# Health Net Medi-Cal Transportation: Modivcare Rides, PCS Rules, and Medical Group Trips

Canonical URL: https://nemtguide.com/health-plans/health-net-medi-cal/ · Updated 2026-09-30

Health Net Medi-Cal transportation is arranged by Modivcare for members whose doctor is in Health Net's direct network or a shared-risk medical group. Members call Modivcare at 855-253-6863 or Health Net at 1-800-675-6110, at least 48 hours ahead for a wheelchair or gurney ride. Medical groups that carry transportation risk book their own. A NEMT company enrolls in Medi-Cal, then joins Modivcare.

- Modivcare arranges Health Net Medi-Cal rides for members of direct network providers and shared-risk medical groups.
- Dual-risk medical groups and hospitals arrange their own NEMT, so they can hire your company without Modivcare.
- Wheelchair, stretcher, and ambulance rides need 48 hours of notice and a PCS approved by Health Net's Care Ride Unit.
- Members who need help walking, even with a walker or crutches, qualify for NEMT door-to-door rides in Health Net's manual.
- DHCS counted 1,439,001 Health Net Medi-Cal members in August 2026, and 1,072,013 of them live in Los Angeles County.

## Health Net (Medi-Cal) rides at a glance

| Fact | Details |
| --- | --- |
| Who books the rides | Modivcare, at 855-253-6863 for reservations and Where's My Ride, for members of direct network providers and shared-risk medical groups |
| The plan | Health Net Community Solutions, Medi-Cal in 10 counties, with 1,439,001 members in DHCS's August 2026 count, 1,072,013 of them in Los Angeles County |
| Medical groups that book their own | Dual-risk medical groups and hospitals that carry NEMT risk arrange rides with their own transportation provider, including 24-hour access to pharmacies and urgent care |
| Booking notice | Wheelchair, stretcher, and non-emergency ambulance: 48 hours. Sedan or taxi: 24 hours. Rideshare: within 1 hour. Discharges the same day. |
| Reservation hours | Monday to Friday, 7 a.m. to 7 p.m. Pacific for routine rides. Ride help, urgent trips, and after-hours discharges 24 hours a day. |
| PCS form | Health Net form 25-183 (February 2025), faxed to the Care Ride Unit at 833-701-0051 for prior authorization. Set for 60, 90, 180, or 365 days. |
| Walker and cane users | A member who cannot walk or stand without help, even with a walker or crutches, qualifies for NEMT door-to-door service |
| Booking around Modivcare | Medical groups, hospitals, and nursing homes must book through Modivcare. A ride arranged another way risks a denied claim the group or hospital may have to pay. |
| Facility line | Modivcare facility line 866-529-2128, fax 877-601-0535. Online booking needs 5 business days of notice. |
| How to get the trips | Enroll in Medi-Cal through PAVE, then join Modivcare's California network, or contract with a dual-risk medical group or hospital |

Health Net Community Solutions runs Medi-Cal in 10 California counties, from Los Angeles to the Sierra foothills and the Eastern Sierra. DHCS counted 1,439,001 Health Net Medi-Cal members in August 2026. Modivcare arranges rides for members of Health Net's direct network and shared-risk medical groups, while groups that carry the transportation cost book their own, so a van company has more than one way in. Statewide enrollment, van rules, and fee-for-service rates are in the [California guide](https://nemtguide.com/states/california/), and Modivcare's other California plans are on [Modivcare in California](https://nemtguide.com/brokers/modivcare/california/).

## Who arranges a Health Net ride

Health Net's provider manual splits transportation by the medical group, which Health Net calls a participating physician group (PPG), that each member is assigned to. The transportation section was last updated September 10, 2025.

| The member's doctor is with | NEMT (wheelchair, gurney, ambulance) | NMT (car, taxi, rideshare, bus) |
|---|---|---|
| A direct network provider | Modivcare | Modivcare |
| A shared-risk PPG, which handles authorizations but carries no transportation cost | Modivcare | Modivcare |
| A dual-risk PPG or hospital with NEMT risk in its division of financial responsibility | The group's own transportation provider | Health Net, through Modivcare |

Three rules come with the split:

- **Everyone else books with Modivcare.** Every referral source in the Modivcare group, including PPGs, hospitals, and skilled nursing facilities, must call Modivcare. A ride arranged another way can lead to a denied claim that the PPG or hospital may have to pay.
- **Dual-risk groups must deliver.** A group with NEMT risk that does not arrange a ride in time loses it to Health Net, which books the trip and takes a deduction from the group's [capitation](https://nemtguide.com/glossary/capitation/) payment.
- **Around-the-clock rides.** Dual-risk groups and hospitals must give members 24-hour NEMT access to any pharmacy or urgent care that is open 24 hours.

Dual-risk groups give a small company a way to contract directly with the party that pays for the ride. Ask the medical groups and hospitals you already serve whether they carry NEMT risk for Health Net, and who covers their overnight trips.

Two cautions before you take a call. In Los Angeles County the Medi-Cal provider manual lists Health Net "and plan partners," so check the plan and ride line on the member's card. And the same Health Net manual serves two other plans, CalViva Health in Fresno, Kings, and Madera and Community Health Plan of Imperial Valley, whose members have their own Modivcare lines.

## Where Health Net members live

DHCS's managed care enrollment report, published September 11, 2026, counts Health Net's Medi-Cal members by county:

| County | Health Net Medi-Cal members, August 2026 |
|---|---|
| Los Angeles | 1,072,013 |
| Sacramento | 132,562 |
| Tulare | 130,284 |
| Stanislaus | 56,433 |
| San Joaquin | 31,661 |
| Tuolumne | 5,905 |
| Calaveras | 5,559 |
| Amador | 1,808 |
| Inyo | 1,708 |
| Mono | 1,068 |
| Total | 1,439,001 |

About three in four members live in Los Angeles County, where L.A. Care, the larger plan with 2,078,171 members the same month, uses Call the Car instead. See [L.A. Care transportation](https://nemtguide.com/health-plans/la-care-health-plan/) and the [Los Angeles County page](https://nemtguide.com/states/california/los-angeles-county/) for the county and city van permits there. Elsewhere the county mix differs:

- **Tulare.** Health Net's 130,284 members sit beside Anthem Blue Cross's 134,551, and Anthem is also a Modivcare client, so Modivcare books rides for almost every Medi-Cal plan member in the county. Kaiser Permanente has 162 there.
- **Sacramento.** Health Net is one of four plans, with Anthem Blue Cross (229,331 members), Kaiser Permanente (131,742), and Molina Healthcare (62,036). Modivcare also books rides for Anthem, the largest.
- **San Joaquin and Stanislaus.** The larger plan is Health Plan of San Joaquin, with 214,891 and 157,558 members, so apply there as well.

## How members book and how much notice you get

Members book with Modivcare at 855-253-6863 or through Health Net Member Services at 1-800-675-6110 (TTY 711). Health Net's 2026 member handbook asks them to call at least 48 hours ahead, Monday to Friday, for a routine medical ride, and at least 24 hours ahead for a car ride. Modivcare takes routine Medi-Cal reservations Monday to Friday, 7 a.m. to 7 p.m. Pacific time. Routine booking closes on weekends and six national holidays.

Health Net's Modivcare contacts page, updated September 9, 2025, sets the notice by ride type:

| Ride type | Notice Modivcare needs |
|---|---|
| Rideshare, curb to curb | Within 1 hour of the request |
| Sedan or taxi, curb to curb | 24 hours |
| Wheelchair van, including ambulatory door-to-door | 48 hours |
| Stretcher van or non-emergency ambulance | 48 hours |
| Hospital discharge or urgent trip | Same day, with a discharge pickup taking 1 to 4 hours |
| Facility booking on Modivcare's website | 5 business days |

Ride help on the Where's My Ride line, urgent trips, and after-hours discharges run 24 hours a day. Facilities call Modivcare's facility line at 866-529-2128 and fax 877-601-0535. See [curb to curb](https://nemtguide.com/glossary/curb-to-curb/) and [door to door](https://nemtguide.com/glossary/door-to-door/) for what each level asks of your driver.

## The Health Net PCS form and the Care Ride Unit

Every Health Net NEMT ride needs a Physician Certification Statement (PCS) approved by Health Net's Care Ride Unit before Modivcare schedules it. The prescriber faxes Health Net form 25-183, dated February 2025, to 833-701-0051. The Care Ride Unit's phone is 833-236-9695.

- **Codes on the form.** Wheelchair van (A0130), litter or gurney van (T2005, a [stretcher van](https://nemtguide.com/glossary/stretcher-van/)), BLS (A0428), ALS (A0426), and specialty care (A0434) ambulance, and air (A0430 or A0431). A bariatric wheelchair or litter adds height and weight.
- **Air.** Needs Health Net's authorization and a letter of agreement.
- **Length.** The prescriber picks 60, 90, 180, or 365 days, and 365 only for a chronic condition. A new form is needed every 12 months.
- **Who signs.** A physician, dentist, podiatrist, physician assistant, nurse practitioner, certified nurse midwife, or mental health or substance use disorder provider.
- **No changes.** Neither Health Net nor Modivcare may modify the form once it is sent, so a rider who now needs a gurney needs a new form.

Health Net's PCS form reminds prescribers that a member who cannot walk or stand without help, including one using a walker or crutches, gets NEMT and a wheelchair van. Health Net's manual calls this ambulatory door-to-door, and Modivcare needs the same 48 hours of notice for it as for any wheelchair ride. So these riders land in your wheelchair van, with a PCS on file.

For recurring care, such as dialysis, Health Net's manual says its Medi-Cal contract has it authorize NEMT for the whole series, up to 12 months, with a standing order that guarantees assigned rides. Modivcare's California facility page describes a standing order as one request for a member who attends a program two or more days a week for at least 3 months. See [NEMT standing orders](https://nemtguide.com/guides/nemt-standing-orders/).

Rides without a PCS, the NMT group, include rideshare, sedan, taxi, paratransit such as Access, bus, and mileage reimbursement. A member who uses a folding wheelchair and moves in and out of the car alone can take a rideshare, and one who needs help moves up to a wheelchair van under NEMT.

## How your company gets Health Net trips

1. **Enroll in Medi-Cal through PAVE.** DHCS All Plan Letter 22-008 lets a plan keep a company whose enrollment is pending for only 120 days. The steps are in the [California guide](https://nemtguide.com/states/california/).
2. **Join Modivcare's California network.** Send its Become a Transportation Provider form. [Modivcare in California](https://nemtguide.com/brokers/modivcare/california/) covers the form, the insurance and driver checks, and the other plans it brings.
3. **Call the dual-risk groups and hospitals.** They need their own transportation provider for Health Net members, around the clock for pharmacy and urgent care trips.
4. **Work the facilities.** Dialysis clinics and nursing homes must book Health Net rides through Modivcare, so give them the facility line and ask them to set up standing orders.
5. **Get local permits where you drive.** In Los Angeles County that means the County ambulette license or City of Los Angeles LADOT permits, depending on where each pickup starts.

Modivcare pays you the rate in your agreement, and a dual-risk group pays what your contract with it says. Compare both with the Medi-Cal fee-for-service maximums in the California guide. See [contracting with Medicaid health plans](https://nemtguide.com/guides/contract-with-medicaid-health-plans/).

## What to do first

1. **Find your counties** in the member table, and note which ones you can reach.
2. **Check your PAVE enrollment** and the 120-day limit if it is still pending.
3. **Apply to Modivcare,** and check the priority-area map on its provider page for the regions where it needs more companies.
4. **Ask your medical group and hospital contacts** whether they hold NEMT risk for Health Net.
5. **Learn the Care Ride Unit fax,** 833-701-0051, so clinics you serve can send PCS forms before a 48-hour booking.

## Frequently asked questions

### What is the Health Net Medi-Cal transportation phone number?

Health Net Medi-Cal members book with Modivcare at 855-253-6863, the same number for Where's My Ride help, or through Health Net Member Services at 1-800-675-6110 (TTY 711) and its transportation option. Modivcare's hearing impaired line is 866-288-3133. CalViva Health members in Fresno, Kings, and Madera counties use 855-253-6864.

### Does Health Net Medi-Cal use Modivcare?

Yes, for members whose doctor is in Health Net's direct network or a shared-risk medical group. Health Net's provider manual, updated September 10, 2025, names Modivcare as its contracted provider for all covered NEMT and NMT for members assigned to a direct network provider or a shared-risk medical group. Medical groups and hospitals that carry NEMT risk arrange those rides with their own transportation provider instead.

### Where do I fax the Health Net Medi-Cal PCS form?

The prescriber faxes Health Net form 25-183 (February 2025) to the Care Ride Unit at 833-701-0051, and the unit's phone is 833-236-9695. The approval comes before Modivcare schedules the ride. The form is set for 60, 90, 180, or 365 days, the last only for a chronic condition, and a new form is needed every 12 months.

### How far in advance do Health Net members schedule rides?

Health Net's Modivcare contacts page, updated September 9, 2025, asks for 48 hours of notice for wheelchair, stretcher, and non-emergency ambulance rides, 24 hours for a sedan or taxi, and 1 hour for rideshare. Hospital discharges and urgent trips can be booked the same day. The 2026 member handbook tells members to call at least 48 hours ahead, Monday to Friday, for prescribed medical rides.

### Can a medical group book my company directly for a Health Net member?

Only a group or hospital that carries NEMT risk for Health Net, called dual risk. Health Net requires it to authorize and coordinate rides with its own transportation provider, or the plan arranges the ride and takes a deduction from the group's capitation payment. Every other medical group, hospital, and nursing facility must book through Modivcare, or the claim may be denied.

### Does Health Net Medi-Cal cover wheelchair van rides for people who use a walker?

Yes. Health Net's provider manual counts a member who cannot walk or stand without help, including one using a walker or crutches, as NEMT, which it calls ambulatory door-to-door, and its PCS form 25-183 marks these riders for a wheelchair van. The Care Ride Unit authorizes it with a PCS form, it needs the same 48 hours of notice as a wheelchair ride, and the driver helps the member from door to door.

## Official resources

- [Health Net Provider Library: Medi-Cal transportation](https://providerlibrary.healthnetcalifornia.com/medi-cal/provider-manual/benefits/ambulance/transportation-medi-cal.html)
- [Health Net: Medi-Cal PCS form 25-183](https://providerlibrary.healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/providerlibrary/5000_Medi-Cal_PCS_Form.pdf)
- [Health Net Provider Library: Modivcare contacts and notice rules](https://providerlibrary.healthnetcalifornia.com/contacts/modivcare.html)
- [Modivcare: Become a Transportation Provider](https://www.modivcare.com/transportation-providers-contact-us/)
- [DHCS PAVE: Medi-Cal provider enrollment portal](https://pave.dhcs.ca.gov/sso/login.do)