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Non-Emergency Transport - Medicaid Patients

When calling to make arrangements through Southeastrans, the following information about the individual is required to schedule the patient transportation:

  • Name as it appears on the Medicaid card
  • Home address that is on file with Medicaid, including County
  • Social Security Number
  • Medicaid number and month of eligibility
  • County of origin
  • Date of birth
  • Telephone number
  • Name and telephone number of an Emergency contact person
  • Destination facility's name and address
  • Name and telephone number of a contact person at the destination.
  • Type of service required: ambulatory, wheelchair or stretcher (Be able to specifiy if patient has electric wheelchair, other mobility device or an escort.)
  • Room number (for stretcher patients only)

 

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