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State of Illinois Department of Human ServicesPhysician Certification Statement (PCS) for Ambulance Transport FACILITY REPRESENTATIVE COMPLETE THIS FORM AND PROVIDE IT TO THE APPROPRIATE AMBULANCE.

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The Medical Assistance Transportation Program (“MATP”) is available to any Medical Assistance (“MA”) enrolled consumer who needs help with non-emergency transportation to and from MA-covered health care services or treatments. In Pennsylvania, the state pays each county to administer a county-based MATP program.

Emergency transportation (ambulance) is covered when medically necessary. Non-emergency medical transportation to medical facilities can be covered when you do not have any way to get to your medical appointments.

The Medical Assistance Transportation program provides non-emergency transportation to and from medically necessary covered services for Medical Assistance recipients who have no other means of transportation.

In order to operate a transportation business in Illinois, you'll need to obtain a business license from the Illinois Department of Transportation. To do this, you'll need to fill out an application and submit it to the department. You'll also need to pay a fee.

Enrollees (private auto drivers) will complete an ACES$ enrollment form for the Non-Medical Transportation services program. Enrollees will provide a copy of their valid driver's license, proof of insurance, and vehicle registration. Non-Medical Transportation is an online, web-based program through ACES$.

Emergency transportation (ambulance) is covered when medically necessary. Non-emergency medical transportation to medical facilities can be covered when you do not have any way to get to your medical appointments.

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© Copyright 1997-2025
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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