Level of Need form
For a patient who can't use public transportation or mileage reimbursement. A health care provider fills it in, giving the reason based on what the patient can do, not only their diagnosis.
For providers
Rhode Island's Medicaid rides (non-emergency medical transportation, or NEMT) are run by MTM Health for the state. Clinics book rides for their patients by phone.
Medicaid members going to a Medicaid-covered service who can't find other transportation. Rhode Islanders 60 and older who aren't on Medicaid may qualify through the state's elderly transportation program.
TTY: 711
Call if the driver is more than 15 minutes late for a booked pickup, 45 minutes after you called for a will-call ride, or when the appointment starts in 15 minutes or less.
Or use MTM's online form.
MTM's Rhode Island community outreach team.
Save staff time
For patients who come on a regular schedule, MTM can set up recurring trips for up to six months at a time, so each ride doesn't need its own call. Under the state's rule, a licensed medical or behavioral health provider requests or changes them.
Give MTM a return time when you book. Without one, the ride home is a "will-call", so your staff call MTM when the patient is ready and the driver has up to 45 minutes to arrive. When you know how long a visit takes, a set return time saves a call per patient per visit.
Patients with more than three no-shows in a month can lose their recurring trips and have to book each ride at least two days ahead. They can ask for them back after 60 days. Remind patients to cancel rides they won't use at least 24 hours ahead.
If a friend, family member or volunteer can drive the patient in their own car, MTM can pay them back for the mileage at the federal rate. MTM has to approve it in advance, and the trip log is below.
MTM says rides can be booked online through MTM Link. Ask MTM's Rhode Island outreach team (CO-RI@mtm-inc.net) whether your clinic can use it for your patients' rides.
One page with MTM's numbers, the booking rules, these tips and the forms, to keep by the phone.
For a patient who can't use public transportation or mileage reimbursement. A health care provider fills it in, giving the reason based on what the patient can do, not only their diagnosis.
MTM's trip log for rides paid back as mileage.
MTM's Rhode Island page for clinics, with its booking rules and forms.
Who qualifies, recurring trips (standing orders), no-shows and mileage reimbursement, in the state's own words.
Checked against MTM Health's Rhode Island pages and the state's rule on October 27, 2026.
For clinics and member organizations
Tell SUMHLC what's happening, like long holds, late pickups or will-call waits, so we can raise it with the state. Please don't include patient names or other patient details.