-Emergency Medical Transportation Home Page

Last Revised: February 22, 2013