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Wed 10/24/2018 4:51 PM

Dear Colleagues,

In an effort to limit the number of MSA-0636 invoices being returned to the Local Health Departments, please remind families to provide detailed travel information in section 2 of the MSA-0636.  The departure and destination city, departure and return dates, number of round trip miles and total number of days must be reported on the invoice.  This information is required for them to receive timely and accurate reimbursement.

Also, if the family notices the authorized information on the Addendum is not accurate, remind them to contact you to make the update in CHASS so when the family returns the invoice the information they are submitting is what was authorized.

Reminder:  If the client is a new enrollee, you can authorize NEMT back to the CSHCS enrollment effective date, if needed.  All other NEMT requests must be prior authorized.

If you have questions, please contact me at 517 335 9408 or email


Thank You,   


Sherry Kertesz

Children’s Special Health Care Services (Transportation Analyst)

Tel: 517-335-9408

Fax: 517-335-8055