MTM partners with medical facilities throughout the state of Mississippi to ensure seamless, successful transportation delivery to Medicaid beneficiaries. Our Care Management department was developed for the sole purpose of working with medical facilities that serve beneficiaries. For example, our Care Management team helps facilities by:
- Providing a dedicated point of contact
- Assisting with Level of Need (LON) Assessments
- Providing training and assistance with the Service Management Portal (SMP) and other tools
- Handling difficult or out-of-the-ordinary NET requests
- Managing meals and lodging services, as needed
Forms and Other Documents:
- Beneficiary NET Brochure
- Transportation Request Form
- Level of Need Form
- Level of Need Form – Ambulance and Stretcher
- Mileage Reimbursement Log
- Medically Necessary Attendant Form
- Distance Verification Form
- MTM Link Facilities Trifold
- MTM Link Member Trifold
- MS NET Frequently Asked Questions
- MS DOM Resource Guide
- Holiday Schedule
- Inclement Weather
Important Notice for GMR Users:
Effective 2/1/19, MTM requires a copy of your payee’s valid driver’s license and vehicle insurance before reimbursement can be paid. If MTM does not have a copy of the payee’s valid driver’s license and vehicle insurance on file, we cannot authorize your gas mileage reimbursement (GMR) trip and you will receive the next most appropriate mode available. You may start sending in these items now to ensure your file is updated before the change. You may email these items to MSGMR@mtm-inc.net. If you have questions about this change, please call MTM’s GMR Help Desk at 1-888-513-0703.
MTM provides transportation for Medicaid beneficiaries throughout the state of Mississippi. Beneficiaries must be attending a covered medical service and have no other way to get there.
With the exception of hospital discharges and urgent trips, all NET requests must be received at least three business days prior to the appointment. This includes the day of the call but not the day of the appointment. For example, you should call on Monday or before to arrange a trip for Thursday. Requests for transport for hospital discharges and urgent trips can be made outside of this timeframe.
An urgent trip is an unscheduled episodic situation in which there is no immediate threat to life or limb, but the beneficiary must be seen on the day of the request and treatment cannot be delayed until the next day. This may include hospital discharges as well.
Yes, MTM can schedule recurring trips, eliminating the need to schedule each trip individually. Recurring trips for dialysis can be scheduled up to six months at a time. Trips for all other standing order appointments can be scheduled for up to three months at a time.
If a beneficiary says they are unable to utilize public transportation or mileage reimbursement, a healthcare provider will be required to fill out our Level of Need Assessment form. This form communicates the beneficiary’s actual needs to MTM for appropriate mode assignment.
If the return time for an appointment is not known at the time of the reservation, MTM will assign the return trip as a will-call trip. In this case, you will call MTM when the beneficiary is ready for their ride home. We will dispatch the trip and the transportation provider will arrive within one hour. Call MTM’s toll-free Where’s My Ride line at 1-866-334-3794 to find out the status of a transportation provider’s estimated arrival time.