Page 2164

West Virginia Income Maintenance Manual Chapter 27

West Virginia Income Maintenance Manual Page 3 Chapter 27 Non-Emergency Medical Transportation (NEMT)

lab technicians, and others who perform a Medicaid-covered service. When prior authorization is required for out-of-state services, coordination of the process may be facilitated by telephone and/or fax with the Utilization Management Contractor and the physician, as necessary. Members should contact the broker to arrange transportation for all medical appointments. Altered forms that include questionable entries will result in denial of the request, unless the broker is able to resolve the discrepancies. Items which have been corrected must be initialed by the applicant or other person providing the information. 27.2.4 PROCESSING DELAYS The broker must process requests received for travel upon receipt, provided the date for which reimbursement is being requested occurred no earlier than 365 days prior to the date of the request. Delay caused by failure on the part of the broker to process a request in a timely manner is not a reason to deny payment.

loading…

Page 2164

Official source

West Virginia Income Maintenance Manual Chapter 27

West Virginia Income Maintenance Manual Page 3 Chapter 27 Non-Emergency Medical Transportation (NEMT)

lab technicians, and others who perform a Medicaid-covered service. When prior authorization is required for out-of-state services, coordination of the process may be facilitated by telephone and/or fax with the Utilization Management Contractor and the physician, as necessary. Members should contact the broker to arrange transportation for all medical appointments. Altered forms that include questionable entries will result in denial of the request, unless the broker is able to resolve the discrepancies. Items which have been corrected must be initialed by the applicant or other person providing the information. 27.2.4 PROCESSING DELAYS The broker must process requests received for travel upon receipt, provided the date for which reimbursement is being requested occurred no earlier than 365 days prior to the date of the request. Delay caused by failure on the part of the broker to process a request in a timely manner is not a reason to deny payment.