/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/smv/,

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UWHC,

Patient Services,

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

SMV

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

Focus

The SMV form is to be filled out for any client with Medical Assistance that requires Wheelchair or Stretcher Transport.

As of Jan 1, 2007, the validity of the form for indefinitely disabled and legally blind recipients has increased from 365 days (one year) to three years (36 months) from the date the medical care provider signs the form.

It should be given to the transportation company along with a demographic sheet at the time of pick-up.

ICD9 Codes

UPIN Numbers