Insurance Coverage for Non-emergent Medical Transport
Alaska Medicaid: Reimbursement available for non-emergent medical transportation.
Other Insurances: Major providers such as Aetna, Anthem Blue Cross Blue Shield, Premera Blue Cross, and UnitedHealthcare, as well as Medicare and TRICARE, do not cover non-emergent medical transportation. We actively monitor for updates from these insurers to ensure maximum availability.
Guide for Patients and Physicians: Medicaid Travel Authorization
At Arctic Medical Transport, we are committed to providing reliable transportation for Medicaid patients. This guide is designed to help physicians and clients navigate the process of authorizing and arranging Non-Emergency Medical Transportation (NEMT) through Medicaid. By following these steps, you can ensure a smooth experience when obtaining the necessary travel vouchers for Medicaid-covered travel.
Step 1: Travel Voucher Forms and Log Sheets
When arranging Medicaid transportation, you will need several key documents:
Travel Voucher Order Request Form: Used to order more travel vouchers.
Travel Voucher Fill-in Template: Used to print vouchers for Medicaid members.
Travel Voucher Log Sheets: Used to track issued vouchers. These are available in two formats:
PDF Version: Can be submitted via fax or email.
EXCEL Spreadsheet: Must be submitted by email only at AKtravelvoucher@gainwelltechnologies.com.
Travel Voucher Fill-In Template Instructions
Complete the Voucher Template: Enter the necessary information into the Travel Voucher Fill-in Template.
Load Voucher Paper: Load the voucher paper into your printer before printing the filled-in vouchers.
Print Vouchers: When printing, ensure the "Comments & Forms" option in your print window is set to "Form Fields Only." If you do not see this option, contact your IT department for an update.
Travel Voucher Log Sheet
Use the Transportation/Accommodation Voucher Request Log spreadsheet to keep a detailed record of all vouchers issued. This record must be submitted when requesting additional vouchers.
Step 2: Ordering More Vouchers
When additional vouchers are needed:
Fill Out the AK04 Travel Voucher Order Request Form: Complete this form, providing all necessary details.
Submit the Log Sheets: Ensure that your completed log sheets are included with your request for new vouchers.
Return Unused Vouchers: If you have unused vouchers, list the range of control numbers (e.g., 4894801-4895000) when submitting your order.
Recommendation: Alaska Medicaid Fiscal Agent HMS advises providers to request additional vouchers at least four weeks before they are needed to allow sufficient processing and mailing time.
Step 3: How to Fill Out Travel Vouchers
To ensure accurate completion of travel vouchers, please refer to the Arranging Member Travel Presentation: Arranging Member Travel PDF.
This presentation provides comprehensive guidance on how to complete and submit travel vouchers for Medicaid transportation services.
Step 4: Book a Ride with Arctic Medical Transport
Once Medicaid travel has been authorized and vouchers are ready, you can book your ride with Arctic Medical Transport:
Call: (907) 931-8515
Online: Book through our portal at https://www.arcticmedicaltransport.com/ride-schedule
Important: The patient must submit the physical voucher form to the driver before the NEMT services can be completed.
Contact Information
For further questions or assistance, you can contact the AK04 Travel Voucher Department:
Phone: (907) 644-6800
Fax: (907) 644-8126
Email: AKtravelvoucher@gainwelltechnologies.com
HIPAA Compliance
Please note that all communication and documents involved in this process may contain sensitive and confidential information protected by HIPAA. Be sure to handle all documents appropriately and only share them through approved channels (e.g., fax or secure email).
Important Reminder
To avoid delays, always ensure your forms and requests are complete and submitted well in advance of travel dates.
By following this guide, both physicians and clients can navigate the Medicaid NEMT authorization process efficiently, ensuring that necessary travel is arranged and approved without unnecessary delays. Arctic Medical Transport is here to assist with any Medicaid NEMT needs.