Serving patients across all of Colorado

Welcome to the Modivcare Facility web site for Colorado. Currently this site hosts information and forms that medical facilities and medical groups can use to schedule transportation for our various clients including:

  • Colorado Department of Healthcare Policy and Financing (HCPF)

If you have general questions concerning transportation for HCPF, please review the Frequently Asked Questions (FAQ).

The form(s) on this site is 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/.

Member using a computer to book a ride

Forms

Please click on the title that corresponds to the document you would like to view.

Member FAQs

  • Can a facility ask for a preferred transportation provider?

    Yes, if a facility has a transportation provider they prefer, please mention this when scheduling transportation. Modivcare will note the request on the trip and will do everything they can to honor the facility’s request, depending on availability of the transportation provider and/or if the preferred provider is a participant in the Modivcare network. Even though the request will be documented, trip assignment will be based on routing criteria that includes provider compliance. Modivcare does not guarantee that a preferred provider will be assigned based on a request.

  • How can I get a Standing Order Request Form?

    Standing order forms can be obtained through the website or by contacting the Facility Department at 800-390-3182.

  • How can the Facility Department help?

    Modivcare maintains a Facility Department dedicated to handling the needs of nursing homes, hospitals, dialysis centers, mental health facilities, and substance abuse clinics. We have dedicated staff and phone numbers available to book transportation for facilities. The phone number is 800-390-3182.

    To minimize your time on the phone, we suggest that you use the single trip request form. Complete the fax request form and send it to 800-390-3184. Upon receipt of the form, a facility coordinator will complete the reservation and contact the ordering party with confirmation of the reservation.

    * The website contains instructions and forms for arranging a standing order or single trip reservation.
  • How do hospitals arrange discharges?

    Hospitals may contact the reservation line at 800-284-5150. Modivcare has staff on hand 24/7 to arrange discharge transportation requests. We require a discharge to be requested by a hospital staff member such as a Discharge Planner, Social Worker, or Nurse. Once the discharge is arranged, the transportation provider has up to four (4) hours to respond and pick-up the patient.

  • How do I book a reservation for transportation?

    Modivcare has a dedicated reservation number for Colorado Medicaid. Our toll free number, 800-284-5150, is answered Monday-Friday from 8:00 am-5:00 pm MST. If you are a Colorado United Medicare rider, please call 866-418-9812.

  • How much notice is needed to book a reservation?

    Three business days (72 hrs) notice prior to the scheduled appointment is necessary. (Example: Call on Monday for a Thursday appointment.) We accept reservations up to 30 days in advance. For any trip request with less than the three business day notice, we would need to obtain confirmation from the treating facility that the appointment is of an urgent (not emergent) nature and cannot be rescheduled. Dialysis and wound care would be an example of a medically urgent appointment that should not be rescheduled.

  • Is Modivcare transportation available to everyone?

    Medicaid transportation through Modivcare is only available as a means of last resort. Riders who have alternate means of transportation, such as a vehicle in the home, use of mass transit or a friend/family member, should utilize those means first. When there are no other options for transportation, Modivcare will provide a way to approved medical appointments.

  • What are examples of emergencies?

    Sudden life threatening medical situations, significant trauma, comas, shock, uncontrolled bleeding, respiratory distress, poisoning, drug overdose and any situation where immediate medical relief or treatment is necessary.

  • What areas does Modivcare facilitate transport?

    In the state of Colorado, Modivcare is contracted to transport Medicaid members whose Medicaid is registered in the following counties: Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson, and Larimer. Transportation for residents of any other Colorado county should contact their local DHS county agency for assistance.

  • What happens if a trip is booked and the transportation provider is late picking up the member?

    In the event that a transportation provider is late, Modivcare maintains a staff trained to resolve late arrivals. This team is available 24/7. A dedicated phone line is available to inquire about the status of their ride. The line is called the "Where's My Ride" line and the phone number to call is 800-390-3181

  • What happens if we don't know what time the member's appointment will be over and no time is arranged in advance for their return ride?

    Once their appointment is finished, the member or facility will call the "Where's My Ride" phone number and request transportation be sent to return the member. The transportation provider will be dispatched and will have up to ninety (90) minutes to arrive for the member's return ride. The member/facility will use the same "Where's My Ride" phone number: 800-390-3181.

  • What if a Facility has an emergency trip?

    Emergency ambulance trips are not arranged through Modivcare. If a medical emergency ambulance trip is needed, 911 should be called.

  • What if a Facility has an urgent/same day trip?

    Urgent/same day trips can be booked through Modivcare. Such trips should be true urgent conditions where a physician is requiring the member be seen the same day or the next day. These trips should be booked by calling 800-284-5150.

  • What if a facility has multiple trips to book for different members?

    The facility can fill out Single Trip Request Forms for the various members for trips up to 30 days in advance and fax them into Modivcare at 800-390-3184. Again, three business days notice is required for routine trips.

  • What is a Standing Order?

    To eliminate the need to arrange trips for members who have three or more trips to the same facility each week, a standing order form and process has been created. This allows a facility to arrange trips in advance for a member scheduled for treatment three days or more a week to the same location. Transportation must be for a minimum of three months. Example: dialysis.

    A Standing Order will be created and inserted in our system. Our system will propagate the information based on the schedule furnished by the treating facility. Every standing order must be recertified by Modivcare on a quarterly basis. The treating facility will be asked to verify that the member's information has not changed since the original standing order was created.

  • What levels of service are covered through Modivcare for the NEMT program for Medicaid in Colorado?

    The level of service describes the type of service needed to transport a member. A member can travel by one of several levels of service based on their physical needs. See below:

    Mass Transit - Where available and suitable for the physical condition of the member. Modivcare will provide mass transit coupons or tokens for riders traveling near a bus route.

    Ambulatory - This is a member who is able to walk on their own or with the assistance of a walker or cane and able to be picked up and dropped off. This is door-to-door transportation.

    Wheelchair - Available to members confined to a wheelchair that, due to either physical weakness or mental impairment, they must travel with their own wheelchair. If assistance is needed, please inform Modivcare at the time the reservation is called in. Transportation with a wheelchair accessible vehicle will be provided. There will be no escort or attendant provided. Wheelchairs are not provided by Modivcare or their providers.

    Stretcher/BLS/ALS - Available to members who cannot transport in a wheelchair and who may be bedridden. BLS/ALS transport is provided by ambulance if the physician deems ambulance transport as appropriate.

    Bariatric - Available to members that require specialized services/equipment due to their height & weight.

  • Where do I send the completed Standing Order Request Form?

    The Standing Order Request Form should be faxed to Modivcare at 800-390-3184.

  • Who fills out the Standing Order Request Form?

    Standing order forms must be completed by a facility representative such as a social worker.

  • Who gets notified if changes need to be made to a standing order?

    Modivcare must be notified of any temporary or permanent changes to a standing order. Our system will continue to propagate the original information unless we are notified of a change. Our network providers schedule their transports based on the information we send out in their daily manifest. If a facility or member only instructs the transportation provider of changes and not Modivcare, the member runs the risk of missing their appointment if the transport is assigned to a different provider. By informing Modivcare about changes to a standing order, it allows us to adjust any changes and ensures that our members are getting the best service available.