Medical Facilities
MTM partners with medical facilities in St. Louis, Aitkin, Carlton, and Lake Counties to ensure seamless, successful transportation delivery to Medical Assistance clients. Let us know how we can help you best arrange NEMT services for your patients.
Forms and Other Resources:
- Northern Minnesota NEMT Brochure
- Northern Minnesota NEMT Brochure (Spanish)
- Northern Minnesota NEMT Brochure (Somali)
- Northern Minnesota NEMT Brochure (Hmong)
- Northern Minnesota NEMT Brochure (Karen)
- Gas Mileage Reimbursement Trip Log
- Gas Mileage Reimbursement Trip Log (Spanish)
- Gas Mileage Reimbursement Trip Log (Somali)
- Gas Mileage Reimbursement Trip Log (Hmong)
- Gas Mileage Reimbursement Trip Log (Karen)
- Ancillary Services Form
- Ancillary Services Form (Spanish)
- Ancillary Services Form (Somali)
- Ancillary Services Form (Hmong)
- Ancillary Services Form (Karen)
- Mileage and Access Services Brochure
- Minor Parental Authorization Form
- Minor Parental Authorization Form (Spanish)
- Minor Parental Authorization Form (Somali)
- Minor Parental Authorization Form (Hmong)
- Minor Parental Authorization Form (Karen)
- Medically Necessary Attendant Form
- Medically Necessary Attendant Form (Spanish)
- Medically Necessary Attendant Form (Somali)
- Medically Necessary Attendant Form (Hmong)
- Medically Necessary Attendant Form (Karen)
- Medically Necessary Distance Form
- Medically Necessary Distance Form (Spanish)
- Medically Necessary Distance Form (Somali)
- Medically Necessary Distance Form (Hmong)
- Medically Necessary Distance Form (Karen)
Contact Information:
MTM Community Outreach
CO-MN@mtm-inc.net
Frequently Asked Questions (FAQs)
MTM provides rides for eligible Medicaid clients in the following counties:
- Louis
- Aitkin
- Carlton
- Lake
- Cook
With the exception of hospital discharges and urgent trips, NEMT requests should be received at least three business days prior to the appointment to guarantee accommodation. Requests for hospital discharges and urgent trips will be scheduled immediately.
MTM’s customer service center is open from 7 a.m. to 6 p.m., Monday through Friday for scheduling routine appointments. Additionally, urgent requests and hospital discharges are taken 24 hours a day, seven days a week. Please call 1-844-399-9466 to phone in transportation requests.
An urgent trip is an unscheduled episodic situation in which there is no immediate threat to life or limb, but the client must be seen on the day of the request and treatment cannot be delayed until the next day. This may also include hospital discharges and pharmacy visits.
Yes, MTM can schedule recurring trips, eliminating the need to schedule each trip individually. Recurring trips can be scheduled up to six months at a time.
If a client says s/he is unable to utilize public transportation or mileage reimbursement, a healthcare provider will be required to fill out our Level of Need assessment form. This form communicates the client’s actual needs to MTM for appropriate mode assignment.
If the return time for an appointment is not known at the time of the reservation, MTM will assign the return trip as a will-call trip. In this case, you will call MTM when the client is ready for their ride home. We will dispatch the trip and the transportation provider will arrive within one hour. Call MTM at 1-844-399-9466 to find out the status of a transportation provider’s estimated arrival time.
If you or a client experiences an issue with NEMT, call MTM’s “We Care Line” at 1-866-436-0457 or fill out our convenient online form. We will follow up on all complaints and contact all parties involved in the scheduling and transport to resolve the issue.
