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  • Indiana Standing Order Request Form - Southeastrans.com

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Date completed SSR Provider Assigned Eligibility Verified Indiana Standing Order Request Form This form must be completed in full and returned to Southeastrans within 5 business days of the first.

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Related content

IHCP Quick Reference Guide – Contact Information...
Mar 1, 2021 — Indiana. Health. Coverage. Programs. (IHCP). Provider Customer Assistance...
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If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.

Verida, Inc. is the Indiana Health Coverage Programs (IHCP) nonemergency medical transportation (NEMT) broker for fee-for-service Traditional Medicaid members who require assistance traveling to their covered healthcare services.

Medicaid will pay for 20 one-way trips per rolling 12-month period. More trips may be provided if your doctor requests them and they are approved through Verida. If you have questions you can call the Trip Reservation Line at 855-325-7586. FSSA: Medicaid Policy: Overview - IN.gov in.gov https://.in.gov › fssa › ompp › overview in.gov https://.in.gov › fssa › ompp › overview

Here are the steps involved when starting a medical transportation company: Register your business. Acquire necessary licenses and permits. Consider partnering with healthcare providers or other organizations. Obtain proper insurance coverage. Invest in reliable vehicles and equipment. Train and hire qualified drivers.

To schedule a trip, call Verida (formerly Southeastrans) at 1-855-325-7586. You may call up to 30 days in advance, but you need to call at least two business days before your appointment. Medicaid Transportation - CICOA Aging & In-Home Solutions cicoa.org https://cicoa.org › services › medicaid-transportation cicoa.org https://cicoa.org › services › medicaid-transportation

Hoosier Healthwise (HHW) is one of the Indiana Medicaid programs. It is the State of Indiana's health care program for children, pregnant women, and families with low income. Based on family income, children up to age 19 may be eligible for coverage.

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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