PDF
Word
DSHS Form 17-230 Non-emergency Medical Transportation (Nemt) for Pasrr Program Requiest - Washington
What Is DSHS Form 17-230?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 17-230?A: DSHS Form 17-230 is a form used for requesting non-emergency medical transportation (NEMT) for the PASRR Program in Washington.
Q: What is Non-emergency Medical Transportation (NEMT)?A: Non-emergency Medical Transportation (NEMT) is a service that provides transportation to medical appointments for individuals who have no other means of transportation.
Q: What is the PASRR Program?A: The PASRR Program is the Pre-Admission Screening and Resident Review Program, which helps determine the most appropriate placement for individuals with a mental illness or intellectual disability.
Q: Who can request NEMT through DSHS Form 17-230?A: Individuals who are enrolled in the PASRR Program in Washington can request NEMT through DSHS Form 17-230.
Q: Is there a cost for NEMT services?A: In Washington, NEMT services are covered by Medicaid, so there is no direct cost to individuals who are eligible for Medicaid.
Q: What information is required on DSHS Form 17-230?A: DSHS Form 17-230 requires information such as the individual's name, contact information, medical provider information, appointment details, and any special transportation needs.
Q: How long does it take to process a request for NEMT through DSHS Form 17-230?A: The processing time for a request for NEMT through DSHS Form 17-230 can vary, but it is typically within a few business days.
Q: Can family members or caregivers be reimbursed for providing transportation?A: In Washington, family members or caregivers can be reimbursed for providing transportation services, but they must be approved and enrolled as an NEMT provider.
Form Details:
- Released on November 1, 2017;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 17-230 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Washington State Department of Social and Health Services.
