A Driving Force in Non-Emergency
Medicaid Transportation Management
Medicaid Transportation Management
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| Type | Action | Invoice PA# SO Exp Date |
Status Caller Info |
Trip Date Mode Last Updated |
Enrollee Driver/Vehicle |
Trip Legs |
|---|
| Trip Date | Invoice # | Enrollee | Reason | Trip Status | Correction Status | Actions |
|---|
| Reason | Refused By | Refuse Date/Time | Trip Date | Enrollee |
|---|
| View | Created | Status | Source | Concern Type | Outcome |
|---|---|---|---|---|---|
| 07/01/2020 | Provider Review | Enrollee | No Show | Pending | |
| 07/01/2020 | Closed | Enrollee | Cost Concern | Notified | |
| 07/01/2020 | Closed | MP | Fraud | Notified |
| Action | Invoice PA# |
Trip Date | Enrollee First Name Enrollee Last Name |
Trip Legs |
|---|
Please select a reason to undo attestation for this trip.
Are you sure you want
to refuse this trip?
It cannot be undone.
| Enter Your Requested Correction Below: (Limit 1000 characters) |
| Mileage calculations are based upon NYSDOH guidance. Transportation Providers are to use the shortest, most appropriate route according to Google. |
PA Number Correction.
Pressing Submit will send the Request as a notification.
Note: It may take up to 5 hours for the PA Number to generate after attestation.
| Change the address on invoice | |
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| Action (Status) | Last Name | First Name | Drivers Lic # (State) | Expiration | Mobile Login | Set driver |
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Note: Reassigns can only be made if a trip has not been attested
| Status |
Active
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| Mobile Login |
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| Last Name | |
| First Name | |
| Direct Phone | |
| Email Address | |
| Driver License # | |
| Driver License State | |
| Expiration |
Must enter a valid date
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| Last Name | First Name | Expiration |
|---|---|---|
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Must enter a valid date
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| Vehicle Type | Vehicle Name | Reg Expiration |
|---|---|---|
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Must enter a valid date
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| Status | Vehicle Type | Vehicle Name | License Plate # | Reg Expiration |
|---|---|---|---|---|
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Must enter a valid date
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| From | Date | Subject |
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| Company Name | County | Action |
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