Covered and Noncovered Services : Covered Services and Requirements

Transportation for Minors Traveling Alone to Their Appointments

Members age 17 and younger are minors. All reservations for transportation of minors to a covered appointment must be made by an adult. Additionally, transportation of minors usually requires a parent or caretaker who assumes responsibility for the minor, accompanies the minor for the entire trip, and stays with the minor at the destination.

Some exceptions can be made to allow a minor to ride alone if a parent or legal guardian signs a consent form. Parental Consent Forms are available at mtm-inc.net/wisconsin and may be submitted by mail or fax; submission instructions are included on the form.

The following members may travel without a parent or caretaker:

• Minors age 16–17 years old when traveling by a bus or vehicle
• Minors age 12–15 years old with a signed Parental Consent Form on file with the NEMT manager when traveling by a vehicle only
• Minors age 4–11 years old with a signed Parental Consent Form on file with the NEMT manager when traveling by a vehicle only with at least one other child to the same day treatment or center-based behavioral treatment program