Welcome to the Modivcare Member web site for Ohio MediGold. Currently this site hosts information and forms that members can use to schedule transportation.
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.
Trips exceeding 75 miles one way require prior authorization from MediGold.
Prior approval by MediGold is required for all out-of-state transportation and related expenses. Out-of-state transportation is approved only if the out-of-state medical service is approved. Transportation to border cities and counties (cities and counties that border Ohio) are permitted if the provider is in the MediGold network.
Reservations cannot be scheduled more than 90 days in advance of the appointment.
The member should call at least 2 business days prior to the time of the appointment.
Modivcare will call MediGold Member Services to verify eligibility.
The member should:
Transportation will be provided within 1 hour from the time of the call.
The entire State of Ohio.
Yes.
Yes.
No.
No.
No.
Yes.
No.
Transportation is not allowed to, from or between emergency rooms.
Member should refuse and inform the driver that their plan benefit does not require them to pay a co-pay.
Members may be accompanied by one additional passenger.
The member is required to provide the necessary wheelchair and any other durable medical equipment.
Yes.
No.
No.
