NEMT Brokers by State in 2027: Who Manages Medicaid Rides in All 50 States and DC

Before you apply to a broker, you need to know who actually runs Medicaid rides where you drive. In some states that is one company. In others it changes by region, by county, or by the rider’s health plan. The table below shows who manages rides in every state and DC as of September 28, 2026, with a link to the official page for each.

NEMT brokers in all 50 states and DC (September 2026)

“Fee-for-service” means members who are not in a Medicaid health plan. Where a state page gives an effective date, it is in the table.

State	How rides are run	Who you contract with	Official page
Alabama	State runs rides, no broker	Alabama Medicaid’s NET program approves each ride through its call center. Members pick from its directory of approved transporters (procedures dated July 10, 2025).	Alabama Medicaid
Alaska	State runs rides, no broker	The member’s health care provider requests travel authorization from the state’s contractor or a tribal health organization. Taxi, bus, and wheelchair van companies enroll with Alaska Medicaid.	Alaska DOH
Arizona	Health plans choose	Each AHCCCS health plan arranges rides. Arizona Complete Health uses MTM Health. AHCCCS pays fee-for-service rides itself, and NEMT companies register with AHCCCS as provider type 28.	AHCCCS
Arkansas	Regional brokers	Verida in Regions A to D, Central Arkansas Development Council in Region E, Area Agency on Aging of Southeast Arkansas in Region F, Modivcare in Region G (Pulaski, Faulkner, and Lonoke counties) since January 2, 2026	Arkansas DHS
California	Health plans choose	Each Medi-Cal health plan arranges rides. L.A. Care uses Call the Car. Partnership HealthPlan arranges rides itself, and IEHP has arranged all its NEMT trips itself since May 2026.	DHCS
Colorado	Statewide broker, phasing in	MediDrive in nine Denver metro counties since July 1, 2026, replacing Transdev Health Solutions. Elsewhere, local NEMT providers until MediDrive takes every trip statewide on January 1, 2027.	Health First Colorado
Connecticut	One statewide broker	MTM Health	CT DSS
Delaware	One statewide broker	Modivcare, under contract with the Division of Medicaid and Medical Assistance	DMMA
District of Columbia	Health plans plus a fee-for-service broker	MTM Health for fee-for-service members. A contract naming Verida as the broker for fee-for-service and IDD waiver members (CW135340) was deemed approved by the DC Council on July 6, 2026. Its term starts October 1, 2026, so check with DHCF for when rides move. Health plans arrange their own rides, and Verida serves HSCSN members.	DHCF handbook
Florida	Health plans choose	Each managed care plan picks a broker: Modivcare for Humana, Alivi for Sunshine Health, MTM Health for the Children’s Medical Services plan. Fee-for-service members ride with Modivcare or MTM Health (regions 3 to 8) under a waiver running July 1, 2025 to June 30, 2027.	AHCA
Georgia	One statewide broker	Verida in all five regions since April 1, 2026, when Modivcare left the Central, East, and Southwest regions	Georgia Medicaid
Hawaii	Health plans choose	Transdev Health Solutions for AlohaCare, Modivcare for HMSA and ’Ohana, MTM Health for Kaiser Permanente and UnitedHealthcare	Med-QUEST
Idaho	One statewide broker	MTM Health (state page updated November 20, 2025)	IDHW
Illinois	Health plans plus direct billing	HealthChoice Illinois plans arrange rides for their members. For fee-for-service members, you enroll with HFS and bill it, and Transdev handles prior approval (handbook dated March 11, 2024).	HFS handbook
Indiana	Health plans plus a fee-for-service broker	Verida for most fee-for-service rides. Since January 1, 2026, WellTrans for Healthy Indiana Plan and Hoosier Healthwise members of Anthem, CareSource, and MHS. Every company must be IHCP enrolled.	IHCP
Iowa	One statewide broker	MTM Health for fee-for-service members and all three health plans: Iowa Total Care, Molina, and Wellpoint	Iowa HHS
Kansas	Health plans choose	SafeRide Health for Sunflower (since November 1, 2024) and UnitedHealthcare. MTM Health for Healthy Blue.	Sunflower Health Plan
Kentucky	Regional brokers	Fifteen HSTD regions run by the Transportation Cabinet: FTSB (Regions 6, 9, 10, 11), GRITS (1, 3, 4), LKLP (5, 13, 15), PACS (2), BGCAP (8), RTEC (12), SVTS (14), LVCAP (16)	KYTC broker list
Louisiana	Health plans share one broker	MediTrans for every Healthy Louisiana plan, in every parish. Verida handles fee-for-service legacy members.	Louisiana Medicaid manual
Maine	Regional brokers	Modivcare in most counties, including the midcoast since July 1, 2026. Penquis CAP in Kennebec, Piscataquis, Somerset, and Penobscot outside Patten (list updated July 1, 2026).	MaineCare broker list
Maryland	County programs, no broker	The state gives grants to each local health department and to Montgomery County’s Department of Transportation, which run rides locally (notice released February 25, 2026)	MDH notice
Massachusetts	Regional brokers	MART for western, central, and northeastern Massachusetts and Metro Boston. GATRA for southeastern Massachusetts and Cape Cod.	MassHealth
Michigan	Health plans plus county offices	Medicaid health plans cover rides for their members. For fee-for-service members, county MDHHS offices arrange rides, except in Wayne, Oakland, and Macomb counties, which use a broker. Modivcare’s state contract for those counties was set to run through July 31, 2026, so confirm the current broker with MDHHS.	MDHHS plan amendment
Minnesota	Health plans plus counties	Plan members ride through their plan. Fee-for-service rides go through MTM Health for the Metro County Consortium, SmartLink, or the local county or tribal agency. New providers in the seven-county metro cannot enroll until January 27, 2027.	MN DHS
Mississippi	Health plans plus a fee-for-service broker	Modivcare for fee-for-service members since June 8, 2024. MTM Health for Magnolia, Molina, and TrueCare members.	Mississippi Medicaid
Missouri	One statewide broker	MTM Health for fee-for-service members and Home State Health, Healthy Blue, UnitedHealthcare, and Show Me Healthy Kids	MO HealthNet
Montana	Statewide broker, starting	Modivcare for all Medicaid rides, with an anticipated start of October 1, 2026. It takes over provider enrollment and billing from the state’s claims contractor.	DPHHS notice
Nebraska	Health plans plus direct billing	Nebraska Total Care and UnitedHealthcare (since January 1, 2026) use MTM Health. For fee-for-service members, you enroll with Nebraska Medicaid and the state pays you directly.	NE DHHS
Nevada	Two brokers by county	MTM Health authorizes rides for every member in urban counties. In rural counties, health plan members are routed to SafeRide Health (page updated March 25, 2026).	Nevada Medicaid
New Hampshire	Health plans plus a fee-for-service broker	CTS for fee-for-service members (since May 1, 2022) and AmeriHealth Caritas New Hampshire. MTM Health for NH Healthy Families and WellSense (state guide effective October 17, 2025).	NH DHHS
New Jersey	One statewide broker	Modivcare, for NJ FamilyCare members anywhere in the state	NJ DMAHS
New Mexico	Health plans choose	Each of the four Turquoise Care plans arranges rides. Blue Cross and Blue Shield of New Mexico moves from Modivcare to MTM Health on November 1, 2026.	NM HCA
New York	One statewide broker	Medical Answering Services in every county since December 1, 2023. New companies need an MAS letter of support before they can enroll in Medicaid.	eMedNY
North Carolina	Health plans plus county offices	Standard Plan and Tailored Plan members book with their plan. NC Medicaid Direct and EBCI Tribal Option members get rides through their local Department of Social Services.	NC Medicaid
North Dakota	State runs rides, no broker	NEMT providers enroll with ND Medicaid, and human service zone or tribal offices approve rides ahead of time (policy updated January 2026)	ND HHS
Ohio	Health plans plus county offices	Plan and MyCare Ohio members book with their plan. Other members go through the Medicaid transportation coordinator at their county job and family services office, or call a wheelchair van company directly.	Ohio Medicaid
Oklahoma	One statewide broker	Modivcare runs SoonerRide for SoonerCare members	OHCA
Oregon	Health plans plus regional brokerages	Coordinated care organizations cover rides for their members, and providers work through the local transportation brokerage for each county (guide updated December 22, 2025)	OHA guide
Pennsylvania	County programs, broker in one county	The Medical Assistance Transportation Program runs county by county. Transit agencies run it in many counties, and Philadelphia uses a broker, Modivcare (state study dated June 25, 2026).	PA DHS study
Rhode Island	One statewide broker	MTM Health for Medicaid and the Elderly Transportation Program. Its network adds providers as needed from a waitlist.	RI EOHHS
South Carolina	One statewide broker	Modivcare in all three regions. The state issued a new solicitation on June 26, 2026, after a protest overturned its 2025 intent to award to MTM Health.	SCDHHS
South Dakota	State runs rides, no broker	Community transportation providers enroll with South Dakota Medicaid. Each must be a government entity, a registered nonprofit, or an enrolled secure medical transportation provider.	SD Medicaid manual
Tennessee	Health plans choose	Verida for BlueCare and TennCare Select. Tennessee Carriers for UnitedHealthcare and Wellpoint.	TennCare
Texas	Health plans choose	MTM Health for Aetna, Community Health Choice, Cook Children’s, Dell Children’s, El Paso Health, Parkland, and Wellpoint. SafeRide Health for Community First, Driscoll, Molina, Superior, Texas Children’s, and UnitedHealthcare. Blue Cross and Blue Shield of Texas moves from Modivcare to MTM Health on October 1, 2026.	Texas HHS
Utah	One statewide broker	Modivcare, for members outside bus and paratransit areas or who need door-to-door service. Other members get transit cards or paratransit vouchers.	Utah Medicaid
Vermont	One statewide broker	Vermont Public Transportation Association (VPTA)	DVHA
Virginia	Health plans plus a fee-for-service broker	Modivcare for fee-for-service trips through September 30, 2026. MTM Health for fee-for-service trips on or after October 1, 2026. Health plan members ride through their plan.	DMAS
Washington	Regional brokers	Six brokers by county: Hopelink, Paratransit Services, People for People, Special Mobility Services, Community in Motion, and Northwest Regional Council	WA HCA
West Virginia	One statewide broker	Modivcare, for non-ambulance rides	WV BMS
Wisconsin	One statewide broker	MTM Health today. The state named Verida in a notice of intent on May 21, 2026, with no transition date set.	WI DHS
Wyoming	State runs rides, no broker	Wyoming Medicaid’s travel assistance program covers mileage, taxi, shuttle, bus, air, and lodging. Transportation companies enroll with Wyoming Medicaid and bill it.	Wyoming Medicaid

Health plans can change ride vendors on their own schedule, so treat any plan named here as a starting point. Confirm on the plan’s own transportation page before you apply.

The five ways states run Medicaid rides

Federal rule 42 CFR 440.170(a)(4) lets a state hire a broker to run NEMT, picked through competitive bidding. Many states do. Others pass rides to their Medicaid health plans or run the program themselves. Here is what each setup means for a transportation company.

Setup	What it means for you	States (September 2026)
One statewide broker	One broker contract reaches nearly every Medicaid trip in the state. If the broker has no need in your area, it may keep your application on file until it does.	Connecticut, Delaware, Georgia, Idaho, Iowa, Missouri, New Jersey, New York, Oklahoma, Rhode Island, South Carolina, Utah, Vermont, West Virginia, Wisconsin
Regional brokers	You contract separately with the broker for each region you serve	Arkansas, Kentucky, Maine, Massachusetts, Nevada, Washington
Statewide broker, new or phasing in	Get credentialed with the new broker before its start date	Colorado, Montana
Health plans choose	Each Medicaid health plan picks a broker or runs rides itself, so you may need several contracts in one county. Fee-for-service members often use a separate broker, county office, or direct billing.	Arizona, California, District of Columbia, Florida, Hawaii, Illinois, Indiana, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Nebraska, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Tennessee, Texas, Virginia
State or county runs rides	You enroll with the state Medicaid program or contract with the county program, with no broker in between	Alabama, Alaska, Maryland, North Dakota, Pennsylvania (except Philadelphia), South Dakota, Wyoming

Health plan states are where most owners get surprised. In Texas, Medicaid plans split between MTM Health and SafeRide Health, plus Modivcare until October 1, 2026, so two plans in the same county can use different brokers. In Tennessee, the rider’s plan decides whether the trip goes to Verida or Tennessee Carriers. Serving every rider in one county can take more than one contract. See how states run NEMT for how each model works and working with more than one broker for keeping schedules straight.

Broker changes in 2026 and 2027

These changes are dated in the official notices. Each one moves trips from one broker to another, and some move standing orders too.

Date	State	Change
January 1, 2026	Indiana	Healthy Indiana Plan and Hoosier Healthwise members of Anthem, CareSource, and MHS move to WellTrans
January 1, 2026	Nebraska	UnitedHealthcare Community Plan moves its members to MTM Health
January 2, 2026	Arkansas	Modivcare takes over Region G (Pulaski, Faulkner, and Lonoke counties) from Verida
January 27, 2026	Minnesota	New NEMT providers in the seven-county metro stop being enrolled. The freeze now runs to January 27, 2027.
April 1, 2026	Georgia	Verida takes over the Central, East, and Southwest regions from Modivcare and now covers the whole state
May 2026	California	IEHP starts arranging all NEMT trips itself. Call the Car keeps its non-medical rides.
May 21, 2026	Wisconsin	The state names Verida in a notice of intent. No transition date is set.
June 26, 2026	South Carolina	The state issues a new solicitation for its NEMT broker
July 1, 2026	Colorado	MediDrive starts in nine Denver metro counties
July 1, 2026	Maine	Modivcare adds the midcoast region: Waldo, Knox, Lincoln, and Sagadahoc counties, plus Brunswick and Harpswell
October 1, 2026	Virginia	Fee-for-service trips move from Modivcare to MTM Health
October 1, 2026	Texas	Blue Cross and Blue Shield of Texas moves from Modivcare to MTM Health
October 1, 2026	Montana	Modivcare’s statewide program is set to start and takes over provider enrollment and billing
November 1, 2026	New Mexico	Blue Cross and Blue Shield of New Mexico moves from Modivcare to MTM Health
January 1, 2027	Colorado	Every NEMT trip must go through MediDrive, and you need a MediDrive contract to drive

The NEMT broker transition guide covers final claims, standing orders, and getting credentialed with the new broker. For awards before they take effect, see NEMT broker RFPs.

How to find the right broker for your county and riders

1. Open your state’s row above and read the official page. It names the broker, the regions, or the health plans.
2. List the health plans in your county if your state lets plans choose. Find them on the state Medicaid agency’s health plan page.
3. Check each plan’s transportation page for its ride vendor. Texas and Hawaii list every plan’s vendor on one state page.
4. Match your vehicles to the work. A broker that mostly needs wheelchair vans in your area may not need another sedan.
5. Call the broker’s provider line and ask whether it is adding providers where you drive, and for which vehicle types.
6. Check Medicaid enrollment first. Federal rule 42 CFR 438.602(b) requires states to enroll every network provider of a Medicaid health plan, and a plan can contract with you while that is pending for only up to 120 days.
7. Apply to each broker separately. Each one credentials your company, drivers, and vehicles on its own list. See NEMT broker credentialing.

A few states add a step before the broker. New York rejects new transportation enrollment applications submitted after April 15, 2024 without a letter of support from Medical Answering Services. Indiana requires IHCP enrollment before you sign with Verida. In Arizona, NEMT companies register with AHCCCS as provider type 28, which includes a site visit, an ADOT vehicle for hire permit, and AHCCCS NEMT training.

What to do in states with no broker

Where the state runs rides, you deal with the Medicaid program itself. You enroll as a transportation provider, follow the state’s billing manual, and get paid by the state or its claims contractor.

• Alabama. Transporters approved by Alabama Medicaid go into its NET transporters directory, and members choose from it. Transporter pay files are set up on the 1st and 16th of each month.
• North Dakota. Except for rides from a hospital, each ride needs prior approval on form SFN 1507 from the human service zone or tribal office, and you get a copy before the trip.
• South Dakota. A community transportation provider must be a government entity, a nonprofit registered with the Secretary of State, or an enrolled secure medical transportation provider.
• Maryland. Each local health department runs its own program with state grant money. Contact the one for your county about its vendor process.
• Pennsylvania. Each county runs the Medical Assistance Transportation Program. In 38 counties a vendor, usually a transit agency, handles it, and the state has direct agreements with transit agencies in 13 more.

Private pay riders, facility contracts, and Medicare Advantage plans can add work in any state, broker or not. See how to become a Medicaid transportation provider for enrollment and how to get NEMT broker contracts for the application and contract terms.