MTM, Inc.

Texas Childrens TCHP Medicaid STAR Adults

Phone: 888.401.0170
Routine Scheduling Hours: 8:00 a.m. – 5:00 p.m. (CST) Monday – Friday
Advanced Notification Requirement:
Call with 2 business days’ notice for trip requests in Service Area
Call with 5 business days’ notice for trip requests beyond Service Area
Call with 30 business days’ notice for trip requests out of state
Gas Mileage Reimbursement (GMR) Rate:
$0.625 per mile
Click here to download a Mileage Reimbursement Guidelines
Click here to download a Mileage Reimbursement Form
Click here to download a Mileage Reimbursement Driver Registration Form
Click here to download an Individual Transportation Participant (ITP) Guidelines
Click here to download an Individual Transportation Participant (ITP) Registration Form
Click here to download an Individual Transportation Participant (ITP) Trip Submission Form
Click here to download a Parental Consent Form
Click here to download a Parental Accompaniment Form
Click here to download a Minor Consent to Travel

Transportation providers, click here for more information