# How to Fill Out a CMS-1500 for NEMT Claims in 2027: A Box-by-Box Guide

Canonical URL: https://nemtguide.com/guides/cms-1500-for-nemt/ · Updated 2026-09-28

To bill a NEMT trip on the CMS-1500, mark Medicaid in box 1, copy the rider's Medicaid ID into 1a, and put the trip authorization in box 23. In box 24, bill a base-rate line and a mileage line, with modifiers in 24D and the trips or loaded miles as units in 24G. Your NPI goes in 33a, and your state manual decides the rest.

- The CMS-1500 is the national paper claim, version 02/12, and the NUCC manual (version 13.0, July 2025) explains every box.
- A NEMT trip usually takes two lines in box 24: a base-rate code with trips as units, and a mileage code with loaded miles as units.
- States differ on the details: modifiers, rounding, diagnosis codes, place of service, and where the trip addresses go.
- Paper claims must be original red forms, typed cleanly, with no labels, highlighter, or correction fluid.
- Arizona and Texas prefer the electronic version, the 837P, which carries the same information.

The CMS-1500 is the standard paper claim for professional services, and many state Medicaid programs use it for transportation too. It was built for doctors' offices, so a few boxes mean something different on a NEMT trip. This guide walks through every box for a van ride, then shows where state rules split.

## What the CMS-1500 is and who takes it for NEMT

The form is officially the 1500 Health Insurance Claim Form, version 02/12. The National Uniform Claim Committee (NUCC) maintains it, and it has been in use since April 1, 2014. It carries the federal form number OMB 0938-1197. The NUCC reference manual explains each box and is updated every July. As of September 2026, the current manual is version 13.0 from July 2025.

The NUCC manual is general. It says payers issue their own instructions, and those win. So keep two documents open: the NUCC manual and your payer's billing manual.

| Payer | Takes the CMS-1500 for NEMT? | What else it needs |
|---|---|---|
| Arizona AHCCCS fee-for-service | Yes, or its web portal or the 837P, which it prefers | The AHCCCS Daily Trip Report with every NEMT claim |
| Medi-Cal fee-for-service | Yes | An approved Treatment Authorization Request (TAR) and a written prescription |
| Indiana fee-for-service | Yes, as the professional claim | Brokered trips are billed to Verida instead |
| Texas Medical Transportation Program | Yes, for demand response providers, including rideshare companies | Individual transportation participants use Form H3017 instead |
| South Dakota community transportation | Yes, or the 837P | Your usual and customary charge on every line |
| New York | No. Paper claims use the state's eMedNY-000201 (Form A) | The prior authorization number from the transportation roster |

Some brokers skip paper entirely. MTM Health's Virginia handbook (approved August 10, 2026) requires an electronic trip log for every claim, tied to the trip ID MTM assigned, and denies claims missing any of its required details. See [how to bill NEMT brokers](https://nemtguide.com/guides/how-to-bill-nemt-brokers/) for broker portals, and the 837P for the electronic version of this form.

## What you need before you fill it in

Gather these for each trip first. Each one belongs in a box, and a blank required box can send the claim back.

| You need | Where it goes | Where to get it |
|---|---|---|
| The rider's Medicaid ID, name, and birth date | Boxes 1a, 2, and 3 | The eligibility check for the date of service |
| The trip authorization or prior authorization number | Box 23 | The state, broker, or health plan that approved the trip |
| The ordering practitioner's name and NPI, where required | Boxes 17 and 17b | The prescription or order for the trip |
| A diagnosis code, where required | Box 21 | The order, or the default code your state names |
| Pickup and drop-off addresses, times, and loaded miles | Boxes 19, 24G, and sometimes 32 | Your [trip log](https://nemtguide.com/templates/nemt-trip-log-template/) |
| The HCPCS codes and modifiers for the date of service | Box 24D | Your state fee schedule and [NEMT billing codes](https://nemtguide.com/guides/nemt-billing-codes/) |
| Your EIN, NPI, taxonomy code, and Medicaid provider ID | Boxes 25, 33a, and 33b | IRS, NPPES, and your enrollment approval |

Federal rule 42 CFR 431.107 requires every Medicaid provider that is eligible for an NPI to put it on all claims. If you do not have one yet, see [how to get an NPI number for NEMT](https://nemtguide.com/guides/how-to-get-an-npi-number-for-nemt/). A few programs let transportation providers without an NPI use a state-issued number instead. Arizona accepts its AHCCCS ID from atypical provider types that have no NPI on file, and Texas assigns an atypical provider identifier (API) to individual transportation participants and rideshare companies.

## Box by box: the rider and payer boxes (1 to 13)

The top half describes the rider and their coverage. For a Medicaid-only rider, most of it is short. The NUCC treats a person with their own member ID as the insured, so the rider fills the "insured" boxes, and state manuals add their own requirements on top.

| Box | What to enter | NEMT notes |
|---|---|---|
| Carrier block | The payer's name and claims mailing address, top right | Use the claims address in your payer's manual |
| 1 | An X in "Medicaid" | Only one box can be marked |
| 1a | The rider's Medicaid ID exactly as on the card | Texas wants the 10-digit number from the MTP authorization form. Arizona wants the AHCCCS ID, not a behavioral health number. |
| 2 | Rider's name: last, first, middle initial, with commas and no periods | The NUCC lets you skip it when the rider is the insured, but Arizona and Texas require it, so fill it in. Texas wants the name as printed on the MTP authorization form. |
| 3 | Birth date as MM DD YYYY, and sex | Arizona requires the birth date |
| 4 and 7 | Insured's name and address | Under the NUCC rules the rider is the insured here. Arizona does not require either box, so follow your manual. |
| 5 | The rider's permanent home address, no punctuation | The NUCC says not to use a temporary address. Trip addresses go in box 19. |
| 6 | Relationship to insured | "Self" when the rider has their own Medicaid ID |
| 8, 9b, 9c | Reserved for NUCC use | Leave blank |
| 9, 9a, 9d | The other insurance, only if box 11d is Yes | Name, policy number, and plan name |
| 10a to 10c | Whether the condition relates to work, an auto accident, or another accident | A Yes tells the payer another insurer may pay first |
| 10d | Claim codes | Blank unless your payer asks |
| 11 to 11c | Insured's policy or group number, birth date, other claim ID, and plan name | Medi-Cal does not use 11, 11a, or 11b. Arizona needs them only if they apply. |
| 11d | Another health benefit plan? | Mark Yes if the rider has other coverage, then complete 9, 9a, and 9d |
| 12 and 13 | "Signature on File" or "SOF" | Arizona requires box 12, any handwritten signature in black pen, and box 13 for members under 18. Medi-Cal does not require either box. |

## Box by box: the claim and provider boxes (14 to 33)

The bottom half holds the trip itself, your identifiers, and the money.

| Box | What to enter | NEMT notes |
|---|---|---|
| 14, 15, 16, 18 | Illness, other, work, and hospital dates | Usually blank for NEMT unless your payer asks |
| 17 | Name of the referring or ordering provider, with qualifier DN (referring), DK (ordering), or DQ (supervising) | Medi-Cal wants the physician who wrote the required prescription |
| 17a and 17b | That provider's other ID and NPI | Medi-Cal wants the prescribing physician's NPI in 17b |
| 19 | Additional claim information, 71 characters | Trip addresses and times in many states. See the address section below. |
| 20 | Outside lab | Leave blank |
| 21 | ICD indicator 0 and up to 12 diagnosis codes, no decimal points | Arizona returns claims with a blank indicator. Indiana wants R69 when the diagnosis is unknown, and Texas recommends Z753. Medi-Cal needs no diagnosis on a claim that bills only transportation. |
| 22 | Resubmission code 7 (replacement) or 8 (void) and the original reference number | Leave blank on a first claim. Medi-Cal uses this box for Medicare status codes instead. |
| 23 | Prior authorization number, no hyphens or spaces | Medi-Cal puts the TAR number here, and Texas the MTP authorization number. Arizona matches authorizations on its own, so it does not require one here. |
| 24A to 24J | The service lines | See the next section |
| 25 | Your EIN, with the EIN box marked | No hyphens. Arizona takes an SSN only when the provider has no tax ID. |
| 26 | Your own account number for the claim, up to 14 characters | Arizona prints it on the remittance, so a trip number here makes payments easy to match |
| 27 | Accept assignment | Texas requires Yes. The NUCC says to answer it for all payers. |
| 28 | Total of all 24F charges | No dollar signs or commas, with the cents in the right-hand space |
| 29 | Amount paid by other payers | Never the amount you expect from Medicaid |
| 30 | Reserved | Leave blank |
| 31 | Signature and date | Arizona accepts a rubber stamp. Medi-Cal requires an original signature in black ballpoint pen, with no stamps. Texas lets a billing service print "Signature on File" if it holds a signed letter from you allowing it. |
| 32, 32a, 32b | Where the service happened, with a 9-digit ZIP code | Medi-Cal wants trip addresses here too, and a hospital's address and NPI when an inpatient rides out and back |
| 33 | Your billing name, street address, 9-digit ZIP code, and phone | Use a physical street address, not a PO box |
| 33a | Your billing NPI | Your organization's Type 2 NPI. See NPI type 1 vs type 2. |
| 33b | A qualifier and another ID, such as ZZ and your taxonomy code | Texas and Medi-Cal ask for the taxonomy code here. Medi-Cal's atypical providers put their Medi-Cal provider number here instead. Arizona wants its AHCCCS ID here and the taxonomy code in 24J. |

### Which taxonomy code a NEMT company uses

A taxonomy code says what kind of provider you are. It comes from the NUCC code set, which had no changes in its July 2026 update. In box 33b, put it right after the qualifier ZZ with no space. In box 24, ZZ goes in 24I and the code goes in the shaded part of 24J.

| Code | NUCC name | Who uses it |
|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | NEMT van companies, including wheelchair vans |
| 344600000X | Taxi | Taxi companies |
| 343800000X | Secured Medical Transport (VAN) | Vans with added restraints and staff trained for riders in a mental health or substance use crisis |
| 347C00000X | Private Vehicle | Individuals paid to drive their own car |
| 342000000X | Transportation Network Company | Rideshare companies |
| 3416L0300X | Ambulance, Land Transport | Ground ambulance |

Your enrollment decides which one you use, and a payer can name its own. Texas's Medical Transportation Program handbook (September 2026) gives two answers: 343800000X for demand response providers in its code table, and 347C00000X in its list of codes for all MTP claims. Confirm your code with TMHP before you bill Texas. See [NEMT taxonomy code](https://nemtguide.com/glossary/taxonomy-code/) for more, and use the same code your NPI record and Medicaid enrollment show.

## Box 24: the service lines for a NEMT trip

Box 24 has six lines. Each line has a white part for the service and a shaded strip above it for extra details your payer asks for. A NEMT trip usually takes two lines:

1. **A base-rate line** for the ride, such as [A0130](https://nemtguide.com/glossary/a0130/) for a wheelchair van.
2. **A mileage line** for the [loaded miles](https://nemtguide.com/glossary/loaded-miles/), such as [S0209](https://nemtguide.com/glossary/s0209/) for wheelchair van miles.

Some states add a third line for wait time. Arizona wants all of a rider's trips for one day on one claim: the base rate on line 1, loaded miles on line 2, and wait time on line 3. Any additional lines deny, and a base-only claim plus a separate mileage-only claim deny as split billing.

| Box | What to enter | NEMT notes |
|---|---|---|
| 24A | Date of service, From and To | Put each date of service on its own lines. Arizona does not accept date-span bulk billing for dialysis rides. |
| 24B | A two-digit place of service code | Use your payer's code. See below. |
| 24C | Emergency indicator | Leave blank. It marks emergency services. |
| 24D | The HCPCS code and up to four two-character modifiers | No descriptions, just codes |
| 24E | The letter from box 21 that the line relates to, such as A | No commas between letters |
| 24F | Your charge for the line, all units together | Medi-Cal and South Dakota want your usual and customary charge |
| 24G | Units, up to 3 digits | Trips on the base line, miles on the mileage line |
| 24H | EPSDT or family planning | Leave blank unless your payer asks |
| 24I and 24J | Rendering provider qualifier and ID | The NUCC says to use them only when the rendering provider differs from box 33. Arizona wants the rendering NPI in 24J and the taxonomy in the shaded part, with ZZ in 24I. |

**Place of service.** The NUCC points to the CMS place of service list, last updated May 2, 2024. That list has no code for a van. Code 41 is a land ambulance and 99 is "other place of service." Payers pick their own: Texas recommends 09 on paper Medical Transportation Program claims and 99 in its online portal, TexMedConnect. On the CMS list, 09 means a prison or correctional facility, so use it only where your payer tells you to. Medi-Cal uses 21 when a hospital inpatient rides to an appointment and back. See place of service code for NEMT.

### Units: trips and miles

| Payer | Base-rate line (24G) | Mileage line (24G) |
|---|---|---|
| NUCC general rule | 1 when one service was given | Decimals are allowed |
| Arizona fee-for-service | The number of trips that day | Total loaded miles for the day, supported by odometer readings |
| Medi-Cal fee-for-service | 2 for a round trip on one line, or one line or one claim per leg | Total miles from pickup to destination, plus the return |
| Indiana fee-for-service | 1 for a one-way trip, 2 for a round trip on one line | Both legs on one line, in whole miles rounded to the nearest mile. 15.5 miles is billed as 16. |
| South Dakota | One unit per one-way trip, with extra trips that day on a second line with modifier 59 | Whole numbers, standard rounding, and mileage on only one rider's claim when several ride together |

Indiana adds one more rule: it deducts the first 10 miles of each one-way ambulatory or wheelchair trip itself, so bill all the miles and let the state subtract them. For how payers count billable miles, see [NEMT mileage billing](https://nemtguide.com/guides/nemt-mileage-billing/).

### Modifiers

Box 24D holds up to four modifiers per line. The letters that show where a trip started and ended are covered in [origin and destination modifiers](https://nemtguide.com/glossary/origin-destination-modifiers/).

| Payer | Modifiers on NEMT lines |
|---|---|
| Indiana | An origin and destination pair, such as RJ for home to a freestanding dialysis center, on both the base and mileage lines. Mileage uses A0425 with U3 for ambulatory rides or U5 for wheelchair rides. |
| Medi-Cal | Up to four per line, and they must match the approved TAR. Modifier 99 is not allowed with NEMT codes. On shared wheelchair van trips, UN (two patients) through US (six or more) go on the first rider's claim. |
| Arizona | TN on trips that start outside the Phoenix and Tucson metro areas |
| South Dakota | TK for an additional rider, TN for a trip outside city limits, and 59 for multiple trips the same day |

### Several trips for one rider on the same day

A second trip on the same date can look like a duplicate. Payers disagree on how to mark it.

- **Medi-Cal.** Enter the time of day and destination for each trip in box 19. Modifier 76 may be added to each code, and without this information a later trip may deny as a duplicate.
- **Indiana.** A simple round trip at one level of service goes on one line with 2 units. Any other trip that day goes on its own line, and since bulletin BT2025119 (August 19, 2025), each of those lines gets modifier XE, not 76. Do not use XE for the legs of a trip where the driver waited, because Indiana counts that as one trip.
- **South Dakota.** Use modifier 59 for multiple trips the same day.
- **Arizona.** Put all trips on one claim, with total trips on line 1 and total loaded miles on line 2.

## Where the pickup and drop-off addresses go

Payers that pay mileage want to see where the miles came from. Medi-Cal asks for full addresses whenever mileage is billed, and Arizona requires them on every NEMT claim.

- **Arizona.** Since November 1, 2022, every NEMT claim must include pickup and drop-off addresses for all trips. On paper, they go in box 19 as street address and ZIP code only, with no city or state: `P- 1234 E Berry St 85000, D- 678 N Town St 85222`. Electronic and portal claims use the Additional Information field. The Daily Trip Report is still required.
- **Medi-Cal.** When you bill mileage, the complete origin and destination addresses, with city and ZIP code, go in box 19 or on an attachment. They should also go in box 32. If the details do not fit, type them on an 8½ by 11 inch sheet and attach it.
- **South Dakota.** The origin and destination go in box 19, or the same field on the 837P.

## A filled-in example: one round trip to dialysis

A wheelchair rider goes from home to a freestanding dialysis center and back on one day. The driver drops the rider off and returns later. Each leg is 12 loaded miles. The distances are example numbers.

| Box | Arizona fee-for-service (Phoenix) | Medi-Cal fee-for-service |
|---|---|---|
| 17 and 17b | Blank. Transportation is not on AHCCCS's list of services that need an ordering provider. | The prescribing physician's name and NPI |
| 19 | P- and D- street and ZIP for each trip | Pickup time for each trip, plus full addresses with city and ZIP |
| 21 | ICD indicator 0 and at least one ICD-10 code | Can stay blank, because the claim bills only transportation |
| 23 | Blank. AHCCCS matches any authorization on file. | The TAR number |
| Line 1, 24D and 24G | A0130, 2 units | A0130, 2 units |
| Line 2, 24D and 24G | S0209, 24 units | A0380, 24 units |
| 32 | Only if it applies. The trip addresses go in box 19. | Origin and destination addresses with ZIP codes |
| Attachments | The AHCCCS Daily Trip Report | Anything that did not fit in box 19 |

The same trip uses a different mileage code in each state. Medi-Cal bills wheelchair and litter van miles with A0380, while Arizona uses S0209. The trip starts in the Phoenix metro area, so Arizona needs no TN modifier, and the day stays under 100 miles, so it needs no prior authorization. For Arizona's rates on this trip, see [how to bill Medicaid for NEMT](https://nemtguide.com/guides/how-to-bill-medicaid-for-nemt/).

## Paper claim rules that get claims sent back

Scanners read paper claims, so small things return them unprocessed.

1. **Use original printed forms.** The form is printed in red "dropout" ink that scanners ignore. Medicare's claims manual says photocopies are not acceptable, Medi-Cal requires vendor forms with red dropout ink, and Texas tells MTP providers not to use copies. Arizona returns claims it cannot read, and the resubmission must be on a new red form, not a black and white copy. Order forms from a forms supplier or the U.S. Government Publishing Office at 866-512-1800, as the NUCC lists.
2. **Type in black, in capitals, inside the boxes.** Texas asks for black ink, no markers, no red ink or highlighters, all capital letters, and 12-point Courier, with a laser printer for best results. Do not use dashes or slashes in dates. Arizona warns that text printed out of alignment with the boxes gets misread and rejected.
3. **Keep it clean.** Arizona rejects claims with highlighter or color marks, correction fluid, correction tape, labels, or stamps, except a stamped signature in box 31. Medi-Cal does not take stamped signatures at all. To delete a wrong service line on a Medi-Cal claim, draw one line through it in blue or black ballpoint pen and use another line.
4. **Fill page 1 first.** Arizona wants all six lines on page 1 filled before a second page. The NUCC says to split any claim over 50 lines and repeat the diagnosis codes from page 1 on each page. Texas says not to total the charges on each page of a multi-page claim.
5. **Attach carefully.** Texas asks for paper clips, not staples, glue, or tape, with the claim form on top and the pages numbered. Mail flat in a 10 by 13 inch envelope.
6. **Keep a copy** of every claim and attachment you mail.

Electronic claims avoid most of this. Arizona names the 837P its preferred method, then its online portal, and prefers the portal for replacement and void claims. See how to submit NEMT claims electronically.

## Fixing a CMS-1500 you already sent

Do not send the same claim again as new. Indiana treats a resubmission without corrections as a duplicate, which denies for the same reason as the first.

- **Replace it.** Put 7 in box 22 with the payer's original claim number, and send the full corrected claim.
- **Void it.** Put 8 in box 22 with the original number when the trip should not have been billed.
- **Follow your payer's version.** Arizona takes A or 7 in box 22 with its Claim Reference Number. The replacement must repeat every line of the original, or Arizona recoups the paid lines you left off, and it must carry the documents again.
- **Medi-Cal works differently.** Its box 22 holds Medicare status codes, not replacement codes. To fix a claim, send a Claims Inquiry Form within six months of the denial or payment date on the remittance, or void and resubmit the claim electronically.

See corrected NEMT claims for the full process, and [NEMT claim denials](https://nemtguide.com/guides/nemt-claim-denials/) for what each denial code means. When the payer made the mistake, see [how to appeal a denied Medicaid claim](https://nemtguide.com/guides/appeal-denied-nemt-claim/).

## CMS-1500 mistakes that get NEMT claims denied or returned

- A blank ICD indicator next to a diagnosis code in box 21, or a diagnosis code with a decimal point.
- Hyphens or spaces in the authorization number in box 23.
- The base rate and the mileage sent on two separate claims.
- Modifiers that do not match the authorization, such as a Medi-Cal TAR.
- Modifier 76 on a second Indiana trip instead of XE.
- Miles with decimals where the payer wants whole numbers.
- Trip addresses missing from box 19.
- The taxonomy code without the ZZ qualifier, or in a box your payer does not read.
- A photocopied form, highlighter, or correction fluid.
- A missing trip report, such as Arizona's Daily Trip Report, which it requires with every NEMT claim.

## Frequently asked questions

### Can I print a CMS-1500 from a PDF or use a photocopy?

Usually not. The NUCC says the PDF image of the form on its site should not be used to submit claims. Medicare says photocopies are not acceptable, and its printing standards call for red "dropout" ink that scanners read past. Medi-Cal requires vendor forms with red dropout ink, and Texas requires original forms. Buy them from a forms supplier or the U.S. Government Publishing Office at 866-512-1800.

### What taxonomy code does a NEMT company use on the CMS-1500?

The NUCC code for a van company is 343900000X, Non-emergency Medical Transport (VAN). Taxis use 344600000X, and secured transport vans use 343800000X. Some payers name their own: Texas lists 343800000X for demand response providers. Enter the code with the qualifier ZZ, in box 33b or in the shaded part of box 24J with ZZ in 24I, wherever your payer asks. The code set had no changes in its July 2026 update.

### How many units do I bill for a round trip?

On the base-rate line, the units are trips. Medi-Cal and Indiana accept a 2 in box 24G for a round trip billed on one line, and Arizona wants the total trips for the day on line 1. On the mileage line, the units are the loaded miles for both legs together. Indiana and South Dakota want whole miles, rounded to the nearest mile.

### Where do I put the pickup and drop-off addresses on a CMS-1500?

Usually in box 19, Additional Claim Information, which holds 71 characters. Arizona has required pickup and drop-off addresses on NEMT claims since November 1, 2022, written as P- street and ZIP, then D- street and ZIP. Medi-Cal wants full addresses with city and ZIP in box 19 or on an attached sheet, and in box 32 too. South Dakota wants the origin and destination in box 19.

### Do NEMT claims need a diagnosis code in box 21?

In many states, yes. Arizona requires at least one ICD-10 code and returns claims with a blank ICD indicator. Indiana denies transportation claims without a valid diagnosis and tells providers to use R69 when it is not known. Texas recommends Z753. Medi-Cal is the exception: a claim that bills only medical transportation needs no diagnosis code. Enter codes without the decimal point, with 0 as the indicator.

### What goes in box 24J if my company is both the billing and rendering provider?

The NUCC instructions say to fill in 24I and 24J only when the rendering provider differs from the billing provider in box 33. Some payers want it anyway. Arizona asks for the rendering NPI in the unshaded part of 24J and the taxonomy code in the shaded part, with ZZ in 24I. Follow your state manual.

### Can I send a CMS-1500 to a NEMT broker?

It depends on the broker. Some brokers pay only through their own system, tied to the trip ID they assigned. MTM Health's Virginia handbook (approved August 10, 2026) requires an electronic trip log with the trip ID, times, and the member's signature for each claim. Verida in Indiana takes a CMS-1500 for ambulance trips downgraded to NEMT. Check each broker's provider manual.

## Official resources

- [NUCC: 1500 claim form instruction manual (current version)](https://www.nucc.org/index.php/1500-claim-form-mainmenu-35/1500-instructions-mainmenu-42)
- [NUCC: Where to get printed 1500 claim forms](https://www.nucc.org/index.php/1500-claim-form-mainmenu-35)
- [NUCC: Provider taxonomy code set](https://www.nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40/csv-mainmenu-57)
- [CMS: Place of service code set](https://www.cms.gov/medicare/coding-billing/place-of-service-codes/code-sets)
- [AHCCCS: Chapter 5, Billing on the CMS 1500 Claim Form](https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap05.pdf)
- [AHCCCS: Chapter 14, Transportation (NEMT billing and the Daily Trip Report)](https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap14Transportation.pdf)
- [Medi-Cal: Ground transportation billing examples on the CMS-1500](https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=mctrangndex.pdf)
- [Indiana: Transportation Services provider reference module](https://www.in.gov/medicaid/providers/files/modules/transportation-services.pdf)
- [Texas: Medical Transportation Program Handbook](https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2026/2026-09-september/2_14_med_transport_program.pdf)