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CMS ACO ID A5181. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Medical records request questions/status for MountainStar hospitals (shown on each hospital's medical records page); patient requests with ID by fax or email, or the online portal. Processed by HCA's Nashville shared service center.

Non-patient requests must be mailed to the Nashville SSC address.

One call for physicians to transfer or consult for patients needing additional care across MountainStar Healthcare hospitals in Utah.

Estimated hospital bill based on insurance and diagnosis; specialist, anesthesia and independent lab fees not included.

Physician offices fax a written request on letterhead (patient name, DOB, facility, mark STAT). Same fax shown on Brigham City, Cache Valley, Lakeview, Lone Peak and St. Mark's pages.

County association is from the explicit state directory, not the office address. This administrative contact does not establish insurance coverage or program eligibility. Shared health/human-services administration; request the public-health department when relevant.

CMS ACO ID A5395. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Current Contact page assigns questions/status for attorneys, record-retrieval and insurance requesters to this address; the current requester hub additionally assigns bulk-request status checks. The visible text spells requesteradvocate correctly even though one page button mailto has a typo; the discrepancy is retained as a source issue.

Current requester hub explicitly accepts payments by phone, Requester Central with tracking code/request ID, or mailed check payable to MRO with invoice number. This postal address is for payments, not authorization or record requests.

Current All Other Requesters section publishes this enrollment mailbox for MRO Portal access to upload requests, track, pay and download records. It is an access/enrollment mailbox, not general patient-record submission.

Current MRO requester hub publishes phone status and payment assistance and requestinformation@mrocorp.com for patient/provider questions. Fax 610-962-8421 is specifically for completed forms updating an existing request; include request ID when available. Follow the applicable facility authorization instructions for new requests. Attorneys, retrieval and insurance requesters have a separate advocate mailbox; MediCopy-branded requests/invoices are directed to medicopy.net.

MTM's Ambulance/Stretcher LON form (Iowa; the Rhode Island sample is identical) says fax the completed form here; questions to the Utilization Management Department toll free at 1-888-561-8747.

MTM's DC Medical Facility Resource Guide lists this reservation line for Amerigroup DC (book at least three business days ahead; two business days for EPSDT; 30-day advance booking and recurring trips). Amerigroup DC complaints go to Amerigroup Member Services 800-600-4441. The same guide covers DC Medicaid and DC Medicaid IDD at 1-866-796-0601.

General MTM Health Community Outreach mailbox for healthcare provider staff: webinars, MTM Link facility portal training, scheduling assistance. Each state also has its own CO-XX mailbox.

State community outreach mailbox for Connecticut medical facility staff (MTM Link facility portal training, trip help). Not for member ride booking.

MTM's Connecticut Specialized Transportation Request form says out-of-state requests go to this mailbox; all other requests go to the Connecticut fax/email.

MTM's Connecticut forms say send all requests to this fax or the email. Medical Necessity Forms are needed when a HUSKY Health member cannot use public transit or mileage reimbursement (higher transportation modes) or must exceed mileage limits (Distance Verification).

MTM Health manages Connecticut Medicaid (HUSKY Health) NEMT; the same number is used by medical offices to phone in trip requests. Routine trips must be scheduled at least two business days ahead; urgent rides can be booked with less notice. Return times that are unknown become will-call trips. Members who cannot use public transit or mileage reimbursement need a provider-completed Medical Necessity (Level of Need / Distance Verification) form. Not for emergencies.

Corporate administration. Members and medical facilities should use their plan-specific transportation channel. The corporate marketing mailbox is listed separately.

Not designated for patient transportation requests or clinical documents.

MTM Health page: Access2Care is moving to the MTM Health name and brand; members still call the same ride numbers, and the Access2Care mobile app stopped working May 14, 2026 for Texas Medicaid plans (use the MTM Link Member app or portal). This number is the MTM Link help line for those members. Existing catalog 'Access2Care' records may now be MTM-operated.

Idaho Community Outreach team mailbox for facility staff. The page also lists an Idaho Regional Liaison mailbox, IDRegionalTeam@mtm-inc.net.

Idaho forms say fax completed forms to MTM Utilization Management; questions to 888-561-8747 or CM-Idaho@mtm-inc.net. Level of Need forms use the multi-state LON fax instead.

MTM Health is Idaho's NEMT broker. Outside hospital discharges and urgent trips, requests must be received at least two business days before the appointment. Level of Need (LON) assessment required if the member cannot use public transport or mileage reimbursement. Minors under 18 must ride with an adult unless a Parental Consent Form is on file (ages 14–17); exceptions for under-14 go through the reservation line.

Iowa State Medicaid page of MTM's facility guide: to file a complaint or grievance call 1-866-436-0457 or email this mailbox.

The Iowa HHS Ride Services table assigns this phone to MTM for Iowa Medicaid fee-for-service. It is a member transportation scheduling/change route, not a national booking or clinical authorization line. Rides depend on the member’s applicable transportation benefit; confirm plan, eligibility, appointment and advance-notice requirements with the broker. Current Iowa HHS lists MTM as the fee-for-service broker. No managed-care transition date is applied to this FFS route.

MTM Health Community Outreach mailbox for Iowa fee-for-service Medicaid medical facilities. Ride reservations use the Iowa FFS reservation line already listed for MTM; Level of Need forms: standard and ambulance/stretcher versions.

MTM's Iowa Medical Facility Resource Guide lists this 'Facility Line' under the Molina of Iowa Medicaid and Elevance/Wellpoint Iowa Medicaid pages (scheduling resources); the guide also lists the plans' trip reservation lines (Molina 1-866-849-2062, Total Care 1-877-271-4819, Wellpoint 1-844-544-1389 / 1-844-544-1390 Where's My Ride, Iowa FFS 1-866-572-7662).

The Iowa HHS Ride Services table assigns this phone to MTM for Iowa Total Care Medicaid. It is a member transportation scheduling/change route, not a national booking or clinical authorization line. Rides depend on the member’s applicable transportation benefit; confirm plan, eligibility, appointment and advance-notice requirements with the broker. Current Iowa HHS lists MTM as broker for this population. Iowa HHS October 2, 2025 town-hall slides say managed-care NEMT moved to MTM effective September 19, 2025; Wellpoint’s current member notice says September 18, 2025. This one-day source discrepancy is preserved; no single universal transition date or legal identity continuity is inferred.

MTM's Level of Need form (standard) says fax the completed form to this number, questions to MTM's Utilization Management at 1-888-561-8747. The same fax appears on MTM's Missouri LON and Ancillary Services forms (Participant Travel/Care Management), Idaho LON, DC Standard LON and the Nevada Long-Distance Verification form (which also lists CM-Nevada@mtm-inc.net). Use for non-ambulatory modes when a member cannot use public transit or mileage reimbursement.

MTM Health Community Outreach mailbox listed on the Minnesota and northern Minnesota facility pages.

MTM MNet forms for Metro-area Medical Assistance recipients: return forms with a cover sheet to MNet's Care Management Department.

Dedicated Care Management team for medical facilities that serve Metro-area Medical Assistance recipients; handles out-of-the-ordinary NEMT requests and meals/lodging. Not a ride-booking line.

For fee-for-service Medical Assistance recipients in Hennepin, Ramsey, Dakota, Washington, Isanti, Chisago, Anoka, Sherburne, Stearns and Wright counties. Call at least three days before the appointment (except urgent/discharge). Recurring trips: dialysis up to six months, other standing orders up to three months. Providers complete the Transportation Evaluation Form for members who cannot use public transit or mileage reimbursement.

Missouri MO HealthNet NEMT community outreach mailbox for medical facility staff.

MTM Health runs MO HealthNet NEMT. Urban-county participants: at least two days notice; basic/rural counties: at least three days; urgent trips as needed. Providers complete a Level of Need (LON) form for participants who cannot use public transit or mileage reimbursement.

Number MTM lists on the Missouri page for participants (and offices helping them) who have waited more than one hour after calling for a return ride that was not scheduled at the original request. For new reservations use the reservation line.

The Iowa HHS Ride Services table assigns this phone to MTM for Molina Healthcare of Iowa Medicaid. It is a member transportation scheduling/change route, not a national booking or clinical authorization line. Rides depend on the member’s applicable transportation benefit; confirm plan, eligibility, appointment and advance-notice requirements with the broker. Current Iowa HHS lists MTM as broker for this population. Iowa HHS October 2, 2025 town-hall slides say managed-care NEMT moved to MTM effective September 19, 2025; Wellpoint’s current member notice says September 18, 2025. This one-day source discrepancy is preserved; no single universal transition date or legal identity continuity is inferred.

Nevada Medicaid community outreach mailbox for facility training requests. The Nevada ride reservation line is already listed for MTM. Routine requests should arrive at least three business days ahead; hospital discharges and urgent trips are scheduled immediately.

Nevada Medicaid’s March 2026 flyer, distributed in Web Announcement 3882 dated April 2, 2026, assigns MTM scheduling/rescheduling to urban health-plan and fee-for-service members and to rural fee-for-service members. Rural managed-care members are directed to their health plan (CareSource or SilverSummit in this flyer), not universally to this phone. Starting January 1, 2026 most rural Medicaid members moved from fee-for-service to health plans; that statement does not establish any individual member’s enrollment or benefit. Confirm origin/destination and medically necessary out-of-area travel when booking. For concerns the flyer first directs urban/fee-for-service members to MTM; rural concerns have separate SafeRide/plan guidance.

Scope follows the WellSense facility resource guide; not a general claims mailbox.

Dedicated escalation route for medical providers assisting NH Healthy Families Medicaid members. Member ride scheduling and WellSense use different contacts. Guide effective October 17, 2025 remains linked from the plan’s current member resources.

Attention: MTM Contact Center. Newer universal form is effective September 2025 and remains linked from the current WellSense page; NH Healthy Families’ current designated form confirms the same fax/email. File URL has a March 2026 directory but the printed effective date is September 2025.

Current quick guide lists routine, urgent and after-hours non-emergency transportation and family/friends authorization at this number. Scheduling notice requirements are not telephone wait times.

MTM Health is the NEMT manager for Medical Assistance clients in northern Minnesota counties. Routine requests should arrive at least three business days ahead; hospital discharges and urgent trips are scheduled immediately. Level of Need assessment needed when a client cannot use public transit or mileage reimbursement.

Reservation / where's-my-ride line for Trillium Community Health Plan members in Multnomah, Washington and Clackamas counties. Recommends calling at least 24 hours ahead for routine visits. Recurring trips up to 3 months, or indefinitely for dialysis. Level of Need form required for non-standard modes. Not for other Oregon CCOs.

MTM Quality Management complaint mailbox for the Oregon Trillium and Idaho programs.