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21-160 Your Patients Can Get a Ride to Their COVID-19 Vaccine

Date: 03/01/21

This information applies to Physicians, Participating Physician Groups (PPGs),  and Ancillary providers.

How can Cal MediConnect members arrange a ride?
Cal MediConnect plan (Medicare-Medicaid plan) members can call ModivCare at 1-866-799-4465 once COVID-19 vaccine appointment is scheduled.

  • Rides to and from mass public vaccination sites are not eligible.
  • Drivers are not able to wait with the member in line to get the vaccine.

Return rides
Return rides for all reservations will be scheduled for one hour after the set appointment time for the vaccine. If the member is ready earlier, or the appointment is taking longer than an hour they can call ModivCare at 1-866-799-4468 to schedule a return ride.

Advance notice plan requirements
Prior authorization is not required. Refer to the chart below for advance notice requirements

Service type

Service examples

Advance notice

Non-emergency medical transportation

  • Gurneys
  • Wheelchair vans
  • Litter vans

 

Call ModivCare at
1-866-799-4465, seven days in advance

Non-medical transportation

  • Taxis
  • Sedans
  • Rideshare
  • Other type of public/private transports

PPGs and hospitals who have risk for NEMT
Participating physician groups (PPGs) or hospitals who have risk for non-emergency medical transportation (NEMT) in the Division of Financial Responsibility (DOFR) must arrange NEMT in a timely manner.

Failure to do so will result in Health Net approving and arranging the transportation, and processing a capitation payment deduction.



Last Updated: 03/01/2021