# Florida NEMT License: Which Counties License Wheelchair and Stretcher Vans (2027)

Canonical URL: https://nemtguide.com/guides/florida-nemt-license/ · Updated 2026-09-30

Florida has no state NEMT license. Counties license wheelchair and stretcher companies instead: at least 16 do, including Miami-Dade, Broward, Palm Beach, Hillsborough, Orange, and Pinellas. Each sets its own office, fees, and insurance floor, from a $100 vehicle permit in Osceola to the $10,000 new business fee on Palm Beach's application. Florida Medicaid also asks for your local license when you enroll.

- Florida sets no state NEMT license, but Florida Medicaid asks every transportation company for a local license when it enrolls.
- At least 16 counties license wheelchair or stretcher service, each with its own office, fees, and insurance floor.
- A license from your home county does not carry over: the 2024 reciprocity law leaves out wheelchair and stretcher trips.
- Insurance floors run from $100,000 per person in Miami-Dade, Osceola, Sarasota, and Highlands to a $3 million combined limit in Putnam.
- Apply first where the process is slowest: Miami-Dade says its approval takes three to six months.

## Does Florida require a NEMT license?

Not from the state. Florida Medicaid's provider enrollment policy (February 2026) lists a local license among the documents every transportation company files, and it asks for a state license only from ambulance and air ambulance services. Any business tax receipt your county or city requires must be shown if AHCA visits your office. Medicaid enrollment, owner fingerprinting, and the broker contracts are covered in the [Florida state guide](https://nemtguide.com/states/florida/).

The local license is where the rules live. Section 125.01(1)(n) of the 2026 Florida Statutes lets each county license and regulate taxis, limousines, and other passenger vehicles for hire in its unincorporated areas, and several county codes reach into cities too. Three more state laws set the edges of what a county can ask:

- **Reciprocity leaves NEMT out.** Since July 1, 2024, section 320.0603 lets anyone with a vehicle-for-hire license from their home county or city work in other counties with no extra license or fee. Subsection (4) excludes transport of people on stretchers or in wheelchairs, or whose condition makes a bus or taxi impractical, so each county's NEMT license still applies.
- **No oversized vehicles.** Under section 316.87(1), a county cannot make a licensed provider use a vehicle bigger than the riders or their medical condition need. The rule does not cover ADA paratransit contracts.
- **Rideshare answers to the state only.** Under section 627.748(17), no county or city can require a license from a rideshare company or its drivers for prearranged rides. A company that arranges Medicaid or Medicare rides under a state or health plan contract is not a rideshare company under that law.

For the federal and broker layers that sit on top of all this, see [NEMT license requirements](https://nemtguide.com/guides/nemt-license-requirements/).

## Which Florida counties license wheelchair and stretcher vans

These 16 county codes, as posted in September 2026, require a county license, certificate, or permit before you run wheelchair or stretcher trips there. Codes change, and a county not listed may still regulate you, so call the office before your first pickup.

| County | What you need, and who issues it | What stands out |
|---|---|---|
| [Miami-Dade](https://nemtguide.com/states/florida/miami-dade-county/) | A nonemergency certificate for each vehicle and a chauffeur registration for each driver, from the Department of Transportation and Public Works | Three to six months, per the county's page. No vehicle older than 15 model years. |
| [Broward](https://nemtguide.com/states/florida/broward-county/) | A nonemergency medical transportation license and vehicle permits, from the Consumer Protection Division | Each trip report carries a physician's or medical director's written note that the rider needed no medical care on the way |
| [Palm Beach](https://nemtguide.com/states/florida/palm-beach-county/) | A vehicle for hire business permit, vehicle decals, and driver ID badges, from the Division of Consumer Affairs | New wheelchair and stretcher companies need at least two vehicles |
| [Hillsborough](https://nemtguide.com/states/florida/hillsborough-county/) | A vehicle for hire certificate, a permit for each van, and a public vehicle driver's license for each driver, from the Tax Collector | Wheelchair vans need 56 inches of headroom |
| [Orange](https://nemtguide.com/states/florida/orange-county/) | An alternative transportation (paratransit) license and vehicle permits, from the EMS Office of the Medical Director | The county commission issues or denies it within 60 days |
| [Osceola](https://nemtguide.com/states/florida/osceola-county/) | A permit for each vehicle and a chauffeur registration for each driver, through the Department of Public Safety | The county commission decides after a public hearing with 20 days' notice |
| [Pinellas](https://nemtguide.com/states/florida/pinellas-county/) | A certificate of public convenience and necessity from the Emergency Medical Services Authority | Its medical control board certifies wheelchair and stretcher van drivers |
| [Sarasota](https://nemtguide.com/states/florida/sarasota-county/) | A permit for the service and each vehicle, from the Florida Department of Health in Sarasota County | Issued within 30 days, and it expires every June 30 |
| [Alachua](https://nemtguide.com/states/florida/alachua-county/) | A certificate of public convenience and necessity from the county commission, good in Gainesville and every other city in the county | Current operators can file a protest within 30 days |
| Bradford | A nonemergency medical transportation service license and vehicle permits, filed with the clerk of court | $500 for each license or permit, decided within 60 days, valid for two years |
| [Columbia](https://nemtguide.com/states/florida/columbia-county/) | A nonemergency medical transportation license and vehicle permits, from the county commission | Decided within 30 days, valid for three years |
| [Highlands](https://nemtguide.com/states/florida/highlands-county/) | A class 1 certificate from the county commission, applied for through Highlands County Fire Rescue | $500 to apply plus $100 per vehicle, decided within 75 days, valid for two years |
| Monroe | A class B certificate of public convenience and necessity, after a public hearing | A $950 application fee and a yearly audit by an independent CPA |
| [Okaloosa](https://nemtguide.com/states/florida/okaloosa-county/) | A certificate for stretcher transfers between homes and facilities, from the county commission | Covers stretcher service only, valid for two years |
| Putnam | A class B certificate, valid for one year | A $3 million combined single limit of insurance |
| Santa Rosa | A level 1 alternative transportation certificate of public convenience and necessity | A $500 application fee and $1 million per person of auto liability |

## How to get licensed in Miami-Dade, Broward, and the other big counties

### Miami-Dade County

Miami-Dade issues one certificate per vehicle, in four types: wheelchair, stretcher, combination, and specialty sedan. Apply to the Passenger Transportation Regulatory Division, 601 NW 1st Court, 18th Floor, Miami (786-469-2323), which takes new applications weekdays from 8 a.m. to 3 p.m. The application asks for your articles or fictitious name, two credit references (one from your bank), a balance sheet or your last tax return, proof of insurance, a photo of your color scheme showing your business name and phone, and your proposed rates on letterhead. The fee is $300 per certificate plus $25 for each person's background check, paid by check or money order.

The county's license page, as of September 2026, says approval takes three to six months and goes to the county commission after a committee public hearing. Section 4-44 of the code, as amended in June 2021, gives the decision to the department director, so ask which path your application will take. Once approved, you get a 90-day conditional certificate. It becomes a full certificate after you file insurance and your vehicles pass inspection at the For-Hire Vehicle Inspection Station, 2615 NW 10th Avenue (305-638-6051), which inspects new nonemergency vehicles on Thursday mornings only. Approval lapses if you miss the 90 days.

Every driver needs a county chauffeur registration. As of the November 2024 form, a new nonemergency driver pays $102 for one year or $157 for two, applies in person, and brings a physical exam and a defensive driving certificate. Wheelchair van drivers add passenger assistance training, and every first-time driver takes the county's one-day training course. Four more rules catch new operators:

- **Rates are filed.** Public rate changes go to the county 30 days ahead, and a contract rate takes effect only after you file the signed contract (sec. 4-47).
- **Use it or lose it.** Certificates renew by January 1 each year, for $625 under Implementing Order 4-136 (effective October 9, 2017). A certificate expires if you ran service fewer than nine months of the prior year.
- **Older vans get inspected more.** Vehicles 1 to 2 model years old are inspected once a year, 3 to 4 twice a year, and 5 to 15 every quarter. Stretcher vans need 48 inches from floor to ceiling.
- **Stretcher trips need notice.** Callers must book stretcher service at least one hour ahead, and you must run at least 10 hours straight on each day you operate.

You also need a central place of business in the county, a phone line open 24 hours, and trip manifests kept for three years.

### Broward County

Broward rewrote its rules in Ordinance 2025-18 (April 22, 2025). Apply to the Consumer Protection Division, One North University Drive, Suite A203, Plantation (954-765-1700). Bring the packet and fee in person, or mail it without payment and pay the invoice the division emails you; it discards emailed applications. As of October 1, 2025 you pay a $741 application fee, a $369 license fee once approved, and $75 for each vehicle permit. Missing papers not sent within 90 days mean a denial.

The application needs certified FDLE and local criminal checks for every owner, officer, member, and director, a credit report, and a Broward office where mail and calls reach you. After approval, file a certificate of insurance naming the county as additional insured, your vehicle list, and each driver's Broward chauffeur's registration, which costs a new driver $132 with fingerprints (form revised April 17, 2026). Drivers also show proof of equipment training, a defensive driving course, first aid, and CPR. No license issues until you hold your county and city business tax receipts. The division inspects every vehicle before licensing and at least yearly, and a license lasts up to three years.

Three rules are rare elsewhere. Each trip report must carry written certification from the rider's physician, physician assistant, or a licensed ALS medical director that the rider needed no medical care on the way (sec. 22½-20(g)). An attendant must ride in the back with any stretcher or incapacitated rider. And every six months you report total calls, riders carried, and response times.

### Palm Beach County

Palm Beach's vehicle for hire ordinance covers taxis, sedans, and non-medical wheelchair and stretcher service in every city unless a city exemption applies. Vehicles run by government agencies and 501(c)(3) nonprofits are exempt (sec. 19-214). Apply to the Division of Consumer Affairs, 50 South Military Trail, Suite 201, West Palm Beach (561-712-6600), with a copy of your county business tax receipt. The new business application (revised January 2020, still posted in September 2026) lists a $10,000 initial fee for a new vehicle for hire business, a $100 business permit fee, and $50 per vehicle decal. The 2026-27 owner's checklist lists the same $100 and $50 fees. Permits run one year and end each April 30.

Each vehicle passes a yearly mechanical inspection by an ASE certified mechanic on the county's form, though the 2026-27 checklist skips it for 2025 and 2026 models. The division also checks each vehicle visually when it enters service and every year after. Drivers must be at least 18, with a driving record pulled within 30 days and no more than three moving violations in three years. Each needs a county ID badge, which takes a Level 2 FDLE fingerprint check, or a digital ID your company issues after its own accredited background check (sec. 19-227(m)). Name the Board of County Commissioners, care of the Division of Consumer Affairs, as certificate holder and additional insured.

Fleet minimums differ by vehicle type (sec. 19-220). A new wheelchair or stretcher company needs two vehicles, but a new company running sedans or SUVs needs seven.

### Hillsborough County

The Tax Collector runs the program from its North Tampa office. As of September 2026 a business certificate costs $300 and each vehicle permit $150, and your business tax receipt can be issued with the application. Hillsborough calls wheelchair and stretcher vans handicabs, where the driver also acts as attendant.

Each van needs a yearly inspection by an ASE certified mechanic or a state-licensed repair shop. A vehicle past 10 model years on December 31 needs an extra yearly check of its restraints and safety gear. Stretcher handicabs need two attendants, each with a public vehicle driver's license. Handicab drivers finish first aid, CPR, and defensive driving within 30 days of getting that license. You must accept cash, credit, and debit cards, keep records five years, and renew the certificate every year.

### Orange County

Orange licenses wheelchair, stretcher car, and other paratransit services through the EMS Office of the Medical Director, 2002-A East Michigan Street, Orlando (407-836-8960). You need a business office in the county, and you document your vehicles, dispatch radio and phone systems, finances, past performance, and driver training. The county commission issues or denies the license within 60 days. In February 2026, for example, the EMS office sent the commission one such license for approval, running March 24, 2026 to March 23, 2028, after public notice drew no objections.

The fee directory for fiscal year 2026-27 (effective October 1, 2026) lists $200 for up to three vehicles, $30 for each extra vehicle, and $125 to renew. Insurance amounts are set by county rule, with Orange County named as additional insured, under section 20-132 as amended May 19, 2026. File renewals at least 90 days before the license expires.

### Pinellas County

The Pinellas County Emergency Medical Services Authority certifies wheelchair and stretcher van services, and its medical control board sets driver standards and certifies drivers. The county's list of certificates approved by the county commission on July 22, 2025 names 21 companies: 13 wheelchair only, 6 wheelchair and stretcher, and 2 stretcher only. Running a wheelchair or stretcher van service without a certificate is a violation, and so is using a service that lacks one (sec. 54-66), so facilities there have reason to ask for yours. The EMS and Fire Administration Division is at 12490 Ulmerton Road, Largo (727-582-5750).

## How much insurance each Florida county requires

These are the county minimums, as of September 2026. Buy the highest limit you face across the county, Florida Medicaid ($100,000 per person and $200,000 per incident in its February 2026 policy), and each broker. The [NEMT insurance requirements guide](https://nemtguide.com/guides/nemt-insurance-requirements/) covers the other coverages brokers ask for.

| County | Minimum liability |
|---|---|
| Putnam | $3,000,000 combined single limit, county as additional insured |
| Santa Rosa | $1,000,000 per person, $1,000,000 per crash, $500,000 property damage, on each vehicle |
| Broward | $500,000 combined single limit on each vehicle, county as additional insured |
| Palm Beach | $125,000 per person, $250,000 per crash, $50,000 property, or $300,000 combined, county as additional insured |
| Hillsborough | $125,000 per person, $250,000 per crash, $50,000 property, or $300,000 combined |
| Highlands | $100,000 per person, $300,000 per crash, $50,000 property, plus $100,000 and $300,000 of medical malpractice, county as additional insured |
| Sarasota | $100,000 per person, $300,000 per crash, $50,000 property, or $300,000 combined |
| Miami-Dade | $100,000 per person, $300,000 per incident, $50,000 property damage |
| Osceola | $100,000 per person, $300,000 per crash, $50,000 property damage |
| Orange and Columbia | Set by county rule or resolution |

## Vehicle and driver rules that change at the county line

A van that passes in one county can fail in the next. Check these before you buy or convert one, next to the general [wheelchair van](https://nemtguide.com/guides/wheelchair-van-for-nemt/) and [stretcher van](https://nemtguide.com/guides/stretcher-van-requirements/) requirements.

| Rule | Where it applies |
|---|---|
| Interior height | 56 inches for Hillsborough wheelchair vans. 50 inches for wheelchair vans in Broward, Sarasota, Columbia, Highlands, Putnam, and Santa Rosa, and for stretcher vans too in Broward and Sarasota. 48 inches for stretcher vans in Miami-Dade and Osceola, and 41 inches in Columbia, Highlands, and Santa Rosa. |
| Vehicle age | Miami-Dade allows no vehicle older than 15 model years. Palm Beach sets no age limit. Hillsborough adds a restraint check past 10 model years. |
| Who inspects | County staff in Miami-Dade, Broward, Orange, and Osceola. The health department in Sarasota. An ASE certified mechanic in Palm Beach and Hillsborough, plus a county visual check in Palm Beach. |
| CPR | Every driver in Broward, Hillsborough, Highlands, Putnam, Santa Rosa, and Sarasota, plus Sarasota's helpers. At least one driver on each vehicle in Alachua. |
| Driver training | Miami-Dade: a one-day county course, a physical, and passenger assistance training for wheelchair vans. Highlands and Santa Rosa: an emergency vehicle operator course. |
| Drug tests | Highlands: before hiring, after any crash, and random tests of at least 10 percent of drivers every quarter. |
| Attendants | Broward, for stretcher or incapacitated riders. Hillsborough, two for each stretcher van. |
| Driving record | Palm Beach: no more than three moving violations in three years. Sarasota, Columbia, Putnam, and Santa Rosa: no reckless driving or DUI conviction in three years. Highlands: no DUI conviction in three years. |
| Fire extinguisher | Miami-Dade: 2.5 pound ABC. Osceola, Columbia, Highlands, and Putnam: 5 pound ABC. Broward, Sarasota, and Santa Rosa: 1A:10B:C. |
| Lift or ramp | Broward: meets 49 CFR part 38 and installed by a company registered with NHTSA. Miami-Dade: a powered lift or a manual ramp. Osceola: a powered lift. Columbia, Highlands, and Putnam: a lift and two securement points for each wheelchair. |

## Where Florida counties do not license NEMT

Some large counties exempt wheelchair and stretcher vans from their ambulance rules, and one regulates them another way.

- **Polk** exempts stretcher transport for routine treatment, for riders who need no basic or advanced life support, from its certificate ordinance (sec. 11.8-17(b)(3)).
- **Lee, Charlotte, and Hendry** exempt vehicles for people who must use a stretcher or wheelchair van, and who need no medical care on the way, from their ambulance certificate rules.
- **Jacksonville** covers any vehicle with a driver that carries passengers for a fare in [Duval County](https://nemtguide.com/states/florida/duval-county/), except ambulances and a few others, under chapter 220. It asks for no permit, but the business must run local and national background checks on each driver every three years, carry insurance, and file an independent CPA's compliance report by January 1 of every other year, as it has since 2020. A report that finds you out of compliance brings a $10,000 fine, and a second one $20,000. The chapter does not apply in Jacksonville Beach, Atlantic Beach, Neptune Beach, or Baldwin.
- **Ocala** exempts non-medical wheelchair and stretcher transport from its vehicle for hire chapter (sec. 74-38).

Work for the state's Transportation Disadvantaged program gets its own carve-outs in two places. Highlands exempts nonemergency transportation contracted under chapter 427 from its certificate (sec. 5-54(b)(6)), and Ocala exempts operators under contract with the county's [community transportation coordinator](https://nemtguide.com/glossary/community-transportation-coordinator/). Where no county license applies, your broker's standards set the rest, and any business tax receipt your county or city requires still applies.

## Working across county and city lines

Plan each county separately. Because the 2024 reciprocity law leaves out wheelchair and stretcher service, you need a license in every licensing county where you pick riders up. Drop-offs are easier:

- **Miami-Dade and Osceola** let you drop off a rider you lawfully picked up in another county.
- **Palm Beach** also lets you pick that rider back up and take them home to the first county, as long as the trip was prearranged.
- **Palm Beach reciprocity** waives the $10,000 new business fee for a company permitted in Martin, St. Lucie, Broward, or Miami-Dade County, but only if that county's ordinance lets Palm Beach companies work there on the same terms.
- **Sarasota** exempts vans based outside the county, but a van that picks a rider up inside Sarasota must meet its rules.

Cities rarely add a second NEMT license. Miami-Dade's article is the only NEMT regulation countywide, cities included (sec. 4-53), and Osceola's is too wherever no city ordinance conflicts (sec. 12-28). Alachua's certificate covers incorporated and unincorporated areas alike (sec. 52.22). Hillsborough's and Palm Beach's vehicle for hire rules also reach into cities, with exceptions for conflicting city ordinances or city exemptions. West Palm Beach's code adds a city decal for each vehicle for hire on top of the county permit, renewed by September 30 each year, and it exempts wheelchair and stretcher vans only when they run for Palm Tran Connection (secs. 22-222 and 22-223). Pinellas bars cities from requiring any license or fee beyond an occupational license (sec. 54-65), and Sarasota's rules step aside only in a city that enforces its own equal or stronger ordinance. A February 2024 House staff analysis added that cities may lose the power to license vehicles for hire after July 1, 2024, because state law preempts local licenses that general law does not authorize, and only counties have that authority. City business tax receipts still apply, and Miami-Dade says a municipal license may be needed depending on where your office is.

## How long a county license takes and what it costs

Fees below are government fees only, as of September 2026, with the date of each fee schedule where the county gives one.

| County | Fees |
|---|---|
| Palm Beach | $10,000 new business fee, $100 business permit, $50 per vehicle decal (January 2020 application) |
| Monroe | $950 application for a new certificate |
| Broward | $741 application, $369 license, $75 per vehicle permit (October 1, 2025), $132 per new chauffeur registration |
| Miami-Dade | $300 per certificate application, $25 per person screened, $625 per certificate each year, $70 for a new vehicle inspection and $38 for each one after (October 9, 2017 order), $102 per new driver for one year (November 2024 form) |
| Highlands | $500 application, the cost of the public notice, and $100 per vehicle permit |
| Bradford | $500 for each license, vehicle permit, or renewal |
| Santa Rosa | $500 application for a new certificate |
| Hillsborough | $300 business certificate, $150 per vehicle permit |
| Orange | $200 for up to three vehicles, $30 per extra vehicle, $125 renewal (October 1, 2026) |
| Osceola | $100 for the first vehicle permit, $75 per extra permit on one application, $100 to renew, $10 per chauffeur registration |

How fast each county decides, under its code or its license page:

1. **Sarasota:** within 30 days of your application.
2. **Columbia:** within 30 days.
3. **Orange and Bradford:** within 60 days.
4. **Highlands:** within 75 days, after a public hearing.
5. **Alachua:** within 90 days after the county notifies current operators. The board may weigh whether existing services already meet the need.
6. **Osceola:** after a public hearing with at least 20 days' notice.
7. **Miami-Dade:** three to six months.

Two counties also check that you keep running. Miami-Dade and Osceola each cancel a certificate or permit if you ran service fewer than nine months of the prior year.

## How to get a county NEMT license in Florida, step by step

1. **List every county where you will pick up riders.** A trip that starts in another licensing county needs that county's license.
2. **Read that county's article and call the office.** Ask for the current application and fee schedule, since some forms are years old.
3. **Form your company and get your business tax receipts.** Broward wants your physical address to match your county and city receipts, and Palm Beach wants the county receipt with your application.
4. **Open an office inside the county where required.** Miami-Dade, Broward, Orange, Osceola, and Monroe all require one.
5. **Buy insurance at the highest floor you face,** and name the county as additional insured in Broward, Palm Beach, Orange, Highlands, and Putnam.
6. **Get each vehicle inspected the county's way.** Book the county station in Miami-Dade or the division in Broward, or an ASE certified mechanic in Palm Beach and Hillsborough.
7. **Register every driver.** Miami-Dade, Broward, and Osceola use chauffeur registrations, Palm Beach an ID badge, Hillsborough a public vehicle driver's license, and Pinellas its own driver certification.
8. **Go to your hearing** in Osceola, Highlands, or Monroe, and in Miami-Dade if your application goes to the county commission.
9. **Enroll with Florida Medicaid and each broker,** attaching the county license as your local license.

## Frequently asked questions

### Do I need a license to start a NEMT business in Florida?

Not from the state. You need a county license or permit in each licensing county where you pick up wheelchair or stretcher riders. Florida Medicaid lists a local license among the documents a transportation company files when it enrolls with AHCA, and any business tax receipt your county or city requires must be shown if AHCA visits your office.

### How much does a county NEMT license cost in Florida?

It depends on the county, as of September 2026. Osceola charges $100 for a first vehicle permit and Orange $200 for up to three vehicles. Broward charges $741 to apply, $369 for the license, and $75 per vehicle. Highlands asks $500 plus $100 per vehicle, Bradford $500 per license or permit, and Monroe $950 to apply. Palm Beach's new business application lists a $10,000 initial fee. Driver registrations, inspections, and insurance come on top.

### Does my Broward license let me pick up riders in Miami-Dade?

No. Section 320.0603 of the Florida Statutes, in effect since July 1, 2024, lets a vehicle-for-hire license from your home county count in other counties, but subsection (4) leaves out wheelchair and stretcher transport. Miami-Dade still requires its own certificate for each vehicle. You may drop off a rider in Miami-Dade whom you lawfully picked up in Broward.

### Do ambulatory sedan rides need a county license in Florida?

In some counties, yes. Palm Beach licenses every prearranged non-taxi vehicle carrying riders for pay, and a new sedan or SUV company needs at least seven vehicles. Broward treats sedans and minivans as motor carriers under a separate set of rules. Putnam's class B certificate covers any non-emergency ride to or from a medical appointment, and Miami-Dade offers a specialty sedan certificate. Ask the county office before you put a sedan on Medicaid trips.

### Which Florida county requires the most insurance for NEMT?

Putnam, as of September 2026: a $3,000,000 combined single limit with the county named as additional insured. Santa Rosa asks for $1,000,000 per person, $1,000,000 per crash, and $500,000 property damage on each vehicle. Broward asks for a $500,000 combined single limit per vehicle. Brokers and health plans can set higher limits of their own.

### How long does a county NEMT license take in Florida?

It ranges from about a month to half a year. Sarasota's health department issues permits within 30 days and Columbia's commission decides within 30 days. Orange and Bradford decide within 60 days, Highlands within 75, and Alachua within 90 days of notifying current operators. Miami-Dade's license page says approval takes three to six months.

### Do Uber and Lyft drivers need a county NEMT license in Florida?

No. Section 627.748(17) makes rideshare companies and their drivers subject to state law only, so a county or city cannot require them to hold a license for prearranged rides. Section 316.87(2) lets a rideshare company carry Medicaid riders under a plan or broker contract if its drivers pass a Level 1 screening. Wheelchair and stretcher companies still need the county license.

## Official resources

- [Miami-Dade County: Non-Emergency Transportation Certificate](https://www.miamidade.gov/global/license.page?Mduid_license=lic1500577699583202)
- [Broward County: Nonemergency Medical Transportation Service License application](https://www.browardcdn.org/api/public/content/85a2578f3f6344d2a47e87385aeea5d4?v=c5fdf116)
- [Palm Beach County: Vehicle for Hire business permit application](https://discover.pbc.gov/publicsafety/consumeraffairs/CA_PDFs/VFHBusinessApp.pdf)
- [Hillsborough County Tax Collector: Open a vehicle for hire business](https://www.hillstaxfl.gov/other-services/vehicle-for-hire/business-information/)
- [Pinellas County: Certified wheelchair and stretcher van services](https://pinellas.gov/safety-emergency-services-transports/)
- [Orange County Code: Alternative Transportation Services](https://library.municode.com/fl/orange_county/codes/code_of_ordinances?nodeId=PTIIORCOCO_CH20HEHUSE_ARTIIIEMNOMECATR)
- [Highlands County Fire Rescue: Certificate of Public Convenience and Necessity](https://www.highlandsfl.gov/departments/public_safety/emergency_medical_services/certificate_of_public_convenience_and_necessity.php)
- [Florida Statutes: 320.0603, Vehicle-for-hire reciprocity](https://www.flsenate.gov/Laws/Statutes/2026/320.0603)
- [AHCA: Florida Medicaid Provider Enrollment Policy](https://ahca.myflorida.com/content/download/28712/file/Provider%20Enrollment%20Policy.pdf)