This online reporting tool was created by the Wisconsin Hospital Association to collect data on problems that Wisconsin hospitals are experiencing with Logisticare arranged transportation for Medicaid patients discharged from the hospital.  The aggregated data will be used by WHA and shared with the Department of Health Services to help identify the scope and patterns of such problems and to find targeted, systematic solutions to such problems.

This tool is not a substitute for reporting incidents and concerns directly to Logisticare using their complaint line/Where's My Ride line and/or its WeCare portal. 

Also, please only use this tool to report inpatient discharge-related incidents or concerns.

If you have any questions about the tool, please email WHA's Matthew Stanford at mstanford@wha.org.

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* 1. Please provide the following:

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* 2. Approximately when did the incident occur? (An exact time or date is appreciated but not required.)

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* 3. Please select the statement(s) that best describes the incident/concern.  You may select more than one if the incident involved multiple concerns.

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* 4. Please briefly elaborate on the incident in one or two sentences.

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* 5. Did you contact the Logsiticare complaint line/Where's My Ride line to share your concern?

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* 6. Did Logisticare adequately address your concern when you called the complaint line/Where's My Ride line?

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* 7. Which of the following types of transports/services was involved?

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* 8. Which of the following best describes the patient's condition at the time of transport?

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* 9. Any additional comments or details you would like to share (optional)?

Thank you for completing this reporting tool.

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