21-249m LogistiCare Is Now ModivCare

Date: 03/26/21

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

This information applies to Medi-Cal in Fresno, Kings and Madera counties.

Members can access non-emergency and non-medical transportation services with ModivCare

On January 6, 2021, LogistiCare changed its name to ModivCare^TM. This change focuses on the member experience that delivers consistent, positive healthcare outcomes through a tech-enabled healthcare company. ModivCare is the Health Net and CalViva Health capitated preferred provider. Refer below for contacts to arrange for transportation services. Referral processes, phone numbers, daily support and services all remain the same.

Referrals

Any referral source (participating physician groups (PPGs), hospitals, skilled nursing facilities, etc., not financially at risk for transportation services) is required to contact ModivCare to arrange for transportation services. Using transportation services from any provider other than ModivCare may result in the denial of the claim for which the referral source may be liable.

Dual-risk PPGs and hospitals

As a reminder, PPGs or hospitals who have risk for non-emergency medical transportation (NEMT) in the Division of Financial Responsibility (DOFR) must authorize and arrange NEMT with their transportation provider in a timely manner. Failure to do so will result in the health plan approving and arranging the transportation, and processing a capitation payment deduction.

Contacts

Contact ModivCare (formerly LogistiCare) to arrange medically necessary or covered transportation services for:

• NEMT¹: gurneys, wheelchair vans and litter vans
• Non-medical transportation (NMT): rideshare, taxis, sedans and other types of public/private transport

For reservation and ride assistance, members may call or you can call on their behalf at 855-253-6864.

¹ When Health Net is financially at risk.

The website is now modivcare.com. Providers may schedule routine transports with an advance notice of five business days through the website.

Additional information

Relevant sections of the provider operations manuals have been revised to reflect the information contained in this update as applicable. Provider operations manuals are available electronically in the Provider Library, located on the provider website.

If you have questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.