Quick Links:
Welcome to the Modivcare Facility website for Georgia. Currently this site hosts information and forms that medical facilities and medical groups can use to schedule transportation for our various client.

HealthSpring Healthcare Medicare Advantage
Please click on the title that corresponds to the document you would like to view.
The forms on this site are 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.
Yes, Modivcare has created a Facility Services Web portal to request a standing order to replace faxing in a request. Your facility will need to complete a Medical Provider EDI Form located on the forms section of this website.
Transportation could be arranged for members, who need to see a doctor, go to other medical appointments, or to the drug stores during transport that does not have means to get to these appointments. The member’s medical condition should not be an emergency. For EMERGENCIES, DIAL 911.
Urgent/same day trips can be scheduled through Modivcare. Such rides should be for true urgent conditions where a physician is requiring the Member be seen the same day or next day. All urgent/same day rides will be verified with the physician’s office for medical necessity. In some cases short notice trip requests may need to have the appointment rescheduled.
The member’s Medicaid ID number, residential address and phone number, the doctor’s name, medical facility address and phone number.
Urgent care transport is not transportation initiated by dialing 911. It is also not transportation that requires an immediate response to take a member to the emergency room for evaluation of a new suddenly worsening condition that threatens life or limb (e.g., any sudden life threatening medical situation, significant trauma, comas, shock, uncontrolled bleeding, respiratory distress, poisoning, drug overdose or any situation where immediate medical relief or treatment is necessary). Urgent care transport does not include routine doctor’s appointments when a patient could have provided the 3 days’ notice and failed to schedule their ride.
Modivcare will ask the caller can the member walk, or if they require the use of a wheelchair or stretcher, and then provide the best type of transportation for their needs.
It is best to call for a ride at least 3 days before the appointment. Urgent trips such as hospital discharges, wound care appointment, dialysis appointment and etc. may be accepted with less than 3 day notice.
The Member, a relative, caregiver, nurse, or doctor may request a ride.