Click here for Member Chat support
Chat is available Monday through Friday, from 7:00AM to 5:00PM CST.
Forms and Other Documents:
- Distance Verification Form
- Glossary of Terms
- IDAPA Rules Governing the NEMT Program
- Member Brochure
- Member Brochure – Spanish
- Member Rights and Protections
- Member Wallet Card
- Member Wallet Card – Spanish
- Mileage Reimbursement Trip Log
- Mileage Reimbursement Trip Log – Spanish
- NEMT Reimbursable Services
- Parental Consent Form
- Parental Consent Form – Spanish
- Service Management Portal (SMP) Member Training
- Transportation Request Form
- Transportation Request Form – Spanish
Schedule Rides Online!
- All rides must be for Medicaid-eligible medical services
- You can schedule a ride Monday through Friday from 8 a.m. to 6 p.m.
- You must call at least two business days before your appointment
- Have your trip information ready when you call
- Be ready at least 15 minutes before your ride is scheduled to arrive
- You can also use our online trip request tool to book your trip at any time.
Important Toll-Free Phone Numbers
- To schedule a ride call 1-877-503-1261
- If your ride is late call 1-877-503-1261
- To file a complaint call 1-866-436-0457