How to Become a Coordinated Transportation Solutions (CTS) Transportation Provider in 2027

Coordinated Transportation Solutions, Inc. (CTS) is a 501(c)(3) nonprofit founded in 1997 and based in Trumbull, Connecticut. It manages rides for New Hampshire Medicaid, health plans, two VA medical centers, workers’ compensation clients, and school districts. CTS owns no vehicles. It books each ride, then sends it to a company in its network: livery and taxi operators, wheelchair van companies, ambulance services, and public transit.

CTS’s 2025 annual report puts the size of that network at 351 providers with 5,487 vehicles, and counts 2,532,396 trips performed in 2025. Medicaid rides brought in $141,460,615 of its $152,911,126 in operating revenue that year.

Where CTS books Medicaid rides

New Hampshire

New Hampshire splits Medicaid rides between two brokers. As of September 2026, the state’s NEMT Quick Summary Guide, effective October 17, 2025, lists:

Who the rider is covered by	Broker	Ride line	Routine notice	Urgent notice	Call center hours
NH Medicaid fee-for-service	CTS	844-259-4780	48 hours	2 hours	Weekdays 8 a.m. to 5 p.m.
AmeriHealth Caritas New Hampshire	CTS	833-301-2264	48 hours	2 hours	Monday to Wednesday 8 a.m. to 8 p.m., Thursday and Friday 8 a.m. to 6 p.m.
Adult dental (Northeast Delta Dental and DentaQuest)	CTS	844-304-6630	48 hours	Covered by the rider’s plan	Same as AmeriHealth Caritas
NH Healthy Families	MTM Health	888-597-1192	2 business days	3 hours	24 hours a day
WellSense Health Plan	MTM Health	844-909-7433	2 business days	3 hours	24 hours a day

For after-hours rides and hospital discharges, callers to the CTS fee-for-service or AmeriHealth Caritas line leave a message, and the guide says calls are generally returned within 1 hour. CTS became the fee-for-service broker on May 1, 2022, replacing One Call, and that change did not affect members in the health plans. As of September 2026, CTS’s own DHHS page, updated April 22, 2026, calls it the transportation manager for New Hampshire DHHS. AmeriHealth Caritas New Hampshire tells members to call CTS at least two business days before a ride, a little stricter than the state guide’s 48 hours.

To carry every Medicaid rider near you, you need both brokers. See the MTM Health provider page for the other half, and the New Hampshire state guide for licensing, taxes, and the full ride rules.

Who gets a scheduled ride

New Hampshire has riders use cheaper options before a van. The DHHS Medicaid Transportation page, as of December 5, 2025, sets this order:

1. Family and Friends mileage. A member with a car, or a friend or relative who can drive, uses the Family and Friends Mileage Reimbursement Program. For fee-for-service members, CTS enrolls those drivers and handles the mileage claims, and the money goes to the member.
2. Public transportation. A member without a car uses the bus when they live less than half a mile from a route, the provider is less than half a mile from it, and they are an adult under 65. Exceptions include pregnancy, limited mobility, visual impairment, serious respiratory conditions, and traveling with young children.
3. A scheduled ride. Everyone else gets a ride from a company in the broker’s network: sedan or taxi, wheelchair van, ambulance, and more.

AmeriHealth Caritas New Hampshire also covers up to 14 one-way social trips each calendar year to places such as grocery stores, support meetings, and job interviews. Members book them through CTS, with a 30-mile limit each way.

Other CTS programs

CTS’s 2025 annual report lists these Medicaid and health plan partners: AmeriHealth Caritas New Hampshire, Commonwealth Care Alliance, DentaQuest for the NH Smiles adult dental program, Fallon Health, Mass General Brigham, New Hampshire DHHS, Tufts Health Plan, University of Pittsburgh Medical Center Health Plan, and WellSense. It also lists the VA medical centers in Manchester, New Hampshire and White River Junction, Vermont, school districts in Connecticut, Massachusetts, and New Hampshire, and 12 workers’ compensation clients. Ask CTS which of these programs have trips in your area.

How to become a CTS provider

As of September 2026, joining takes these steps.

1. Get your state licenses first. CTS requires every company to follow local, state, and federal licensing rules. In New Hampshire, wheelchair vans need an EMS division license (see below). See NEMT license requirements for other states.
2. Fill out the provider request form. It is on CTS’s Transportation Providers page. CTS says someone from its team contacts you promptly after it arrives.
3. Pass credentialing. CTS collects your insurance, proof of good standing, and driver screening. The table below lists what it keeps on file in New Hampshire.
4. Complete CTS training. CTS gives its providers a password to its online training materials.
5. Sign your agreement. CTS’s insurance minimums follow each state and contract, so read the agreement and confirm the rates and limits before your first trip.

What the request form asks

• Transportation provider name and legal business name, if different
• Contact name, email, phone, and street address
• Years in business and number of drivers
• How many taxis, stretcher vehicles, wheelchair vans, and ambulances you own
• Whether you want to drive students
• Which GPS or vehicle tracking system you use
• Which brokers you already work with, such as MTM Health, Modivcare, MART, or GATRA

What CTS keeps on every New Hampshire driver

He-W 574, New Hampshire’s NEMT rule effective October 1, 2025, says every transportation company driver takes part through the broker. The broker must collect and keep these records for each driver for 6 years:

Record	Notes
A completed, signed, and dated credentialing packet	From your company
Proof of a valid driver’s license
The IRS document showing your federal tax ID, and a W-9	The W-9 at enrollment
IRS proof of nonprofit status	Only if you are tax-exempt
Proof of automobile liability insurance	Updated at every renewal or change
OIG exclusion list check	At hire and every month
Background checks
Rider complaints and how each was resolved
Training records
Dispatch travel logs	Driver, company, rider, date, and a signature log from all parties
Billing and payment records
Proof the vehicle is safe for passengers

He-W 574 treats a ride by a driver who has not met these rules as not covered, so a missing file can cost you the trip. Keep each file complete with the NEMT driver file checklist, and search every driver on the OIG exclusion list monthly. For how brokers review files, see NEMT broker credentialing.

What CTS requires from your company, drivers, and vehicles

Company

Requirement	What CTS asks for, as of September 2026
Insurance	Commercial general liability, commercial automobile liability, and workers’ compensation. An umbrella policy if the contract requires one. Minimums follow each state and contract.
Good standing	A certificate of good standing from the state where you work, or registration to do business there
Exclusion checks	An attestation that no employee appears on a state or federal exclusion list, including OIG and SAM
Driver screening	Routine checks of each driver’s motor vehicle record and criminal background, with satisfactory results
Trip records	Pre-trip vehicle inspection reports, driver logs, driver manifests, and reimbursement requests

See NEMT insurance requirements for how these policies work.

Drivers

CTS requires this training for drivers:

• Defensive driving
• Passenger assistance
• Customer service
• Sensitivity training
• First aid and CPR, where a contract requires them

CTS also expects drivers to give safe, courteous, reliable rides, never drive distracted, help riders when appropriate, and look professional. See NEMT driver training for building a program.

Vehicles

Every vehicle must be licensed, inspected, and insured to local, state, and federal rules and your contract. It needs working safety equipment, the interior and exterior signs those rules require, and two-way communication between the driver and your dispatch. Maintenance schedules must follow the Department of Transportation, the Department of Motor Vehicles, CTS standards, and your contract. Under He-W 574, New Hampshire vehicles must be registered under RSA 261:40 and equipped to 49 CFR 38.23, and wheelchair van drivers must be able to show registration and insurance for any date they drove.

New Hampshire wheelchair van license

New Hampshire licenses wheelchair vans for hire through the Department of Safety’s Division of Fire Standards and Training and Emergency Medical Services. Saf-C 5917, effective May 24, 2019, sets these rules:

Item	Rule
Company license	$100, or $50 if the company is also a licensed NH EMS unit with the same name. Fees apply to for-profit businesses.
License for each van	$20
Insurance	At least $1 million of general and professional liability, renewed with the division every year
Driver training	Documented passenger assistance and two-way communication training for every van operator
Inspection	Before each new van carries passengers, within 30 days of an accepted application, and at every renewal
Van license term	Ends on the last day of the inspection month, 2 years later
Company license term	Ends December 31 of the year approved, then every 2 years on renewal
Interior and doorway	At least 52 inches of interior height, and a loading door 42 inches high and 39 inches wide
Equipment	A permanent ramp or a lift with manual backup, fixed securement devices, warning lights, a 2-A-10-B-C fire extinguisher, a hand light, four reflectors or flares, and seat belts with shoulder straps for everyone on board
Fine for an unlicensed van	$1,000 per van

Ambulance services are licensed separately. He-W 572 requires every ambulance provider to be licensed in its state and enrolled with New Hampshire Medicaid.

How CTS sends trips and pays you

Members book with CTS by phone, and fee-for-service members can also manage Family and Friends trips in the DHHS portal and app that CTS runs. CTS says it takes trip requests through web tools and uses a CTS driver app with real-time tracking. Ask CTS how you will receive trip assignments and send back completed trips.

Claims and payment

Step	CTS rule, as of September 2026
Where you bill	CTS’s Provider Web Portal
Billing periods	The 1st through the 15th, and the 16th through the end of the month
When to submit	Within five business days after each billing period ends
When you are paid	Clean claims within 30 days of submission

Confirm the rates in your CTS agreement before you bill. See how to bill NEMT brokers for clean claims.

New Hampshire ride rules that shape your pay

He-W 574 sets these rules for fee-for-service rides:

Rule	What He-W 574 says
Wheelchair van pay	A base rate for each one-way trip or each way of a round trip, plus loaded miles by the most direct route, paid once per trip however many riders are on board
Wait time	Covered for round trips only, up to 2 hours, rounded to the nearest half hour
Tolls and parking	Covered with a receipt submitted with the travel log
Destination	The nearest appropriate Medicaid provider, by the least costly route
Mileage limits, round trip	30 miles to a pharmacy, 50 to a doctor or behavioral health provider, 90 to a hospital, dialysis, or a physical, speech, or occupational therapist, 300 to a dentist, 400 to a specialty provider
Longer trips	Need prior authorization, which the broker requests from DHHS
Wheelchair van paperwork	A Mobility Determination form from a health care professional, sent to the broker before the ride

The mobility form covers car, wheelchair vehicle, stretcher van, and nonemergency ambulance rides for every New Hampshire Medicaid plan. On August 11, 2026, the Division of Medicaid Services reminded hospitals to complete it and file it with the broker before any ride that needs a specialized vehicle, or hand it over at pickup. Ask CTS what your driver should do when the form is not on file. See NEMT wait time billing and loaded miles for how these rules add up.

Who to call at CTS and the state

For	Contact
CTS headquarters	203-736-8810, fax 203-375-0510, 35 Nutmeg Drive, Suite 120, Trumbull, CT 06611
New provider requests	The form on CTS’s Transportation Providers page
NH fee-for-service ride line	844-259-4780 (medical offices press 2)
AmeriHealth Caritas New Hampshire ride line	833-301-2264 (medical offices press 2)
Adult dental ride line	844-304-6630 (medical offices press 1)
NH Medicaid Provider Relations	603-223-4774 or 866-291-1674
TTY	7-1-1 or 800-735-2964 (Relay New Hampshire)

Before you send the form, have your certificate of good standing, insurance declarations, vehicle list by type, and driver roster ready. Ask CTS which towns and vehicle types it needs most, whether AmeriHealth Caritas trips need anything more, and how it wants your insurance certificate worded.