Serving patients across all of North Carolina
Welcome to the Modivcare Member web site for North Carolina. Currently this site hosts information for members about how to get a ride if they have no other way to get a ride. The forms on this site are stored in PDF format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader/.
Have a question or concern about service? Quickly get your message to the right person: Modivcare Member Feedback
This Mileage Reimbursement Form is used for the following: United Healthcare Community Plan, Carolina Complete Health, AmeriHealth Caritas, and Healthy Blue.
Instructions on how to fill out the Mileage Reimbursement trip log.