Non-Emergency Medical Transportation, or NEMT, can be used when you do not have a way to get to your healthcare appointment without charge. We may use public transportation or bus tokens, vans, taxi, or even an ambulance, if necessary to get you to your healthcare appointment. Home State will give you a ride that meets your needs. You do not get to choose what kind of car or van or the company that will give you the ride. You may be able to get help with gas costs if you have a friend or a neighbor who can take you. This must be approved before your appointment.
Who can get NEMT services?
- You must be in Home State on the day of your appointment.
- Some people do not get NEMT as part of their benefits. To check, call member services at 1-855-694-HOME (4663).
- Children who are under age 17 must have an adult ride with them.
- We will only pay for one child and one parent/guardian and/or an attendant if your child is under age 21 and needs to be away from home overnight or needs someone to be with him/her. We will not pay for other children or adults.
- Your medical appointment requires an overnight stay.
- Volunteer, community, or other ancillary services are not available at no cost to you.
What healthcare services can I get NEMT to take me to?
- The appointment is to a healthcare provider that is in Home State or takes MO HealthNet Fee-for-Service.
- The appointment is to a service covered by Home State or MO HealthNet Fee-for-Service.
- The appointment is to a healthcare provider near where you live. If the provider is far away, you may need to say why and get a note from your PCP. There are rules about how far you can travel to a healthcare appointment and get a ride.
- Some services already include NEMT. We will not give you a ride to these services. Examples are: Some Comprehensive Substance Treatment Abuse and Rehabilitation (CSTAR) services; hospice services; Developmental Disability (DD) Waiver services; some Community Psychiatric Rehabilitation (CPR) services; adult day healthcare services; and services provided in your home.School districts must supply a ride to a child’s Individual Education Plan (IEP) services and IEP medical related services.
- The NEMT program can take you to a durable medical equipment (DME) provider only if the DME provider cannot mail or deliver your equipment to you.
How do I use the NEMT program?
Call 1-855-694-HOME (4663). If you have an appointment with your PCP or OB you can call the same day of the appointment to arrange transportation. Please note that we require one hour notice for same day appointments. All other appointments require at least 3 days before the day of the appointment or you may not get NEMT. You may be able to get a ride sooner if your health care provider gives you an urgent care appointment. You can call this number 1-855-694-HOME (4663). If you have an emergency, dial 911, or the local emergency phone number.
For more information on transportation benefits, please see the Transportation section of our Member Resources page.
Approval Date: April 17, 2012
Approval Code: HSHP010