Idaho Members

MTM provides rides for Idaho Medicaid members. You must be attending a covered Medicaid service. You must have no other way to get there.

• Your first and last name
• Your Medicaid ID number
• Your home address and phone number
• Your doctor’s name, phone number, and address
• The date and time of your appointment
• Any special needs, including if you need someone to ride with you
• If you require special equipment like a car seat, wheelchair, or other device, you must provide these items

Yes. Just let the Customer Care Representative know that you have more than one trip to schedule. You can also schedule recurring trips.

If your appointment is urgent, MTM will set up your ride with less than two business days’ notice. An urgent request is considered to be any illness or injury that requires immediate treatment to prevent a serious decline in your health. This may include a hospital discharge. Call us at 1-877-503-1261 24 hours a day, seven days a week to schedule an urgent ride.

MTM does not schedule emergency transportation. Emergency transportation requires medical care during the trip. Call 911 immediately if you have an emergency.

You will receive the level of transportation that is most appropriate for your medical condition. We may consult your health care provider. Based on your needs, we will offer you:

• Mileage reimbursement if you, a friend, or family member can drive to the appointment
• Fixed route public transit tickets
• Sedan, van, or taxi services
• Vehicle services equipped to transport wheelchairs and stretchers

We may be able to reimburse you, a friend, or a family member to drive you to your appointments through the MTM Currency program. Reimbursement funds are provided through a Focus Card™. This is a reloadable debit card issued by U.S. Bank. Ask us about this program when you call to set up your trip. If you need support for your Focus Card, call U.S. Bank Cardholder Services at 888-863-0681.

• Be ready for your ride at least 15 minutes prior to the scheduled pick-up time. The driver will only wait for you for 10 minutes.
• If you scheduled a ride back, your driver should pick you up less than 15 minutes after your visit is over. Call MTM at 1-877-503-1261 if your driver is late or does not pick you up.
• If your visit is over and you did not schedule a ride back, call MTM at 1-877-503-1261. The driver should arrive in less than one hour. Call MTM back if you have waited longer.

Call MTM at 1-877-503-1261 if you need to cancel your trip or make any changes.

Call MTM at 1-877-503-1261 if you:

• Have waited more than 15 minutes after the pick-up time scheduled during the original ride request
• Have waited more than one hour after calling MTM to schedule a return ride, if a return ride was not scheduled during the original request

When you call, please tell us if you would like to ride with a certain provider. MTM will make every effort to accommodate. However, we cannot guarantee your provider of choice.

If you disagree with a denial or other decision made by MTM, you can file an appeal, grievance, or a State Fair Hearing request. You can do this by calling or writing to us within 28 days of the date on your denial letter. You must tell us why you disagree with our decision.

Send your letter to:
MTM
Attention: Appeals
16 Hawk Ridge Drive
Lake St. Louis, MO 63367

Call us at 1-866-436-0457 to file an appeal or grievance, or if you have questions about the appeal and grievance process.

A long distance trip is any trip more than 101 miles one-way. You must request these trips in advance. MTM must approve the trip. We will notify you if your trip is approved or denied.

You can request:

• Transportation to and from your appointment destination; MTM will authorize the most appropriate mode of transportation for your needs (gas mileage reimbursement, network transportation provider, bus, train, or flight)
• The most appropriate form of ground transportation during your trip (to/from airport and to/from lodging to appointment)
• Lodging; if approved, MTM will make lodging arrangements
• Meals; if approved, MTM will reimburse $20 per day; day trips will not qualify for meal reimbursement

You must provide:

• The date and time of your appointment, the name of your doctor and medical facility, and their phone number and address
• Your referring doctor’s name, phone number, and fax number

Call 1-877-503-1261. You must call in advance. We recommend you call at least 14 business days before your appointment. If the trip is urgent, we will verify urgency with your healthcare provider. You can schedule urgent trips with less than two business days’ notice. You must make requests for assistance with other long distance services when you call.

If MTM approves these services, you can ask about this option. We may approve reimbursement. Do not make arrangements without MTM’s prior approval. We cannot guarantee you will receive funds. Additional reimbursement instructions are located on the Mileage Reimbursement Trip Log.

You can contact our:

• Call center at 1-877-503-1261
• Reimbursement Help Desk at 1-888-513-0703

Additional reimbursement instructions are located on the Mileage Reimbursement Trip Log.