Transportation for skilled nursing facility residents

The purpose of this bulletin is to communicate information related to transportation for residents of skilled nursing facilities (SNF). Anthem Blue Cross (Anthem) is contracted with ModivCare Solutions* to coordinate transportation for Anthem members enrolled in Medi-Cal Managed Care (Medi-Cal) in the state of California. ModivCare is responsible for:

• Taking reservations from members, facilities, and medical groups for non-emergency ground transportation.
• Contracting with ground transportation providers.
• Providing payment for non-emergency group transportation claims.

Providers can call 866-529-2128 to arrange for authorized transportation through ModivCare. Transportation benefits cover non-emergency medically necessary transportation (NEMT) and non-medical transportation (NMT). ModivCare will ensure timely access for all covered trips. A completed Physician Certification Statement (PCS) form is required for members to access NEMT. Physicians must complete the form and return it to ModivCare within two business days of receipt. The ModivCare PCS form can be found at https://providers.anthem.com/california > Resources > Forms.

Please note that ModivCare will grant three courtesy rides to members who do not have a completed PCS form signed by a provider. Advance notice may be required to allow time for the PCS form completion and trip coordination.

Customer Care Centers:

• Medi-Cal Managed Care (outside L.A. County): 800-407-4627
• Medi-Cal Managed Care (inside L.A. County): 888-285-7801