Rhode Island Member Resources

Yes, but Modivcare will have to speak to your medical provider. Your medical provider must say that you need to come in today and that your treatment cannot be delayed to another day. Otherwise you will have to reschedule your appointment.

Have your medical practitioner call 855-330-9133 or go online to https://mofivcare.com/facilities/ri

855-330-9131 is the reservation number that members call Monday – Friday 9:00 a.m. to 5:00 p.m. to request NEMT services. Members can start calling on Thursday, April 17 to get a ride on or after May 1. All routine trips must be pre-arranged at least two (2) business days in advance (2 days includes the day of the call but not the day of the appointment). For example, call Monday to request NEMT services on Wednesday. Members can also request transport online at https://member.modivcare.com/.

Yes.

• Call Monday for transport Wednesday
• Call Tuesday for transport Thursday
• Call Wednesday for transport Friday, Saturday or Sunday
• Call Thursday for transport Monday
• Call Friday for transport Tuesday

Call 911 if you have a medical emergency.

Call us at 855-330-9131 and we will ask you some questions that will help us get you the type of vehicle you need.

• Bus if:
  • You live within 1/2 mile of a bus stop
  • Your medical facility is within 1/2 mile of a bus stop
  • You can walk 1/2 mile
  • You understand common signs and directions
• Ambulatory if:
  • You can't take the bus or walk
• Wheelchair if:
  • You are confined to a wheelchair and require a lift-equipped or roll-up wheelchair van and the assistance of trained personnel. This includes ADA-compliant scooters which can be secured to the floor of the vehicle.
• Stretcher if:
  • You cannot walk, are confined to bed, cannot sit up or sit in a wheelchair but you do not require medical attention during transport.
• Non-emergency BLS or ALS if:
  • You cannot walk, are confined to bed, cannot sit up or sit in a wheelchair and you require medical attention and/or monitoring during transport.

866-288-3133

Monday to Friday between 9:00 a.m. and 5:00 p.m.

April 17.

Requests for routine NEMT services must be pre-arranged with LGTC at least two (2) business days in advance, as shown in the chart below. For example, call Monday to request transportation on Wednesday.

Requests for urgent, same day or next day trips are reserved pending confirmation from the medical provider that the member needs to come in as soon as possible.

Two (2) business days' prior notice is required for routine NEMT, not counting the day of the appointment.

• Call Monday for transport Wednesday
• Call Tuesday for transport Thursday
• Call Wednesday for transport Friday, Saturday or Sunday
• Call Thursday for transport Monday
• Call Friday for transport Tuesday

May 1, 2014.

Medicaid members, and certain elderly individuals age 60 years and older with certain priority elderly services destinations, who cannot walk to their medical provider who consequently need a ride there.

1. Members who live within 1/2 mile of their medical provider and whose health and mobility permit them to walk there.
2. "Spend-down" members who have yet to meet their spend-down requirement.
3. Pending eligible member.
4. Members who request a ride to a medical service that is not covered by Rhode Island Medicaid.
5. Members who request a ride to a medical provider who is not enrolled with Rhode Island Medicaid.
6. Members who do not call Modivcare two business days in advance to arrange routine transportation.

Transport to meals programs must occur so that the pick-up at the residence and the drop-off back at the residence occur between 10:00 a.m. and 2:00 p.m. Monday through Friday, excluding state holidays. This policy does not apply to trips to and from dialysis, cancer, adult day care, other medical appointments and services to and from the Insight program. These can occur at any time.

Yes, you can call the "Where's My Ride" line at 855-330-9132 24 by 7.

Yes. You have to sign the driver’s log after you have been transported.

Healthcare and meal site program staff who serve elderly program participants can call our facility department to request transport for you. Or you can request transport yourself. Individual elderly transport program participants can request transport themselves by calling our member reservation number 855-330-9131 Monday through Friday between 9:00 a.m. and 5:00 p.m. to request transport to and from medical appointments, adult day care, meal sites, dialysis/cancer treatment and the Insight Program.

You or your medical practitioner should contact Modivcare. Modivcare will contact your medical practitioner and ask them to make all of the trip reservations for you. Modivcare will make sure that you get rides until you or your medical practitioner says that you don't need them anymore.

No. The $2 co-pay must be made. $2 going to the service and $2 returning from the service.

Yes.

The $2 co-pay is not required from Medicaid members except for trips to and from meal sites.

If you have a problem with your ride or service, call the "Where's My Ride" line at 855-330-9132.

You have the right to appeal denials of rides by Modivcare. Following the completion of Modivcare's complaint process, all members have a right to request a State Fair Hearing.

If your ride is more than 15 minutes late call the "Where's My Ride" line 855-330-9132. Modivcare will send another vehicle to get you if necessary.

You need your Medicaid ID number. You will need the name, address, zip code and telephone number of your medical practitioner. You will need the street address and the telephone number where you want to be picked up. You will also need the date and time of your appointment, any special needs you have and the general reason for the appointment (doctor's visit, check-up, eye appointment, etc.).

A Fair Hearing is a chance for you to tell an Administrative Law Judge why you think Modivcare's decision is wrong.

The elderly transportation program is for individuals age 60 years and older who are NOT on Medicaid, and who are NOT getting transport from the RIPTA Ride Program for those in the Americans with Disabilities Act (ADA) program. The elderly transportation program provides transportation to and from medical appointments, adult day care, meal sites, dialysis/cancer treatment and the Insight Program. The program requires a $2 co-pay to be collected by the driver for each leg, and the $2 is retained by the transportation provider. The following are Frequently Asked Questions pertaining to the Elderly Transportation Program. The elderly transportation program is for individuals age 60 years and older who are NOT on Medicaid, and who are NOT getting transport from the RIPTA Ride Program for those in the Americans with Disabilities Act (ADA) program. The elderly transportation program provides transportation to and from medical appointments, adult day care, meal sites, dialysis/cancer treatment and the Insight Program. The program requires a $2 co-pay to be collected by the driver for each leg, and the $2 is retained by the transportation provider. The following are Frequently Asked Questions pertaining to the Elderly Transportation Program.

You, a family member, the person who takes care of you or your medical provider.