Medical Provider Resources:
Paratransit Services has been providing tranporation to Medicaid qualified recipients in the state of Washington for over 20 years. And as one of the pilot Brokerages at the inception of the Brokerage model being used in Washington state we paved the way, resolved all issues, and we have worked hand in hand with medical providers over the years to find solutions for transportation issues and concerns faced by our clients/patients.
Below are some of the resources, either in the form of an informational link or downloadable file, to make Medicaid transporation more efficient while maintaining safety and minimizing fraud. All files are saved in either Adobe PDF (Adobe Reader is required) or Microsoft Word or Excel (Office version 97-2003 or higher) formats.
To submit a request for transportation via fax – please download the informational “Facility Request Fax Memo” for helpful information and then one of the following forms, as appropriate. Please fax with a minimum of 2 business days’ notice. We do accept requests up to 30 days in advance.
Facility Ride Request Fax Memo (Word)
Facility Ride Request Fax Form (Word)
Patient Requires Door to Door Letter (Word)
Facility Bus Pass Request Fax (Word)
In order for Paratransit Services to provide transportation for an attendant to travel with our client’s during Non Emergency Medical Transportation (NEMT), we must have verification from a medical professional (or licensed mental health provider, if mental health related) that an attendant is medically necessary. Please note, minor children (17 years of age and younger) are always authorized for 1 parent/guardian to travel with. It is also notable, that a courtesy attendant would be automatically allowed for sedated procedures/surgeries, as needed, without documentation.
Patient Requires Attendant Letter (Word)
Continuity of Care (Word)
To request transportation for substance use disorders (SUD) admits/discharges or for inpatient psych releases, please download and submit the necessary form below
Medicaid/Apple Health limits Non Emergency Medical Transportation (NEMT) to providers within or closest to the client’s local community. If you are referring your patient to a specialty provider outside of the patient’s local community, please complete the “Patient Referral for Travel Out of Local Community” form below and return it to Paratransit Services. If the client has already established care with either a primary care physician or a specialty provider that is outside of their local community, you will need to complete the “Continuity of Care” form.
Patient Referral for Travel Out of Local Community (Word)
Paratransit Services is required to select the lowest cost mode of transportation or alternative that is both accessible to the client and appropriate to the client’s medical condition and personal capabilities. Additionally, transportation assistance is limited to distances 3/4 mile or greater. If your patient is unable to use fixed route public transportation or cannot negotiate distances up to 3/4 mile, please complete the form and return to Paratransit Services.
SUD NEMT Request Form (Word)
Medical Providers Line:
Phone: 1 (855) 553-0355
Fax: (360) 373-0502
Inpatient Psych Release Form (Word)
Medicaid/Apple Health may assist with lodging when a client/patient is deemed medically necessary to remain local for out of area care. Please download and complete the following form and submit it to us as soon as possible. We do require a minimum of 2 business days’ notice and can request up to 30 days in advance.
Facility Out-of-County Ride Request Fax Form (Word)
Lodging Request Form* (Word)
*Must be submitted by the treatment facility providing the medically necessary care