MEDICAID TRANSPORT REQUEST

 

Do you need a non-emergent ambulance transport for a patient

with Medicaid insurance?

 

WE CAN HELP!

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In order to get approval for your transport, please email Medicaid at:

 

hcaambulanceadmin@hca.wa.gov

 

Your request will be evaluated by Medicaid and approval should be available within 48 hours.

Please submit your request at least 3-4 business days before the date of transport.

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Here is some information to include in your email to Medicaid:

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• Facility or Person Requesting Transport: 

• Contact Person

• Patient/Client’s Primary Diagnosis

• Special Equipment/Care Needed

• Date the Transport is Needed

• Pick-Up Location & Address

• Pick up Time

• Destination Location & Address

• Appointment Time

• Estimated Appointment/Wait time

• BLS or ALS Level Transport

• Family or Care Attendant Riding Along: Yes, POA

• Why Does the Patient Need an Ambulance

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Have a question about the process? Please call 425-328-7651

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You must pre-schedule your transport

with us at least 2 days prior!