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MICHIGAN MILEAGE REIMBURSEMENT TRIP LOG Must be sent to: DRIVER NAME: DRIVER MAILING ADDRESS: CITY/STATE/ZIP: MEMBER NAME (If different from Driver): Trip Date Trip/Job # LogistiCare Claims Department.

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How to fill out the Logisticare Forms online

Filling out the Logisticare Forms correctly is essential for ensuring timely reimbursement for your trips. This guide provides a step-by-step process to help you complete these forms online with ease.

Follow the steps to complete the Logisticare Forms effectively.

  1. Click the ‘Get Form’ button to obtain the Logisticare Forms and open it for editing.
  2. Enter the driver name in the designated field. This information identifies who is responsible for the trip.
  3. If different from the driver, fill in the member name in the appropriate field.
  4. Input the trip or job number, which is necessary for tracking purposes.
  5. Enter the driver phone number for contact purposes.
  6. List the medical provider's name and phone number where indicated, ensuring accurate contact information.
  7. Record total miles driven for the trips in the designated mileage field.
  8. Calculate the total mileage to be paid and document this in the indicated area.
  9. Fill in the batch number and batch date in the respective fields for internal tracking.
  10. Once all sections are completed, save your changes, download, print, or share the form as necessary.

Complete your Logisticare Forms online today to ensure efficient reimbursement!

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ModivCare Inc.: Overview ModivCare Inc (ModivCare) formerly The Providence Service Corporation, is a healthcare service provider of non-emergency medical transportation, personal and home care, NEMT, and nutritional meal delivery.

Effective January 1, 2023, the mileage reimbursement rate changed from 62.5 cents to 65.5 cents per mile as directed by Internal Revenue Service (IRS). Effective January 1, 2023, the mileage reimbursement rate changed from 62.5 cents to 65.5 cents per mile as directed by Internal Revenue Service (IRS).

Effective January 1, 2023, the mileage reimbursement rate changed from 62.5 cents to 65.5 cents per mile as directed by Internal Revenue Service (IRS).

Effective DateRate Per MileJanuary 1, 2023$0.655July 1, 2022$0.625January 1, 2022$0.585January 1, 2021$0.5605 more rows

How much does Modivcare pay per mile in SC 2022? The rate is $0.54 per mile. The distance will be the number of miles from your home to your medical appointment.

As of January 6, 2021, LogistiCare is officially ModivCare. We are excited about our strategic shift to ModivCare, formerly LogistiCare!

The standard mileage rate is now $0.655 cents per mile, an increase of $0.03 cents from the last increase in June 2022. The IRS provided a mid-year raise in 2022 due to the rising cost of gas and inflation rates.

Payment will be mailed within thirty (30) business days of the ModivCare Claims Department receiving your completed reimbursement form. If you have any questions, please call ModivCare Claims Department at 1-800-930-9060.

ModivCare Inc (NASDAQ:MODV) Institutional investors hold a majority ownership of MODV through the 114.40% of the outstanding shares that they control.

FAQ. How much is mileage reimbursement in California? The standard mileage rate set by the IRS, applicable in California, is 65.5 cents per business mile from January 1st, 2023.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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