Skip to content
Call 911Crisis 988Never Use Alone 800-484-3731
Quick exit
Find help

Resource pages currently cover Kentucky and Indiana.

Change state
This directory is under active review and may be incomplete. Confirm urgent details directly; No One Left Outside does not guarantee eligibility, availability, funding, acceptance, or placement.More

This directory is under active review and may be incomplete. Confirm urgent details directly; No One Left Outside does not guarantee eligibility, availability, funding, acceptance, or placement.

Leave this site ›
All forms and portals
How to get this formHealth careInstructions pageconditional

Kentucky Medicaid non-emergency medical transportation

Official owner Kentucky Cabinet for Health and Family Services

How to get this form

This page is a guide to the official route, not the form itself

We have not found a public copy to link directly. Use the Kentucky Cabinet for Health and Family Services route below; the steps further down explain what to expect.

Open official source page

Last checked Sep 30, 2026.

Kentucky Medicaid’s official regional-broker starting page for qualifying covered trips.

What problem this helps solve

Kentucky Medicaid’s official regional-broker starting page for qualifying covered trips.

Who completes it: A Medicaid member or authorized helper contacting the applicable regional route.

What this does not prove

The page does not confirm member eligibility, a trip, broker assignment, seat, pickup, or reservation window.

Dated source check

Official destination checked

CHFS medical-transportation guidance and KYTC's scheduling and regional-broker pages were retrieved September 30, 2026. KYTC states the 72-hour scheduling rule and denial-help route.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

Use the official pathway

No One Left Outside's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose
Confirm medical-transportation eligibility and reserve the trip.
Who completes it
A Medicaid member or authorized helper contacting the applicable regional route.
Jurisdiction
Kentucky
Application mode
Find the broker for your county; Call the regional broker to schedule an eligible trip

2. Prepare before starting

  • Kentucky Medicaid-covered medically necessary service and no appropriate free transportation or operational vehicle, as the official program describes.
  • County, appointment date, destination, and any mobility or attendant needs requested by the broker.
  • Ask whether a referral is needed for specialty care or a trip outside the medical service area.

Documents named by the source

  • Coverage and trip requirements are case-specific and controlled by Medicaid and the broker.
Fees and fee waivers
Covered rides are governed by Medicaid and broker eligibility; a universal rider charge is not asserted.
Account
The official scheduling route is a call to the regional broker; no universal online account is stated.
Appointment
Call at least 72 hours before the scheduled appointment, including weekends and holidays, unless the program's urgent-care exception applies.
Signature
Unknown — confirm with the responsible broker and Medicaid.
Third-party certification or assessment
Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions
  • Contact the current regional route identified by the official page.

4. Get help or an accommodation

Languages: Confirm language and interpreter options with the responsible route.

Accessibility: Confirm mobility, communication, attendant, and accessibility needs directly.

5. Know the supported next step

  • Confirm pickup, return-trip instructions, mobility accommodations, and what to do if the appointment changes.
  • If denied, request the written notice and follow its appeal instructions.

Restrictions and unresolved details

  • This is non-emergency transportation; emergency services use their own urgent route.
  • A referral or application does not reserve a trip.
  • The written denial notice controls appeal instructions; no universal appeal deadline is invented.

The page does not confirm member eligibility, a trip, broker assignment, seat, pickup, or reservation window.

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

Back to all forms and portals

Form record

Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.

Official title
Kentucky Medicaid non-emergency medical transportation
Form number
Unknown / not established
Program
Medicaid NEMT / Human Service Transportation Delivery
Jurisdiction
Kentucky
Revision / edition
Unknown
Who completes it
A Medicaid member or authorized helper contacting the applicable regional route.
Signature
Unknown — confirm with the responsible broker and Medicaid.
Submission methods
Contact the current regional route identified by the official page.
Supporting documents
  • • Coverage and trip requirements are case-specific and controlled by Medicaid and the broker.
Languages
Confirm language and interpreter options with the responsible route.
Accessibility
Confirm mobility, communication, attendant, and accessibility needs directly.

Related No One Left Outside journeys

Use a journey to prepare for documents, blockers, and backup routes around this destination.

Related documents and starting points

These records share a journey—not necessarily a submission package. Check each purpose and source state separately.

Before sharing information

  • • Check that the address begins with https:// and matches the agency above.
  • • Read the agency’s privacy and consent language before entering personal information.
  • • Save a confirmation or reference number if one is provided.
  • • If a page asks for payment unexpectedly, stop and confirm the fee with the agency.

Source note: The page does not confirm member eligibility, a trip, broker assignment, seat, pickup, or reservation window.

No One Left Outside does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

Report a broken or changed source