Transportation Provider Manual

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Fidelis Care Transportation Provider Manual
Non-emergency medical transportation (NEMT) services for Medicaid and Dual Advantage Flex beneficiaries. 

Fidelis Care Provider Transportation Application For Members
To request non-emergency livery, ambulette, & ambulance transportation
- Tip Sheet: How to Complete Form

Fidelis Care Provider Out-of-Area Transportation Application for Members 
To request non-emergency transportation service to non-local providers
- Tip Sheet: How to Complete Form

Form UB-04