MTM Health in Nevada: Urban Medicaid Rides and the Exemption Letter (2027)

MTM Health is the one company Nevada Medicaid pays to arrange nonemergency medical transportation (NEMT) for its members in urban Clark and Washoe counties, the Las Vegas and Reno areas, and for fee-for-service members statewide. You sign your agreement with MTM, and MTM sends you trips and pays you. For company setup, the Transportation Authority rules, and the state’s vehicle and driver standards, use the Nevada guide. For how MTM works in its other states, see the MTM Health guide.

Who MTM books rides for in Nevada

MTM took over Nevada’s rides from LogistiCare on July 1, 2016, under Nevada Medicaid Announcement 1165. Since managed care went statewide on January 1, 2026, the member’s ZIP code decides who books each ride:

• Urban Clark and Washoe counties. Nevada Medicaid’s transportation page says MTM authorizes every urban member’s ride, whether the member is in a health plan or fee-for-service.
• Rural counties, fee-for-service. MTM books these too. Nevada Medicaid expected about 126,000 people to stay in fee-for-service across all counties: seniors 65 and older, people with disabilities, children in foster care, juvenile justice, and child welfare, and members of the three home and community-based waivers.
• Rural counties, health plan members. CareSource and SilverSummit members call their plan, which sends the ride to SafeRide Health. See SafeRide Health in Nevada.

Before 2026, the managed care members in Clark and Washoe alone made up about 75 percent of Nevada’s Medicaid population, by the state’s count, and they still ride with MTM. For a Las Vegas or Reno company, MTM is the way into Medicaid work. A company in a rural county may need both MTM, for fee-for-service riders, and SafeRide, for plan members.

The January 1, 2026 transportation chapter also adds Nevada Check Up children to NEMT, though the state’s transportation page, updated September 29, 2026, still says they are not eligible. See Nevada Check Up rides.

How a ride reaches your van

Nevada’s manual makes MTM use the least costly ride that meets the member’s needs, so many members never reach a transportation company. The order works like this:

1. Bus and paratransit. MTM issues bus passes and books public paratransit itself. A member inside a transit service area who needs more than the bus must be assessed by the paratransit agency and found unable to use paratransit before MTM approves a higher level. The member has five days to call for that assessment and the agency up to 45 days to finish it, and MTM books the level the member asked for in the meantime.
2. Gas money. Members who can drive, or have someone drive them, get mileage reimbursement. MTM cut the rate to 23.5 cents a mile in July 2026 to match the IRS medical rate, and says a member approved for mileage can otherwise use only public transit, where it runs.
3. A commercial ride. Sedans, vans, taxis, rideshare, and wheelchair and stretcher vehicles come last. MTM may not move a member to a commercial ride when a lower level reaches the care, and it must pick the least expensive company that offers the right level of service and covers the area.

Transit carries so much of the work in Nevada that MTM does not let members book new rides in its MTM Link app. Members call 1-844-879-7341, and the app shows only past and future trips.

When a member says they cannot use the bus or mileage, MTM asks the member’s health care provider to fill out a Level of Need form, which sets the ride type. That makes clinics, dialysis units, and discharge planners worth knowing. Facilities can book recurring trips up to six months at a time, and when a return time is unknown, MTM books a will-call trip, and the company should arrive within one hour of the call. Members may also ask for your company by name; MTM tries to honor the request but only assigns trips inside its network. See dialysis transportation and how to get facility contracts.

Hospitals, case managers, and tribal programs book through MTM’s Community Partners Line at 844-299-6333. MTM has run that line around the clock since July 1, 2021 for discharges, transfers between facilities, and high-risk pregnancy trips, including bus overrides. For how fast discharge rides must move, see hospital discharge transportation.

MTM’s community driver program

MTM also recruits individual drivers who use their own cars. Its 2026 Nevada flyer, posted on the provider page, offers twice the IRS business mileage rate for every trip, with payment within 15 days of an approved claim. At the IRS rate of 76 cents a mile in effect since July 1, 2026, that is $1.52 a mile.

The flyer’s requirements:

• At least 21, with a current driver’s license and a mobile phone.
• Not enrolled in Nevada Medicaid.
• Your own four-door vehicle that passes an initial and an annual inspection, with what the flyer calls adequate car insurance.
• A drug test, a background check, and an MTM driver training course.

Applicants leave the ownership disclosure, EIN, and NPI fields of MTM’s application blank, and the flyer says most trips run between 5 a.m. and 6 p.m. Questions go to NVinquiries@mtm-inc.net. The program runs on four-door cars, so before you buy a sedan or minivan, ask MTM which levels of service it is short on in your area. For how rideshare-style drivers compare with a NEMT company, see NEMT vs rideshare.

How to join MTM in Nevada

MTM says it is always recruiting for its statewide Nevada network. Where it has no current need, it keeps your application on file.

1. Apply. Fill out the questionnaire on MTM’s Join Our Network page. A contract representative takes you through the application, credentialing, and contracting phases. See broker credentialing.
2. Insure the company. As of October 2026, MTM asks for general and auto liability of at least $1,500,000 each, with MTM named as certificate holder and additional insured on both, plus workers’ compensation that meets state rules. The state manual separately requires $1.5 million combined single limit on every vehicle.
3. Get certified. MTM certifies to Nevada Medicaid that your insurance, vehicles, background checks, and drug testing meet the manual, and Nevada Medicaid then issues your letter of exemption from the Transportation Authority’s certificate and permit rules. MTM must also send its subcontracts to Nevada Medicaid for approval.
4. Pass MTM’s inspection. The manual makes MTM inspect vehicles every year, on top of any state inspection. Each vehicle carries signs showing it runs under the exemption and a copy of the exemption.

The exemption in NRS 706.745 covers only carriers working under the Nevada Health Authority’s ride contract. Private pay and facility-paid rides still need an NTA certificate or permit; see private pay NEMT.

Trips, records, and pay

MTM sends trip assignments through its Electronic Trip Download (ETD) system. Its provider page says rates are set with each company individually. Nevada Medicaid pays MTM, not you, and the manual does not cover waiting time, empty miles, or no-show charges, so price your contract with those limits in mind. See how to negotiate broker rates.

MTM does not pay for no-shows or members who cancel at the door. Call each member the day before, and cancel the trip if they will not go. On the road, members should be ready 15 minutes before pickup, a scheduled return should come within 15 minutes of the visit ending, and an unscheduled return within one hour.

Nevada Medicaid’s encounter guide for broker trips, updated August 4, 2026, makes MTM report the appointment time, scheduled pickup, actual pickup, and actual drop-off on every wheelchair van (A0130), stretcher van (T2005), and minibus or other vehicle (A0120) line, with an origin and destination modifier on every code for a non-pharmacy trip. Each encounter names your company as the rendering provider by NPI and tax ID number, and MTM must submit it within 90 days of receiving it. Record real pickup and drop-off times on every leg with a trip log, because MTM has to pass them on.

MTM keeps its own Nevada accident and incident form. Report any injury to MTM by phone within three hours, and send the form by the end of the next business day. For a pay or trip dispute, go to MTM first: Nevada Medicaid refers provider disputes to the broker, which tries to answer by phone within 24 hours and in writing within 72 hours.

Who to call

• Members: 1-844-879-7341 to book, change, cancel, or report a late ride.
• Complaints: the We Care Line, 1-866-436-0457.
• Hospitals, case managers, and tribal programs: the Community Partners Line, 844-299-6333, open 24 hours.
• Facility portal and training: CO-NV@mtm-inc.net.
• Community driver program: NVinquiries@mtm-inc.net.
• Program office, Las Vegas: 702-323-7700.
• Unresolved concerns: members call MTM first. Fee-for-service members then email Transportation@nvha.nv.gov, and health plan members email ManagedCare@nvha.nv.gov.