How to Become an Alivi Transportation Provider in 2027

Alivi is a Miami health benefits company that runs ride programs for health plans. Each plan hires Alivi for its own members, so two questions decide whether Alivi work is open to you: do the plans in your counties use Alivi, and can your company, drivers, and vans pass its credentialing and Florida’s rules.

Where Alivi arranges rides

Alivi was founded in 2016. It manages transportation and specialty benefits, such as optometry and physical therapy, for health plans. On December 12, 2024, it announced two new Florida contracts, one with a Medicaid plan and one with a Medicare Advantage plan. Members book through its AliviRide and CareTrip apps or its call center, and clinics book through its facility portal.

As of September 2026, these plans use Alivi for rides:

Health plan	Members Alivi serves	Since or as of
Sunshine Health	Long Term Care and Comprehensive Long Term Care	February 1, 2021, taking over from Logisticare (now Modivcare)
Sunshine Health	Medicaid, Pathway to Shine (child welfare), and Mindful Pathways (serious mental illness)	January 1, 2025, taking over from Modivcare
Sunshine Health	Power to Thrive (HIV/AIDS), a plan that opened February 1, 2025	September 2026, on Sunshine’s provider pages
Wellcare	Florida Medicare Advantage members	January 2026, on Wellcare’s Florida Medicare guide
CarePlus, Devoted, Gold Kidney, Humana Medicare, Solis, AvMed, Longevity, Prominence, and Sunshine’s Ambetter plan	Members who book through Alivi’s apps, phone lines, and facility portal	September 2026, on Alivi’s own booking forms and member pages

Florida’s Medicaid agency, AHCA, lists Sunshine’s ride subcontractor as EpicMD Technologies, LLC, doing business as Alivi NEMT Network, in its plan subcontractor report through the second quarter of 2026. Members of the Children’s Medical Services Health Plan, which Sunshine runs through September 30, 2026 before it moves to Molina, ride with MTM Health instead, and other Florida Medicaid plans use Modivcare, MTM Health, and other brokers. The Florida guide shows which broker each plan uses.

Plans change vendors, so confirm the plan list with Alivi before you buy vans or hire drivers for it.

Medicaid trips and Medicare Advantage trips work differently

Sunshine’s Medicaid riders have no limit on trips to covered services, and the rules come from Florida’s plan contract and Medicaid transportation policy. Medicare Advantage is different. Original Medicare covers ambulance rides when travel in any other vehicle could endanger the patient’s health. A routine ride benefit in a Medicare Advantage plan is a supplemental benefit, meaning a service Original Medicare does not cover (42 CFR 422.100(c)(2)), and each plan sets its own trip limits.

	Sunshine Health Medicaid	Medicare Advantage plans
Where the rules come from	Florida’s plan contract and Medicaid transportation policy	Each plan’s benefit and Medicare Advantage rules
Trip limits	No limit on trips to covered services	Set by each plan. CarePlus’s 2026 plans all include rides, unlimited on D-SNPs, and quantity limits may apply.
Booking notice	One business day for routine rides	Wellcare members book 72 hours (3 business days) ahead, up to 30 days out (Alivi, August 2024)
State Medicaid enrollment	Required	Ask Alivi what its Medicare contracts require

See Medicare Advantage transportation and how to contract with Medicaid health plans.

How to join Alivi’s network

1. Match your counties to the plans. Check which of the plans above serve your area. If none do, Alivi has little work for you there.
2. Get a Type 2 NPI. The callback form asks for it. See how to get an NPI number for NEMT.
3. Enroll with Florida Medicaid for Sunshine trips. Florida’s plan contract (July 1, 2026) requires every provider to hold a current limited or full provider agreement with AHCA. See how to become a Medicaid transportation provider.
4. Send the callback form. It is on Alivi’s “Join Alivi’s Network as a Transportation Provider” page and asks for:
   • Your full name, phone, email, and company name.
   • The state and counties you serve.
   • Your NPI.
   • Your number of drivers and vehicles.
   • The levels of service you offer (ambulatory, wheelchair, stretcher, and so on).
   • The dispatch platform you use, and a message.
5. Wait for the callback. Alivi says its team gets in touch within 2 business days.
6. Pass credentialing and sign the attestation. Alivi’s Downstream Provider Oversight Policy, effective January 1, 2025, requires credentialing before you start and for as long as your contract runs. It also requires a signed provider attestation before you start and every year after.
7. Set up your portal account. Alivi’s transportation provider portal handles trips and payment processing, and Alivi assigns you a provider relations specialist.

Under the state contract, Sunshine must fully enroll and onboard each provider it contracts with within 60 days. If your onboarding is not done in 60 days and the plan did not cause the delay, the plan may take back what it paid you. Send complete files the first time. The broker credentialing guide lists the usual documents.

What the yearly attestation covers

Alivi’s attestation topics, as listed in its January 1, 2025 policy:

• Its code of conduct, and general compliance and fraud, waste, and abuse training.
• Screening against the HHS OIG exclusion list and the federal SAM database.
• HIPAA privacy and security, record retention, and ways to report problems.
• Oversight of your own subcontractors and operations.
• Non-discrimination, cultural competency, and conflicts of interest.
• Background screening, and disclosure of ownership and management.

Alivi audits at least 5 percent of its active providers every year against their attestations. A provider with findings must follow a corrective action plan by set deadlines.

What Florida and Alivi require from your company, drivers, and vans

For Sunshine’s Medicaid riders, Florida’s plan contract (updated July 1, 2026) tells every plan to check these points when it credentials a transportation provider:

Area	Requirement
Company	A current Florida Medicaid provider agreement. Level 2 fingerprint screening of officers, directors, managing employees, and owners of 5 percent or more (Florida Statutes 409.907, 2026).
Drivers	Background checks and every qualification in law and rule, including Level 1 screening (Florida Statutes 409.907, 2026). Drug and alcohol testing, safety, accountability, and conduct standards under chapter 427, Florida Statutes, and Rules 41-2 and 14-90, Florida Administrative Code.
Insurance	Liability coverage that meets Florida law, and at least $200,000 per person and $300,000 per incident for rides bought for the transportation disadvantaged through the plan
Vehicles	A yearly safety inspection, upkeep to state, federal, and manufacturer standards, and ADA-compliant lifts. A van that fails a standard comes out of service until it is inspected again.
Inside each van	Two-way communication with your base that the driver can always hear, working air conditioning and heat, a clean interior, and the plan’s toll-free complaint number posted. No smoking, eating, or drinking unless a rider medically needs it.
Riders	No more riders than seats. Boarding help, including seat belts and wheelchair securement. Wheelchairs, child seats, and secured oxygen ride at no extra charge.
Records	A trip database with each rider and the driver’s name and license number

Federal law sets a floor under all of it. Under section 1902(a)(87) of the Social Security Act, as CMS explained on September 28, 2023, no NEMT provider or driver may be excluded from federal health programs, and every driver needs a valid license. Your company also needs a process to deal with state drug law violations and to report each driver’s driving history to the state.

Records. Alivi’s record retention policy requires its providers to keep records for at least 10 years from the date they were made or the last service, whichever is later. That covers trip and driver logs, billing records, vehicle maintenance and inspection reports, incident reports, and credentialing files. A provider or driver who alters, falsifies, or destroys records early can face suspension, termination, repayment, and referral to law enforcement or Medicaid. A complete trip log for every leg protects you.

Insurance. Alivi’s provider page links to an optional insurance program for its contracted providers. As of September 2026, that program asks for three years of continuous NEMT operations, drivers with at least two years of driving experience, and continuous commercial auto coverage with no lapses. Its page tells providers to do their own checks when they weigh insurance options. See NEMT insurance requirements.

How Alivi sends trips and the standards it must meet

Alivi assigns trips automatically by matching them to your company profile, and your provider relations specialist handles problems. Its Ride Assist team supports transportation providers during trips, and members call Ride Assist when they are ready for a return ride. Clinics, dialysis centers, and other facilities book trips and recurring standing orders in Alivi’s facility portal, so steady dialysis transportation work can arrive that way.

For Sunshine’s members, as of September 2026:

• Routine rides need 24 hours’ notice and are booked one business day before the appointment.
• Urgent rides, hospital discharges, and transfers between facilities are handled the same day, according to Sunshine’s long-term care guide.
• Long trips of more than 100 miles one way, or outside the state, need prior authorization. Alivi requests it from Sunshine.
• Will-call returns start when the member calls Ride Assist, and the expected response is up to 60 minutes.

Florida’s plan contract (July 1, 2026) measures every plan against these ride standards each month, and checks the standing order rule on each complaint the state receives. Sunshine answers to AHCA for them, and Alivi’s network carries them out.

Measure	Florida standard
Riders arriving on time for appointments	At least 90 percent of trips
Missed trips	No more than 0.2 percent of requests
Unscheduled trips	At least 85 percent fulfilled within 3 hours of the request
Leg A pickups (to the appointment)	At least 90 percent within 15 minutes of the scheduled time
Leg B pickups (the return)	At least 90 percent within 30 minutes of the scheduled time
Standing order riders	No missed appointment from a late pickup, a missed trip, or a transporter cancellation

Standing orders include dialysis, cancer treatment, and methadone. You may not change a pre-arranged pickup time without the rider’s permission. See trip legs and how to improve on-time performance.

Wellcare’s Medicare members follow different rules. Alivi’s Wellcare page, updated August 15, 2024, says members book 72 hours (3 business days) ahead and up to 30 days out. For a will-call, the provider has up to 60 minutes from the member’s call to pick up.

How Alivi pays you

Bill Alivi, not the health plan, for non-emergency rides. Sunshine’s provider guide says to bill the transportation vendor for covered non-emergency transportation and to bill Sunshine only for emergency ambulance trips.

Your Alivi agreement sets your rate. For comparison, in the state’s own fee-for-service program, Florida’s Medicaid transportation policy (November 2019) pays non-emergency ambulance trips at state rates and leaves every other ride to a rate the state’s broker negotiates with the provider. The same policy says Florida Medicaid does not cover time spent waiting while a rider is at an appointment. Read the rate, no-show, billing deadline, and payment timing sections of your agreement before you sign. See how to bill NEMT brokers.

If a problem with Alivi stays unresolved, you can take it to Sunshine. Florida’s plan contract requires each plan to run its own provider complaint system, which it cannot hand to a subcontractor. You have 45 days from the issue to file a complaint that is not about a claim. The plan must confirm receipt within 3 business days and resolve it within 90 days.

Who to contact at Alivi

Need	Where to go (September 2026)
Join the network	The callback form on Alivi’s transportation provider page
Trips and payments	Alivi’s transportation provider portal, providerportal.alivi.com
Book a Sunshine Medicaid ride for a patient	Alivi reservations, 1-844-352-0140 (TTY 711)
Wellcare Florida Medicare rides	Alivi, 1-855-519-6684
Report fraud or a compliance concern	Alivi’s anonymous hotline, 786-310-0468, or compliance@alivi.com
Escalate to the health plan	Sunshine Health Provider Services, 1-844-477-8313