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Privacy PolicyAccessibility StatementTerms & Conditions
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Need help? Call 719-545-3333 Mon–Fri, 7am–7pm MT.

MedRide · NEMT intake

Medicaid Member
Eligibility Verification
& Ride Request

All NEMT providers are responsible for verifying and retaining documentation of member and treatment provider eligibility for trip requests.

For recurring trips to regularly scheduled appointments, this verification is valid for a 90-day period before it must be performed and documented again.

Who you are

Required intake details

I am filling this form out on behalf of*
Request summary
No member yet
Completion
12%
Member ID—
Date of birth—
Email—
Phone—
Need help?

Call 719-545-3333 Mon–Fri, 7am–7pm MT.

Medicaid members — scheduling rules
  • Online ride requests submitted Monday–Friday require at least 24 hours' notice.
  • Trips on Saturday, Sunday or Monday must be requested online by no later than Thursday at 11:59PM.
  • Online ride requests submitted on Friday, Saturday or Sunday will NOT be processed for trips occurring on Saturday, Sunday or Monday.
  • Online ride requests submitted on Saturday or Sunday for trips occurring on Tuesday–Friday require at least 48 hours' notice.
Areas we don't service

MedRide does not service trips in these Denver metro area counties: Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson, Larimer, Weld.

El Paso-area ambulatory trips end August 25, 2026. Wheelchair-accessible trips remain available — call 719-545-3333.

Privacy PolicyAccessibility StatementTerms & Conditions

We comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable Colorado Medicaid requirements administered by the Colorado Department of Health Care Policy & Financing (HCPF). Protected Health Information (PHI), including trip records, Physician Certification Statements (PCS), billing documentation, and related Medicaid data, is accessed, used, and disclosed only as permitted for treatment, payment, and healthcare operations, or as required by law. We maintain administrative, technical, and physical safeguards designed to protect PHI, support data integrity, and ensure audit-ready documentation in accordance with Medicaid program requirements

© 2026 MedRide, LLC · 6005 Delmonico Drive, Suite 200, Colorado Springs, CO 80919 · 719-545-3333 · info@medrideco.com