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MedicaidAdministrativeMedium impact

MTM Health To Provide Medical Transportation for Medicaid Members

BCBS Texas·TX·Government Programs
Effective date
Oct 1, 2026
We identified it
Jun 27, 2026
Days to comply
96 days

Summary

Effective October 1, 2026, MTM Health will replace Modivcare as the sole nonemergency medical transportation provider for Medicaid members. Eligible patients must contact MTM Health to request services, though recurring trips and pre-scheduled trips after Oct 1 will automatically transfer. The billing team should monitor for any associated billing or prior authorization requirement changes.

Action Required

Before Oct 1, 2026
By September 15, 2026: Billing and front-desk staff must update patient education materials, forms, and phone system to reflect MTM Health as the new nonemergency medical transportation provider for Medicaid members. Communicate the transition to patients during visits and through outreach; direct them to contact MTM Health at 877-831-3148 or via the MTM Link mobile app for transportation requests effective Oct 1. Confirm with your provider relations representative whether any billing codes, prior authorization workflows, or claim submission processes require updates for MTM Health. No immediate action required for recurring trips already scheduled, as MTM Health will honor them automatically.