/depts/,/depts/uwmf/,/depts/uwmf/patient-resources/,/depts/uwmf/patient-resources/social-guide/,/depts/uwmf/patient-resources/social-guide/manual/,/depts/uwmf/patient-resources/social-guide/manual/traveltransportation/,/depts/uwmf/patient-resources/social-guide/manual/traveltransportation/medicaid-travel/,/depts/uwmf/patient-resources/social-guide/manual/traveltransportation/medicaid-travel/wisconsin/,

/depts/uwmf/patient-resources/social-guide/manual/traveltransportation/medicaid-travel/wisconsin/

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UWHC,

Patient Services,

Departments & Programs,UW Medical Foundation,Patient Resources,Social Work Services Quick Guide,Social Work Manual,Travel/Transportation,Medicaid Travel

Wisconsin

Wisconsin - Departments & Programs, UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Travel/Transportation, Medicaid Travel

Focus

MTM

Medical Transportation Management, Inc.

www.mtm-inc.net/wisconsin

Contacts for Patients

Reservation Line: 1.866.907.1493 or 1.800.855.2880 (TTY)

Where's My Ride: 1.866.907.1494

WeCare Complaint Line: 1.866.436.0457

Contacts for Providers

Email: cm-wisconsin@mtm-inc.net

Facility Line: 1.866.907.1497

Facility Line Manager:

Dana Schultz
dschultz@mtm-inc.net
1.866.831.4130

Lodging Manager:

Georgia Allen
cm-wisconsinm&l@mtn-inc.net
WeCare Complaint Line: 1.866.436.0457

Overview

ForwardHealth Update

 Q&A

Forms:

Attendant/Escort Medical Necessity Form

Level of Need Form

Mileage Reimbursement Trip Log

Parental Consent Form- English

Parental Consent Form- Spanish

Transportation Request Form

PLEASE NOTE, each form has a DIFFERENT FAX NUMBER at the bottom. Make sure you send the form to the correct fax number!

Resources