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  • Gas Mileage Reimbursement Log - Mtm

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TRIP LOG **All requested information for EACH trip MUST be provided to ensure accurate and timely processing. INCOMPLETE information may result in non-payment** Send completed form via mail or fax:.

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Average LogistiCare hourly pay ranges from approximately $12.28 per hour for Customer Service Representative to $26.98 per hour for Field Service Technician.

MTM will accept, review, and process the trip log. Upon receipt of the trip log and after verification, all approved payments should be made within 30 days.

Scheduling medical transportation and being reimbursed through our gas reimbursement program is easy! Your friend, neighbor or relative will be reimbursed $.40 per mile from your residence to your medical appointment and for your return trip home.

Yes, if you are eligible for Medicaid on the date of your medical appointment, and you have received prior approval from MAS for the trip, you can be reimbursed for your mileage reimbursement.

For example, in Florida, where several national brokers such as Logisticare and MTM are thriving, making more money with the expansion of Obamacare, one provider is currently making almost $40 per one-way wheelchair plus $2.50 per mile for a minimum of 7 miles.

Ambulance MileageMedicare pays for "loaded" miles only. In other words, miles traveled while the patient was on board. Medicare does not pay for miles traveled to the point of pick up.

Beginning January 1, 2019, the standard mileage rates for the use of a car (vans, pickups or panel trucks) will be: 58 cents per mile for business miles driven, up from 54.5 cents for 2018. 20 cents per mile driven for medical or moving purposes, up from 18 cents for 2018.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232