Texas Children’s Health Plan has partnered with MTM, formerly known as Veyo, to provide our members with another way to get to and from medical appointments – with the help of a friend or family member. This program is called the Individual Transportation Participant (ITP) Reimbursement Program. MTM provides compensation to drivers who give Texas Children’s Health Plan members a ride to their eligible healthcare appointments. This is called a “mileage reimbursement”. Members can also receive compensation when driving themselves to an appointment.
Trips are paid at $0.625 per mile. The total amount paid is calculated based on the most direct route from the member’s pickup location to the healthcare facility and back. The route is planned using MTM’s mapping software. Payments to drivers will be sent electronically, unless the driver specifies otherwise.
How does ITP Reimbursement work?
Register
Driver
The driver must register with Texas Children’s Health Plan/MTM. You must submit a Driver Registration Form before asking for reimbursement. To register a driver for trips occurring on or after November 1, 2023, click here.
Book
Transportation
To be reimbursed for a trip, transportation needs to be scheduled with MTM at least two business days before the member’s appointment. Please call MTM at (888) 401-0170, Monday through Friday, from 8 a.m. to 5 p.m. to schedule a trip. You may also schedule a ride using the MTM Link Member Portal or Mobile App. Click here to access MTM Link.
Take the Form with You to Your Appointment
Print out and take the Mileage Reimbursement Form with you to your appointment. The form can be accessed using the link below. Ask your provider to date and sign/stamp the form. For trips occurring on or before October 31, 2023, use the form linked below. For trips occurring on or after November 1, 2023, click here to access the correct form through MTM.
Request
Reimbursement
Fill out and return the Mileage Reimbursement Form to MTM. This must be done within 30 days of the first medical appointment listed on the form. Don’t forget to attach all parking and toll receipts. Forms that are missing information will be denied.
Frequently Asked Questions
Who can receive mileage reimbursement?
Texas Children’s Health Plan members or friends/family of a member who drive the member to a Medicaid-covered appointment may be able to get mileage reimbursement.
To qualify:
- The driver must have a valid driver’s license.
- The driver must be listed on the vehicle’s insurance.
- The driver must follow all public laws, ordinances, and regulations that apply to drivers and the vehicle being used.
- The Texas Children’s Health Plan member must be in the vehicle for the trip.
Can members get reimbursement for driving themselves to appointments?
Yes, as long as either the driver or passenger is a member of an eligible Texas Children’s Health Plan plan at the time of the appointment and is going to a Medicaid-covered appointment.
What are the requirements for a trip to be reimbursed?
- Transportation for the member needs to be scheduled at least two business days before the Member’s healthcare appointment. This will help ensure the driver is eligible. Call MTM at (888) 401-0170 to book an appointment. You may also schedule a ride using the MTM Link Member Portal or Mobile App. Click here to access MTM Link.
- The driver must fill out the Driver Registration Form before the trip. To register a driver for trips occurring on or after November 1, 2023, click here.
- The member must be enrolled with Texas Children’s Health Plan on the date of the trip.
- Only one fee per trip will be paid, regardless of the number of members transported.
- If a member gets a prescription from the healthcare provider, they should stop and pick it up on the way home from their appointment. This will be counted as one trip.
- A healthcare provider must verify that the member attended the scheduled appointment. The healthcare provider must date, sign, and print/stamp their name on the Mileage Reimbursement Form.
- The Mileage Reimbursement Form must be fully completed and all parking and toll receipts attached. The reimbursement form can be found here. Forms that are missing information will be denied. For trips occurring on or after November 1, 2023, click here to access the correct form through MTM.
How do I sign up as a driver?
To sign up as a driver, the following information must be submitted using the Driver Registration Form:
- The driver’s contact information, including email and phone
- A copy of the driver’s valid driver’s license
- A copy of the vehicle’s insurance
- The driver’s bank information for payment
If the driver has a smartphone, the camera can be used to upload the driver’s license and vehicle documents.
Does the driver need to own their vehicle?
No, the driver does not need to own the vehicle. But the driver does need to provide valid vehicle insurance.
What do I do if the driver’s information changes?
Please re-submit the Driver Registration Form to update a driver’s:
- Contact information
- Driver’s license
- Vehicle insurance
- Banking information
The new information will be automatically updated on the driver’s profile.
Do I need my healthcare provider to sign the Mileage Reimbursement Form?
Yes, each date of service must have a healthcare provider signature in order for reimbursement to be approved. Each trip will be confirmed with the provider’s office before payments will be made. The Mileage Reimbursement Form can be found here.
When should the forms be submitted?
- The Driver Registration Form can be sent in any time before the member books his or her trip. Trips need to be booked two business days before the member’s appointment.
- The Mileage Reimbursement Form needs to be filled out and returned to MTM. This must be done within 30 days of the first medical appointment listed. Up to one week’s worth of trips can be included on each form. Don’t forget to attach all parking and toll receipts.
How do I submit the forms?
The completed driver registration and gas reimbursement forms can be sent to MTM via email, fax, or mail. Don’t forget to include copies of the driver and vehicle documents. This must be done within 365 days of your trip. Forms can be submitted by:
- Email: payme@mtm-inc.net
- Fax: 1-855-667-2557
- Mail: MTM, Attn: Gas Reimbursement, 16 Hawk Ridge Dr., Lake Saint Louis, MO 63367
When will the reimbursement payment be sent out?
Approved trips will be paid out within these time frames:
- Electronic payments: 1-2 weeks.
- Payments via paper check: 4-6 weeks. Paper checks are mailed out on the last day of each month.
What if I am unable to pay for my trip?
If you are unable to pay for your trip out of pocket and receive reimbursement after the trip, you may be eligible for our advanced funds program. Read more about that program here.