Get Ordering Guidelines Manual 2014-1.docx. Form Def 14a (proxy Statement (definitive)) Filed 05/12/14

This guide is designed to assist users in effectively navigating and completing the Ordering Guidelines Manual 2014-1.docx. FORM DEF 14A. By following this step-by-step approach, users will ensure all necessary information is correctly entered to facilitate efficient document management.

Follow the steps to complete the form accurately and efficiently.

1. Click 'Get Form' button to obtain the form and open it in your preferred editing application. Ensure you have the required software to view and edit the document properly.
2. Begin by reviewing the table of contents listed in the manual. Identify the relevant sections that pertain to your specific needs, such as requesting transportation prior authorization or understanding covered transportation services.
3. Fill in the required fields in the form carefully. Pay attention to details like the patient's name, identification number, and specific medical justification as outlined in Section IV.
4. For each transportation request, ensure that the form is completed with accurate details on the patient's condition and the necessary mode of transport, whether it be livery, ambulette, or ambulance, as stated in Sections III and IV.
5. Once you have completed the form, double-check all entered information for accuracy and completeness.
6. Maintain a copy of the completed form in the Medicaid enrollee’s patient record and fax it to the appropriate LogistiCare number based on your location.
7. When applicable, ensure to keep updated versions of the form in case the patient's condition changes, requiring a new request or different transportation mode.
8. At the final stage, save changes, download, print, or share the form as needed to coordinate with the transportation services and relevant medical practitioners.

Complete your documents online efficiently to ensure timely processing of transportation requests.