Form DSS-NEMT-971 Non-emergency Medical Travel (Nemt) Reimbursement Form - Overnight Trip - South Dakota

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Form DSS-NEMT-971 Non-emergency Medical Travel (Nemt) Reimbursement Form - Overnight Trip - South Dakota

What Is Form DSS-NEMT-971?

This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DSS-NEMT-971 form?
A: The DSS-NEMT-971 form is the Non-emergency Medical Travel (NEMT) Reimbursement form for overnight trips in South Dakota.

Q: Who can use the DSS-NEMT-971 form?
A: The DSS-NEMT-971 form can be used by individuals who require non-emergency medical travel and are eligible for reimbursement in South Dakota.

Q: What is the purpose of the DSS-NEMT-971 form?
A: The purpose of the DSS-NEMT-971 form is to claim reimbursement for eligible medical travel expenses incurred during overnight trips.

Q: What information is required on the DSS-NEMT-971 form?
A: The DSS-NEMT-971 form requires information such as the traveler's name, Medicaid number, trip details, and supporting documentation of expenses.

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Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the South Dakota Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DSS-NEMT-971 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form DSS-NEMT-971 Non-emergency Medical Travel (Nemt) Reimbursement Form - Overnight Trip - South Dakota

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