Welcome to the Modivcare Facility website for Louisiana. Currently this site hosts information and forms that medical facilities and medical groups can use to schedule transportation.
If you have general questions concerning transport please review the Frequently Asked Questions.
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/.
A member should be ready fifteen (15) minutes before the agreed pick up time. The vehicle is considered on time if it arrives 15 minutes before or 15 minutes after the designated pick up time. The driver is required to wait up to 15 minutes from the member’s pick up time to transport.
Modivcare maintains a Facility Department dedicated to handling the needs of nursing homes, hospitals, and dialysis centers. Modivcare has dedicated staff and a phone number available to book transportation for facilities. The phone number is 1-866-886-4081 for Medicaid Health Plans and 888-589-6163 for Medicare Health Plans. To minimize time on the phone, Modivcare suggests using the single trip request form. Complete the fax request form and send to 877-457-3349 for Medicare Health Plans only. Upon receipt of the form, a facility representative will complete the reservation and contact the ordering party with confirmation of the reservation. If a facility is signed up for the Facility Services website, reservations may be completed online.
This website contains instructions and forms for arranging a standing order or single trip reservation.
If you are a facility that would like to sign up for the Facility Services website, inform your Facility Representative.
You may contact Modivcare to setup a reservation based on the health plan you are currently on.
Three business days (48 hours) notice prior to the scheduled appointment is necessary. (Example: Call on Monday for a Wednesday appointment.) Modivcare accepts reservations up to 30 days in advance. For any trip request with less than the three business days notice, Modivcare 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 examples of medically urgent appointments that should not be rescheduled. Modivcare needs at least two (2) business days notice for mileage reimbursement requests.
Once the member’s 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 sixty (60) minutes to arrive for the member’s return ride. The member/facility will use the same “Where’s My Ride” phone number, 866-726-1473.
Redirect the caller to the member’s appropriate health plan.
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 866-726-1472.
If a member’s appointment is canceled notify Modivcare as soon as possible (24 hour advance notice required if feasible). This will prevent unnecessary trips for local transportation companies trying to serve others that day.
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.
Member is required to provide their own equipment (wheelchairs, canes, etc). For discharges or on a case by case basis Modivcare will attempt to dispatch a transportation provider that has a collapsible wheelchair on their vehicle for members who do not have their wheelchair at the time of the discharge, if Modivcare cannot find a provider who is available to accept the trip, then Modivcare will refer the member back to Member Services at 800-600-4441.
For Medicaid Health Plans, please call 866-886-4081. For Medicare Health Plans, please call 888-589-6163.
Member and one additional passenger (escort) are allowed on a space available, case by case basis. Members under 17 years of age must be accompanied by an attendant.
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. In an emergency, 911 should be called.
Emergency ambulance trips are not arranged through Modivcare. If a medical emergency ambulance trip is needed, call 911.
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. This will be the mode of transportation for ambulatory members who reside less than 1/2 of a mile from a transit stop and can walk that distance unescorted.
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 at the curb. This is curb-to-curb transportation.
Individual Transportation Participant (ITP) – The member, family or friend may drive the member to medically covered services and receive reimbursement on a per mile basis.
Wheelchair – (Manual/Electric) – 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.
Advanced Life Support **
Basic Life Support **
For Medicaid Health Plans, please fax to 877-457-3349. For Medicare Health Plans, please fax to 888-589-6164.
Standing Order Request Forms must be completed by a facility representative such as a social worker.
Modivcare must be notified of any temporary or permanent changes to a standing order. Modivcare’s system will continue to propagate the original information unless Modivcare is notified of a change. Modivcare’s network providers schedule transports based on the information Modivcare sends 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 them to adjust any changes and ensures members are getting the best service available.