Arizona Facility Network Arizona Facility Network

Arizona Facility Network

FAQ's

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Arizona Evercare Select

LogistiCare maintains a Facility Department dedicated to handling the needs of nursing homes, hospitals, dialysis centers, mental health facilities, and substance abuse clinics. We have dedicated staff and phone numbers available to book transportation for facilities.

The phone number is 888-589-6163.

To minimize your time on the phone, we suggest that you use the single trip request form. Complete the fax request form and send it to 888-589-6164.

Upon receipt of the form, a facility coordinator will complete the reservation and contact the ordering party with confirmation of the reservation.

*The website contains instructions and forms for arranging a standing order or single trip reservation.

Hospitals contact the Facility Line at 1-888-589-6163. Physician's Transportation Restriction Forms are not needed for hospital discharges. Dedicated Facility Coordinators are assigned to handle discharges. Once the discharge is arranged, the transportation provider has up to four (4) hours to respond and pick-up the patient.

Three business days (72hrs) notice prior to the scheduled appointment is necessary.

Sudden life threatening medical situations, significant trauma, comas, shock, uncontrolled bleeding, respiratory distress, poisoning, drug overdose and any situation where immediate medical relief or treatment is necessary.

Examples of such trips are doctor appointments deemed urgent by physician, dialysis, wound care, chemotherapy and radiation.

In the event that a transportation provider is late, LogistiCare maintains a staff trained to resolve late arrivals. A dedicated phone line is available to inquire about the status of their ride.

The line is called the “Ride Assist” line and the phone number to call is 866-252-3865.

Once their appointment is finished, the member or facility will call the "Ride Assist" phone number and request transportation be sent to return the member. The transportation provider will be dispatched and will have up to one (1) hour to arrive for the member’s return ride. The member/facility will use the same "Ride Assist" phone number 866-252-3865.

Emergency ambulance trips are not arranged through LogistiCare. If a medical emergency ambulance trip is needed, 911 should be called.

Urgent/same day trips can be booked through LogistiCare. Such trips should be true urgent conditions where a physician is requiring the member be seen the same day or the next day.

Arizona Evercare Select Facility Reservation line 888-589-6163.

Urgent/same day trips can be booked through LogistiCare. Such trips should be true urgent conditions where a physician is requiring the member be seen the same day or the next day.

Arizona Evercare Select Facility Reservation line 888-589-6163.

 

Yes, if a facility has a transportation provider they prefer, please mention this when scheduling transportation. LogistiCare will note the request on the trip and will do everything they can to honor the facility’s request, depending on availability of the transportation provider and/or if the preferred provider is a participant in the LogistiCare network. Even though the request will be documented, trip assignment will be based on routing criteria that includes provider compliance. Logisticare does not guarantee that a preferred provider will be assigned based on a request.

For Arizona Evercare Select Medicaid, member’s transportation can be arranged with LogistiCare for the following counties:

  • Apache
  • Coconino
  • Mojave
  • Navajo
  • Maricopa

Standing order forms can be obtained through the website or by contacting the Facility Department at 888-589-6163.

The facility can fill out Single Trip Request Forms for the various members for trips up to 30 days in advance and fax them into LogistiCare at 888-589-6164. Again, three business days notice is required for routine trips.

To eliminate the need to arrange trips for members who have three or more trips to the same facility each week, a standing order form and process has been created. This allows a facility to arrange trips in advance for a member scheduled for treatment three days or more a week to the same location. Example: dialysis, wound care, mental health, adult day care, and medication management.

A Standing Order will be create and inserted in our system. Our system will propagate the information based on the schedule furnished by the treating facility. Every standing order must be recertified by LogistiCare on a quarterly basis. The treating facility will be asked to verify that the member’s information has not changed since the original standing order was created.

The level of service describes the type of service needed to transport a member. A member can travel by one of several levels of service based on their physical needs. See below:

  • Volunteer Drivers - The Volunteer Driver’s perform transportation services strictly as a volunteer in exchange for expense reimbursement on a per mile basis.
  • Mass Transit - Where available and suitable for the physical condition of the member. This will be the mode of transportation for ambulatory members who reside less than 1/2 of a mile from a transit stop and can walk that distance unescorted.
  • Livery - This is a member who is able to walk on their own or with the assistance of a walker or cane and able to be picked up and dropped off at the curb. This is curb-to-curb transportation.
  • Chair Car/Wheelchair - Available to members confined to a wheelchair that due to either physical weakness or mental impairment they must travel with their own wheelchair. If assistance is needed, please inform LogistiCare at the time the reservation is called in! Transportation companies may dispatch a vehicle with just a driver, no attendant.
  • Stretcher - Available to members who cannot transport in a wheelchair due to either a physical weakness or may be bedridden and do not require any monitoring during transport. Stretcher Van transports requires prior authorization by Evercare.
  • Bariatric - Available to members that require specialized services/equipment due to their height & weight. Bariatric transports require prior authorization by Evercare.

The Standing Order Request Form should be faxed to LogistiCare at 888-589-6164.

Standing order forms must be completed by a representative of the facility.

Logisticare must be notified of any temporary or permanent changes to a standing order. Our system will continue to propagate the original information unless we are notified of a change. Our network providers schedule their transports based on the information we send out in their daily manifest. If a facility or member only instructs the transportation provider of changes and not LogistiCare, the member runs the risk of missing their appointment if the transport is assigned to a different provider. By informing LogistiCare about changes to a standing order, it allows us to adjust any changes and ensures that our members are getting the best service available.

Mercy Care Plan

LogistiCare maintains a Facility Department dedicated to handling the needs of nursing homes, hospitals, dialysis centers, case managers, mental health facilities, and substance abuse clinics among others. We have dedicated staff and phone numbers available to book transportation for facilities.

Mercy Care Plan – 800-624-3879 – Follow the prompts for transportation to reach LogistiCare

Mercy Maricopa Integrated Care Plan - 800-564-5465 - Follow the prompts for transportation to reach LogistiCare

To minimize your time on the phone, we suggest that you use the online web portal or the single trip request form when reserving transportation. If using the single trip request form, complete the form and fax to 855-839-8664.

Upon receipt of the form, a facility coordinator will complete the reservation and contact the ordering party with confirmation of the reservation.

*The website contains instructions and forms for arranging a standing order or single trip reservation.

Hospitals contact the member’s insurance carrier and follow the prompts to reach LogistiCare. Dedicated Facility Coordinators are assigned to handle discharges. Once the discharge is arranged, the transportation provider has up to four (3) hours to respond and pick-up the patient.

We recommend contacting LogistiCare at least 3 calendar days prior to the date of transport.

Sudden life threatening medical situations, significant trauma, comas, shock, uncontrolled bleeding, respiratory distress, poisoning, drug overdose and any situation where immediate medical relief or treatment is necessary.

Examples of such trips for Mercy Care Plan (MCP) members include the following:

  • Hospital Discharge
  • Pre-operative appointment
  • Outpatient Surgery
  • Pharmacy Pickup
  • Dialysis / related appointment
  • Appointment for new medical conditions where the member must be seen that day
  • Urgent Care
  • Minute Clinic
  • Admission to nursing homes or hospitals
  • Follow-up appointments
  • Providers with same day appointments available

Examples of such trips for Mercy Maricopa Integrated Care Plan (MMIC) members include the following:

  • Behavioral Health Intervention
  • “Committee Meetings”– only ordered by the Plan
  • Daily Mental Health (MR) Services
  • Psychiatric Services
  • Pharmacy Pickup
  • Appointment for new medical conditions
  • Urgent Care
  • Minute Clinic
  • Group Outings
  • Follow-up appointments
  • Providers with same day appointments available

In the event that a transportation provider is late, LogistiCare maintains 24/7 staff trained to resolve late arrivals. Please contact the appropriate insurance carrier and follow the prompts to reach LogistiCare.

Once their appointment is finished, the member or facility will contact LogistiCare and request transportation be sent to return the member to his or her residence. The transportation provider will be dispatched and will have up to one (1) hour to arrive for the member’s return ride. The member/facility will use the same contact information reserve these transports.

Emergency ambulance trips are not arranged through LogistiCare. If a medical emergency ambulance trip is needed, 911 should be called.

Urgent/same day trips can be booked through LogistiCare. Such trips should be true urgent conditions where a physician is requiring the member be seen the same day or the next day.

 

Yes, if a facility has a transportation provider they prefer, please mention this when scheduling transportation. LogistiCare will note the request on the trip and will do everything they can to honor the facility’s request, depending on availability of the transportation provider and/or if the preferred provider is a participant in the LogistiCare network. Even though the request will be documented, trip assignment will be based on routing criteria that includes provider compliance. LogistiCare does not guarantee that a preferred provider will be assigned based on a request.

Standing order forms can be obtained through the website or by contacting LogistiCare through the appropriate insurance carrier.

https://facilityinfo.logisticare.com/azfacility/Downloads.aspx

Reservations can be made via the online web portal, telephone or fax. Single Trip Request Forms for the various members can be submitted up to 30 days in advance.

To eliminate the need to arrange trips for members who have two or more trips to the same facility each week for a month or more, a standing order form and process has been created. This allows a facility to arrange trips in advance for a member scheduled for treatment two days or more a week to the same location. Examples include: dialysis, wound care, mental health, adult day care, and medication management.

A Standing Order will be created and inserted into our system. Our system will propagate the information based on the schedule furnished by the treating facility and/or case manager. Every standing order must be recertified by LogistiCare on a quarterly basis. The treating facility will be asked to verify that the member’s information has not changed since the original standing order was created.

The level of service describes the type of service needed to transport a member. A member can travel by one of several levels of service based on their physical needs. See below:

Mileage Reimbursement – Reserved for members utilizing their own personal vehicles to travel to and from medical appointments. Advanced notice must be provided to LogistiCare in order to be eligible for reimbursement.

Volunteer Drivers - The Volunteer Driver’s perform transportation services strictly as a volunteer in exchange for expense reimbursement on a per mile basis.

Mass Transit - Where available and suitable for the physical condition of the member. This will be the mode of transportation for ambulatory members who reside less than 1/2 of a mile from a transit stop and can walk that distance unescorted.

Ambulatory/Livery - This is a member who is able to walk on their own or with the assistance of a walker or cane and able to be picked up and dropped off at the curb. This is curb-to-curb transportation.

Chair Car/Wheelchair - Available to members confined to a wheelchair that due to either physical weakness or mental impairment they must travel with their own wheelchair. If assistance is needed, please inform LogistiCare at the time the reservation is called in. Transportation companies may dispatch a vehicle with just a driver, no attendant.

Stretcher - Available to members who cannot transport in a wheelchair due to either a physical weakness or may be bedridden and do not require any monitoring during transport.

The Standing Order Request Form should be faxed to LogistiCare at 855-839-8664.

Standing order forms must be completed by a representative of the facility and/or case manager.

LogistiCare must be notified of any temporary or permanent changes to a standing order. Our system will continue to propagate the original information unless we are notified of a change. Our network providers schedule their transports based on the information we send out in their daily manifest. If a facility or member only instructs the transportation provider of changes and not LogistiCare, the member runs the risk of missing their appointment if the transport is assigned to a different provider. By informing LogistiCare about changes to a standing order, it allows us to adjust any changes and ensures that our members are getting the best service available.

Mercy Maricopa Integrated Care Plan

LogistiCare maintains a Facility Department dedicated to handling the needs of nursing homes, hospitals, dialysis centers, case managers, mental health facilities, and substance abuse clinics among others. We have dedicated staff and phone numbers available to book transportation for facilities.

Mercy Care Plan – 800-624-3879 – Follow the prompts for transportation to reach LogistiCare

Mercy Maricopa Integrated Care Plan – 800-564-5465 – Follow the prompts for transportation to reach LogistiCare

To minimize your time on the phone, we suggest that you use the online web portal or the single trip request form when reserving transportation. If using the single trip request form, complete the form and fax to 855-839-8664.

Upon receipt of the form, a facility coordinator will complete the reservation and contact the ordering party with confirmation of the reservation.

*The website contains instructions and forms for arranging a standing order or single trip reservation.

Hospitals contact the member’s insurance carrier and follow the prompts to reach LogistiCare. Dedicated Facility Coordinators are assigned to handle discharges. Once the discharge is arranged, the transportation provider has up to four (3) hours to respond and pick-up the patient.

We recommend contacting LogistiCare at least 3 calendar days prior to the date of transport

Sudden life threatening medical situations, significant trauma, comas, shock, uncontrolled bleeding, respiratory distress, poisoning, drug overdose and any situation where immediate medical relief or treatment is necessary.

Examples of such trips for Mercy Care Plan (MCP) members include the following:

  • Hospital Discharge
  • Pre-operative appointment
  • Outpatient Surgery
  • Pharmacy Pickup
  • Dialysis / related appointment
  • Appointment for new medical conditions where the member must be seen that day
  • Urgent Care
  • Minute Clinic
  • Admission to nursing homes or hospitals
  • Follow-up appointments
  • Providers with same day appointments available

Examples of such trips for Mercy Maricopa Integrated Care Plan (MMIC) members include the following:

  • Behavioral Health Intervention
  • “Committee Meetings”– only ordered by the Plan
  • Daily Mental Health (MR) Services
  • Psychiatric Services
  • Pharmacy Pickup
  • Appointment for new medical conditions
  • Urgent Care
  • Minute Clinic
  • Group Outings
  • Follow-up appointments
  • Providers with same day appointments available

In the event that a transportation provider is late, LogistiCare maintains 24/7 staff trained to resolve late arrivals. Please contact the appropriate insurance carrier and follow the prompts to reach LogistiCare.

Once their appointment is finished, the member or facility will contact LogistiCare and request transportation be sent to return the member to his or her residence. The transportation provider will be dispatched and will have up to one (1) hour to arrive for the member’s return ride. The member/facility will use the same contact information reserve these transports.

Emergency ambulance trips are not arranged through LogistiCare. If a medical emergency ambulance trip is needed, 911 should be called.

Urgent/same day trips can be booked through LogistiCare. Such trips should be true urgent conditions where a physician is requiring the member be seen the same day or the next day.

 

Yes, if a facility has a transportation provider they prefer, please mention this when scheduling transportation. LogistiCare will note the request on the trip and will do everything they can to honor the facility’s request, depending on availability of the transportation provider and/or if the preferred provider is a participant in the LogistiCare network. Even though the request will be documented, trip assignment will be based on routing criteria that includes provider compliance. LogistiCare does not guarantee that a preferred provider will be assigned based on a request.

Standing order forms can be obtained through the website or by contacting LogistiCare through the appropriate insurance carrier.

https://facilityinfo.logisticare.com/azfacility/Downloads.aspx

Reservations can be made via the online web portal, telephone or fax. Single Trip Request Forms for the various members can be submitted up to 30 days in advance.

To eliminate the need to arrange trips for members who have two or more trips to the same facility each week for a month or more, a standing order form and process has been created. This allows a facility to arrange trips in advance for a member scheduled for treatment two days or more a week to the same location. Examples include: dialysis, wound care, mental health, adult day care, and medication management.

A Standing Order will be created and inserted into our system. Our system will propagate the information based on the schedule furnished by the treating facility and/or case manager. Every standing order must be recertified by LogistiCare on a quarterly basis. The treating facility will be asked to verify that the member’s information has not changed since the original standing order was created.

The level of service describes the type of service needed to transport a member. A member can travel by one of several levels of service based on their physical needs. See below:

Mileage Reimbursement – Reserved for members utilizing their own personal vehicles to travel to and from medical appointments. Advanced notice must be provided to LogistiCare in order to be eligible for reimbursement.

Volunteer Drivers - The Volunteer Driver’s perform transportation services strictly as a volunteer in exchange for expense reimbursement on a per mile basis.

Mass Transit - Where available and suitable for the physical condition of the member. This will be the mode of transportation for ambulatory members who reside less than 1/2 of a mile from a transit stop and can walk that distance unescorted.

Ambulatory/Livery - This is a member who is able to walk on their own or with the assistance of a walker or cane and able to be picked up and dropped off at the curb. This is curb-to-curb transportation.

Chair Car/Wheelchair - Available to members confined to a wheelchair that due to either physical weakness or mental impairment they must travel with their own wheelchair. If assistance is needed, please inform LogistiCare at the time the reservation is called in. Transportation companies may dispatch a vehicle with just a driver, no attendant.

Stretcher - Available to members who cannot transport in a wheelchair due to either a physical weakness or may be bedridden and do not require any monitoring during transport.

The Standing Order Request Form should be faxed to LogistiCare at 855-839-8664.

Standing order forms must be completed by a representative of the facility and/or case manager.

LogistiCare must be notified of any temporary or permanent changes to a standing order. Our system will continue to propagate the original information unless we are notified of a change. Our network providers schedule their transports based on the information we send out in their daily manifest. If a facility or member only instructs the transportation provider of changes and not LogistiCare, the member runs the risk of missing their appointment if the transport is assigned to a different provider. By informing LogistiCare about changes to a standing order, it allows us to adjust any changes and ensures that our members are getting the best service available.