Rhode Island Medical & Behavioral Facilities
Medical & Behavioral Facilities
MTM partners with medical and behavioral facilities throughout Rhode Island to ensure seamless, successful transportation delivery to Medicaid, ETP, and TANF/RI Works recipients. Let us know how we can help you best arrange NEMT services for your patients.
Forms and Other Documents:
- Distance Verification Form
- Level of Need (LON) Form
- Level of Need (LON) Form – Ambulance and Stretcher Trips
- Mileage Reimbursement Trip Log
- Resource Guide
- Transportation Request Form
- Elderly Transportation Program FAQs
Contact Information:
MTM Community Outreach
CO-RI@mtm-inc.net
MTM Hosts Monthly Facility Stakeholder meetings every last Friday of the Month. For information on these meetings, or If you would like to be added to the mailing list please email phynes@mtm-inc.net.