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Free guides for NEMT owners

Start and run a NEMT business, step by step.

Plain-English guides to licensing, Medicaid, brokers, billing, and drivers. All free.

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Starting a business

How to Start a NEMT Business in 2027

How to start a NEMT business, in order: check your market, form the company, get an NPI and licenses, insure your vans, enroll in Medicaid, and join brokers.Read the guide
  1. Starting a businessHow Much Does It Cost to Start a NEMT Business in 2027? A Line-by-Line Budget
  2. Working with brokersHow to Get NEMT Broker Contracts in 2027
  3. Billing and getting paidHow to Bill Medicaid for NEMT in 2027
  4. Licensing and rulesNEMT License Requirements in 2027
  5. Starting a businessHow to Become a Medicaid Transportation Provider in 2027

New and updated

  1. A health care worker in teal scrubs with a stethoscope writes on a stack of forms at a desk beside a laptop, face out of frame

    Working with brokers

    Modivcare Medical Necessity Forms in 2027

    The medical necessity forms Modivcare uses in 13 states as of October 2026: what each one decides, who may sign it, how long it lasts, and its fax line.

    Updated

  2. A person at a wooden desk signing a printed form with a black pen

    Working with brokers

    Modivcare Standing Order Form

    Where to fax the Modivcare standing order form in 17 states as of October 2026, who signs it, how early to send it, renewals, and how to change or cancel it.

    Updated

  3. A silver wheelchair van parked at a curb with its rear door open and its wheelchair lift lowered to the pavement, a folded wheelchair inside

    Billing and getting paid

    Minnesota NEMT Rates in 2027

    Minnesota NEMT rates by ride type: base and mileage for all seven modes, rural and super rural add-ons, the quarterly fuel adjustment, and billing codes.

    Updated

  4. A person wearing a wristwatch fills out a printed form with a pen at a wooden desk

    Insurance

    NEMT Insurance Denied? Why Insurers Say No and How to Get Covered in 2027

    Why insurers decline NEMT companies and how to get covered anyway: the reason in writing, loss runs, surplus lines, state auto plans, and workers' comp.

    Updated

  5. White passenger vans lined up along a curb outside a brick building near senior housing, one with its side doors open

    Working with brokers

    When a NEMT Broker Network Is Full

    What to do when a NEMT broker network is full: get on file, find the gaps it cannot cover, and win trips from health plans, facilities, PACE, and private pay.

    Updated

  6. Working with health plans

    How to Contract with Medicaid Health Plans for Transportation in 2027

    How to contract with Medicaid health plans for transportation: find the plans that run their own rides, how plan credentialing differs, and what to check.

    Updated

Guides by topic

Guides, tools, and templates, sorted by subject.

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Rules in your state

Who pays for rides and how to get approved. All 50 states and DC.

  • One statewide broker
  • Statewide broker, phasing in
  • Each health plan picks a broker
  • Regional brokers
  • County-run programs
  • No broker, bill Medicaid directly

Find NEMT providers in your state

Search every NEMT company in the US by state, city, or ZIP code.

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Free tools and templates

Plan your business, price a trip, and keep the records brokers ask for.

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Templates

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Work with brokers

How each broker assigns trips, what it pays, and how to get credentialed.

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