Schedule Your Medicaid Transportation

We Simply Care Transport

We Simply Care Transport provides Medicaid-covered, non-emergency medical transportation for individuals in Lake, Cook, and McHenry Counties, Illinois. Whether you need a ride to a doctor’s appointment, a scheduled procedure, or a follow-up visit, our trained and background-checked drivers are ready to help you get there safely and on time.

Who qualifies: If you’re enrolled in Illinois Medicaid and need non-emergency transportation to a covered medical appointment, you can request a ride below.

What we need from you: Your appointment details (date, time, and location), your Medicaid ID, and any mobility assistance you require (ambulatory or wheelchair).

What happens next: Submit the form below, and our team will confirm your ride within [your actual timeframe]. For same-day or urgent requests, call us directly at (888) 887-9322.

Fill out the form below to request your ride.

Submission of this form does not guarantee acceptance or availability. A team member will confirm eligibility and scheduling upon review.

This form is for Medicaid trip requests only. 

Service Area Notice

WSCT currently provides Medicaid transportation within approved service areas. Trips outside coverage (including Chicago) may not be available. Dispatch will confirm eligibility.

RIDER / CONTACT INFO

Passenger Name
IF YOU ARE COMPLETING THIS FORM ON BEHALF OF SOMEONE ELSE, ENTER PASSENGER INFO HERE. THERE WILL BE AN AREA BELOW WHERE WE WILL NEED YOUR NAME AND CONTACT INFO BELOW.
Client Type
Please enter your Medicaid number here:
If you do not have a RTN # please call TRANSDEV / NAPSPAP 1-877-725-0569 after WSCT confirms availability to transport.
Level of Service
If you selected wheelchair, please specify the type of wheelchair (standard or bariatric). Our ramp is 30 inches wide. You will need to request a standard wheelchair for transport if you don’t have one.
Bariatric
Do we need to provide a wheelchair?
There is an additional fee for wheelchair rental of $25.00
Trip Direction
Date / Time
Long Distance Trip? (25 miles or more one-way)
Pick Up Address
Destination Address
Person requesting on behalf of the client:
Please include an office and cell # in order to receive update notifications regarding the trip you are scheduling for someone else.