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Logisticare Medicaid Transportation, New York State

Transportation Providers Frequently Asked Questions (FAQs)

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No.  NEMT transportation providers must contract with LogistiCare.  LogistiCare is the HHSC contracted Transportation Broker responsible for assigning and paying for Medicaid non-emergency medical transportation services for TSA #4.

April 2, 2012 LogistiCare will take over management all non-emergency medical transportation services for Medicaid, CSHCN and TCIP members for trips occurring on or after April 16, 2012.
Transportation providers will finalize an EDI Agreement with LogistiCare and thereafter download their trip manifests from http://www.TXMedicaidRide.net
Transportation provider should call LogistiCare’s toll free transportation provider number 877-564-9836, or fax to its toll free transportation provider fax number 877-564-9840.
No.  NEMT transportation requests are preauthorized, assigned and paid for by LogistiCare.
Billing invoice forms and trip logs are due by the dates on the Texas Provider Payment Schedule for the current year.

Claims received by the invoice due date (see Texas Provider Payment Schedule) will be processed by the following check disbursement date shown on the schedule.

Checks are mailed or payments are posted to your account on the check disbursement date indicated on the Transportation Provider Payment Schedule.

Please allow a minimum of seven (7) business days from the date the check was disbursed before contacting the claims center.  After you have allowed the minimum of seven days, please contact the claims center Monday through Friday between 8:00 a.m. and 5:00 p.m. at 877-564-9837.  Only after seven business days will LogistiCare stop a payment and reissue a check.  If you are using EFT, please allow twenty-four (24) hours for the monies to post to your account.

Trips can be denied for various reasons (invalid driver, no pick up time, no signature, no drop off time, no per trip billed amount, non-compliant vehicles/drivers, etc.)  Denial reasons will be listed on the Transportation Provider Detail Report.

The job number that you submitted is in LogistiCare’s system; however, it is assigned to another transportation provider.  If you performed the trip, contact the Dallas Regional office at 877-564-5660 for resolution.

Contact the Dallas Regional Office and request and EFT (Electronic Funds Transfer) form.  Complete the form and return it to the Austin Claims Center for processing.

It normally takes 3-4 weeks to process and EFT application.  If you decide to cancel your EFT, please complete another EFT form to cancel the transfer.  This should be done 2-3 weeks prior to your next payment.  Download the file or contact the Dallas Regional Office and request and EFT form.

Please reconcile your invoice against the Batch Detail Report, there may be denied trips.  If you feel a trip was denied in error or omitted, please resubmit the trip for processing.  Please include a copy of your trip log and the resubmit form with your resubmission.

Resubmissions should be sent to the claims center with the trip logs and reason for resubmission.  Complete the Resubmit Form.  If you feel the information you submitted is accurate and need assistance making corrections, please contact the Dallas Regional Office.

The claims center does not and cannot assign trip numbers.  Please contact the Dallas Regional Office and request assistance.  They will research the request.  You will receive notification of a new job number or denial.

The claims center does not and cannot change mileage.  Any mileage discrepancies will have to be discussed with the Dallas Regional Office.  Please refer to your Transportation Agreement regarding mileage.  Mileage is calculated as the shortest distance in street or road miles from the pick-up point to the destination.  If you believe there to be a mileage error, you must bring it to LogistiCare’s attention before running the trip. LogistiCare will review the trip or trips in question and may reference other software to verify the distance.  Any correction remains the sole decision of LogistiCare. If you are not satisfied with LogistiCare’s decision regarding the mileage, you may reroute the trip. Performance of a trip constitutes acceptance of the mileage provided by LogistiCare.

No.  Billing invoice forms and trip logs cannot be faxed or emailed.  The original documents must be sent via USPS mail, FedEx, AUPS, etc. and must be received by 5:00 p.m. EST on or before the “Invoice Due to Claims Center” date.

The claims center pays according to rates that are in the Transportation Agreement between the transportation provider and LogistiCare.  In the event you feel your rates are incorrect, please contact the Dallas Regional Manager immediately.

Invalid driver/vehicle means that your driver/vehicle is not compliant with the requirements of the Transportation Agreement.  Contact the Dallas Regional Manager and the Compliance Specialist Team immediately.

Yes, billing invoice forms are required to be submitted with all original daily trip logs.

LogistiCare Claims Center, 12234 N I-35, Plaza 35, Bldg. B, Ste. 175, Austin, TX 78753

You can email the LogistiCare Texas Claims Center at txbillingsops@logisticare.com  You can also call the Claims Manager at 877-564-9832 x 2013 .

Yes.  Responses to complaints are due within 24 hours of when the transportation provider receives the complaint from LogistiCare.

The pick-up standard for a routine and standing order trip is not earlier than 15 minutes before or later than 15 minutes after the scheduled pick-up time.  There is a 60 minutes (1 hour) pick-up standard on a “will call” or unscheduled return to residence following a medical appointment.  The pick-up standard for an urgent care request (e.g., a hospital discharge) is within 240 minutes (4 hours) from when LGTC gets the request from the hospital and communicates it to you.  The drop-off standard is on-time or early however not more than 30 minutes before the client’s appointment.

Yes.

No.

Yes.





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