Rhode Island Facility Network

Rhode IslandFacility Network

Downloads

Please click on the title that corresponds to the document you would like to view, and then click on print or download as necessary.

 TitleDescription
What LogistiCare is responsible for in Rhode IslandKey terms, phone numbers, and explanations for services provided by LGTC in Rhode Island
Member Responsibilities and ConductWhat is expected of you
Webinar for healthcare and other facilitiesPresentation to healthcare and other facilities to introduce LGTC
Standing order cancellation formTo request a cancellation of a requested NEMT standing order
RI Level of Service FormRI Level of Service Form
Quality transportation servicesWhat should be expected from NEMT services
Physician Transportation Restriction FormPhysician Transportation Restriction Form
Announcement about LGTC from the State of Rhode IslandIntroduction letter about LGTC management of NEMT
Overview of ADA paratransit servicesADA paratransit service is managed by RIPTA not LGTC
RI Single Trip RequestRI Single Trip Request
Facility services web portal user’s formRequest Form to Setup an Administrator Account for Requesting Transportation Online
Need a Medicaid Ride (English)?A brief description for members about getting rides, in English.
RI Standing Order Central FormRI Standing Order Central Form
Need a Medicaid Ride (Haitain Creole)?A brief description for members about getting rides, in Haitian Creole.
Need a Medicaid Ride (Portuguese)?A brief description for members about getting rides, in Portuguese.
Need a Medicaid Ride (Russian)?A brief description for members about getting rides, in Russian.
Need a Medicaid Ride (Spanish)?A brief description for members about getting rides, in Spanish.
Covered ServicesCovered services provided by LGTC in Rhode Island

Click the button below to download a free PDF reader if no PDF reader is currently installed.

Download Adobe Acrobat Reader