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West Virginia Income Maintenance Manual Chapter 27

West Virginia Income Maintenance Manual Page i Chapter 27 Non-Emergency Medical Transportation (NEMT)

Chapter 27 Non-Emergency Medical Transportation (NEMT)

Table of Contents

27.1 INTRODUCTION ......................................................................................................... 1 27.2 NEMT REQUEST PROCESS ...................................................................................... 2 27.2.1 BEGINNING DATE OF ELIGIBILITY ...................................................................... 2 27.2.2 THE BENEFIT ........................................................................................................ 2 27.2.3 THE NEMT REQUEST FORM ................................................................................ 2 27.2.4 PROCESSING DELAYS ......................................................................................... 3 27.3 VERIFICATION ........................................................................................................... 4 27.4 CLIENT NOTIFICATION OF DENIAL .......................................................................... 5 27.5 SPECIFIC ELIGIBILITY REQUIREMENTS ................................................................. 6 27.5.1 EXCEPTIONS TO ELIGIBILITY .............................................................................. 6 27.5.2 PRIOR AUTHORIZATION ...................................................................................... 6 27.5.3 ROUTINE AUTOMOBILE TRANSPORTATION REQUESTS ................................. 7 27.5.4 REQUESTS FOR TRANSPORTATION FOR EMERGENCY ROOM SERVICES ... 8 27.5.5 APPROVED TRANSPORTATION PROVIDERS .................................................... 8 27.5.6 DETERMINING THE AMOUNT OF PAYMENT ...................................................... 8 27.5.6.A Mileage ........................................................................................................... 9 27.5.6.B Common Carrier ............................................................................................. 9 27.5.6.C Lodging ........................................................................................................... 9 27.5.6.D Meals .............................................................................................................10 27.5.6.E Related Expenses ..........................................................................................10 27.5.6.F Limitations and Restrictions ...........................................................................11 27.6 BENEFIT REPAYMENT .............................................................................................12