West Virginia Facility Resources

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Serving patients across all of West Virginia

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

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/.

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Forms

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

Member FAQs

  • Who is eligible for NEMT services provided by Modivcare?

    Modivcare provides transportation for Medicaid Members throughout West Virginia. Members must be attending a covered medical service and be traveling to and from their residence address of record with West Virginia Medicaid.

  • How far in advance do I need to schedule NEMT for Members?

    With the exception of hospital discharges and urgent trips, all NEMT requests must be received at least five (5) business days prior to the appointment. Requests for hospital discharges and urgent trips can be made outside of this timeframe.

  • When can I call to schedule trips?

    Modivcare has a dedicated Facilities Team to handle requests for transportation for your Medicaid clients. For routine trip requests and hospital discharges during normal business hours (8:00 a.m. – 5:00 p.m.,  Monday through Friday) you can reach a Facilities Representative by calling 1-844-889-1941 Additionally, our afterhours reservations team handles  requests for urgent trips and hospital discharges 24 hours a day, seven days a week. For requests after 5:00PM and before 8:00 a.m., please call 1-844-549-8353.  You can also request trips anytime online using TripCare.

  • What qualifies as an urgent trip?

    An urgent trip is a trip needed for an unscheduled episodic situation in which there is no immediate threat to life or limb, but the Member must be seen on the day of the request and treatment cannot be delayed until the next day. This may include hospital discharges as well.

  • Can recurring trips be scheduled?

    Yes, Modivcare can schedule recurring trips, eliminating the need to schedule each trip individually. Recurring trips can be scheduled up to three (3) months at a time. Trips for all other standing order appointments can be scheduled for up to three (3) months at a time.

  • How does Modivcare determine a Member’s mode of transportation?

    If a Member says she/he is unable to utilize public transportation or mileage reimbursement, a healthcare provider will be required to fill out our Level of Need Assessment Form. This form communicates the Member’s actual needs to Modivcare for appropriate mode assignment.

  • What if the return time for an appointment is not known?

    If the return time for an appointment is not known at the time of the reservation, Modivcare will assign the return trip as a will-call trip. In this case, you will call Modivcare when the Member is ready for their ride home. We will dispatch the trip and the transportation provider will arrive within one hour. Call the Ride Assist line at 1-844-549-8354to find out the status of a transportation provider’s estimated arrival time.

  • How do I communicate a concern on the behalf of a Member?

    If you or a Member experiences an issue with NEMT, please visit Modivcare’s WeCare Facility website.