Non-emergency transportation

WellSense provides rides to Medicaid-covered medical appointments for our New Hampshire Medicaid members through our non-emergency transportation program.

For trips through June 30, 2025:

• To request transportation for a member’s eligible medical visit, call 844-909-7433 at least 48 hours before the appointment.
  • Have the member’s WellSense Member ID number, phone number, address and appointment information available when you call. A customer service representative from our transportation partner, CTS, will help you arrange a ride.
  • If the member is mobility impaired and requires special accommodations, please complete and submit this mobility form.
    • Any healthcare professional working with the member can complete the form, including a health plan care manager or nursing facility staff.
    • The form is valid indefinitely and can be modified at any time by submitting a new form.

For trips July 1, 2025 and later:

• To request transportation for a member’s eligible medical visit, call 844-909-7433 at least two business days before the appointment.
  • Have the member’s WellSense Member ID number, phone number, address and appointment information available when you call. A Customer Service Representative from our transportation partner, MTM, will help you arrange a ride.
  • If the member is mobility impaired and requires special accommodations, please complete and submit this mobility form.
    • Any healthcare professional working with the member can complete the form, including a health plan care manager or nursing facility staff.
    • The form is valid indefinitely and can be modified at any time by submitting a new form.

Helpful resources

• MTM intro letter
• MTM resource guide
• MTM portal reference guide