Northwest Ambulance
24/7 Dispatch:
425-328-7651
Billing Department:
800-238-9398
Basic Life Support /Advanced Life Support / Critical Care Transport
MEDICAID TRANSPORT REQUEST
Do you need a non-emergent ambulance transport for a patient
with Medicaid insurance?
WE CAN HELP!
In order to get approval for your transport, please email Medicaid at:
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.
Here is some information to include in your email to Medicaid:
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Facility or Person Requesting Transport:
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Contact Person
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Patient/Client’s Primary Diagnosis
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Special Equipment/Care Needed
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Date the Transport is Needed
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Pick-Up Location & Address
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Pick up Time
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Destination Location & Address
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Appointment Time
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Estimated Appointment/Wait time
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BLS or ALS Level Transport
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Family or Care Attendant Riding Along: Yes, POA
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Why Does the Patient Need an Ambulance
Have a question about the process? Please call 425-328-7651
You must pre-schedule your transport
with us at least 2 days prior!