Maine Facility Network

Maine Facility Network

Downloads

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 TitleDescription
Expense FormExpense Reimbursement form for authorized meals and lodging
Expense Instruction LetterInstructions on reimbursement for meals and lodging expenses for authorized travel and escorts
Facility EDI FormFacility EDI Form
Maine Facility PresentationMaine Facility Presentation
Maine Single Trip Request FormMaine Single Trip Request Form
Member Services Website RegistrationThe Member Services Website (MSW) was designed to help the member request and manage their own non-emergency trips online, eliminating the need to call the LogistiCare Call Center.
Mileage Reimbursement FormMileage Reimbursement Form
Mileage Reimbursement Instruction LetterMileage Reimbursement Instruction Letter
Standing Order Request FormStanding Order Request Form

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