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L.A. Care Health PlanMedicaid · Coverage · Provider Communication · CAMedium impact

Preventive Care Connections - Transportation

Act
immediately
Effective date
Not stated in the notice
Identified
Sep 10, 2026

Summary

L.A. Care Health Plan has launched a new transportation benefits program for Medi-Cal members, offering Non-Medical Transportation (NMT) for ambulatory patients and Non-Emergency Medical Transportation (NEMT) for patients with medical/physical conditions preventing safe use of standard transportation. NEMT requires a Physician Certification Statement (PCS) form submitted within 24 hours. This is an informational policy explaining existing benefits and provider/member resources; it does not establish new billing codes or change reimbursement.

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What to do

immediately · 9 steps
01Educate clinical and scheduling staff about transportation benefits availability.
021) Brief all team members on NMT vs. NEMT distinction and eligibility criteria (ambulatory vs. medical condition).
032) Add transportation barrier screening to patient intake/scheduling workflows—ask patients if they have reliable transportation to appointments.
043) For providers: When NEMT is clinically appropriate, complete the PCS form (https://www.lacare.org/sites/default/files/la6957_pcs_form_202508.pdf) and submit to L.A.
05Care's UM Department within 24 hours of the NEMT trip.
064) Create practice quick reference: Provider line (877) 431-2273 for scheduling NMT/NEMT; Member Services (888) 839-9909 for member inquiries.
075) Advise patients to request transportation at least 2 business days before appointments.
08Billing team: Monitor claims for any denial patterns related to transportation-dependent appointments and flag to care coordination.
09No billing workflow changes required at this time—transportation is a member benefit, not a billable service.

Original notice

Preventive Care Connections - Transportation
lacare.org · Always check the source before changing claims.
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