Mississippi Facility Resources

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Serving patients across all of Mississippi

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

The documents 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 them. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader/.

Humana National Medicare (MCR):

1-866-588-5122

UnitedHealthcare Group Retiree

1-833-219-1182

HCSC Group Retiree

Group Retiree National Line Reservation/Ride Assist

1-866-824-1566

Forms

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

Dialysis Standing Order Form

Mississippi Medicaid Beneficiary Brochure

Pre-Transportation Verification Form

Mileage Reimbursement Program Instructions

Mileage Reimbursement Trip Log

Mileage Reimbursement Trip Log Instructions

Spanish Mileage Reimbursement Program Instructions

Spanish Mileage Reimbursement Trip Log

Spanish Mileage Reimbursement Trip Log Instructions

Member FAQs

What if a patient’s ride is late or there is some other problem with the ride?
If the ride is more than 15 minutes late or there is some other problem, you should call us at:

1-866-334-3794 (North)

1-866-331-6006 (South)

We will do everything we can to help you.
What if I want to file a complaint about a patient’s ride or another part of the service?

If you are aware of a problem with a patient’s ride or any other component of service, please call us at 1-866-331-6004 and we will help you.
When requesting transportation, may I ask for a company that the patient prefers to give them a ride?

Whenever we can, we will be happy to send the company the patient prefers for their ride.
Who can call to request a ride?

The patient, someone in their family, a person who takes care of them or their medical office can call to request a ride.
When should a ride be requested?

Call at least 3 days before the patient needs a ride to their medical appointment. If you do not call at least 3 days before, you may not be able to get a ride. You can schedule a ride, with less than 3 days’ notice, only for special medical trips such as when a person is being released from the hospital.

The number to call is: 1-866-331-6004
Who can receive a ride to medical appointments?

Rides to medical appointments are for people who are on Medicaid and have no other way to get a ride. The patient’s medical problem should not be an emergency. If you have an emergency you should call 911.
Who decides what kind of ride the patient will get?

Modivcare will ask questions about the patient’s health and the kinds of things they can do. Your answer will help us determine what kind of vehicle will be used for their ride.
Who decides what time the patient will be picked up for their ride?

Modivcare will decide what time the patient will be picked up. We will do this by determining how long it will take to drive the patient to their medical appointment.