# How to Start a NEMT Business in Michigan (2027)

Canonical URL: https://nemtguide.com/states/michigan/ · Updated 2026-09-28

To start a NEMT business in Michigan, form your company with LARA, register your vehicles with LARA (8 or fewer seats) or MDOT (9 or more), and enroll in CHAMPS, the MDHHS provider system. Then apply to the health plan brokers: MTM Health, SafeRide Health, and Modivcare, which also runs fee-for-service rides in Wayne, Oakland, and Macomb. Local MDHHS offices arrange fee-for-service rides everywhere else.

- Michigan has no single Medicaid ride broker. Health plan members ride through their plan's broker. Fee-for-service rides come from local MDHHS offices, or from Modivcare in three counties.
- Enroll your company in CHAMPS first. Fee-for-service trips are paid only if you are enrolled on the date of service, and the Detroit-area broker contract requires it.
- Seat count decides your regulator: LARA registers vehicles with 8 or fewer seats, driver included, and MDOT licenses vehicles with 9 or more.
- Michigan's fee-for-service NEMT rules and the Detroit-area broker contract do not cover stretcher vans. Plan on ambulatory, wheelchair, and Medi-Van service.
- Fee-for-service pays $0.725 a mile, plus $35 a round trip for wheelchair and Medi-Van trips, since January 1, 2026. Empty miles, waiting time, and no-shows are not paid.

## Michigan NEMT at a glance

| Fact | Details |
| --- | --- |
| Medicaid agency | Michigan Department of Health and Human Services (MDHHS). Health plans pay for their members' rides, and MDHHS pays fee-for-service trips from its NEMT rate schedule. |
| How rides work | Health plans arrange rides through their brokers. Fee-for-service rides go through local MDHHS offices, except in Wayne, Oakland, and Macomb, where Modivcare runs them. |
| Medicaid brokers | MTM Health (five plans), SafeRide Health (Meridian and Priority Health), and Modivcare (McLaren, plus fee-for-service in three counties), per MDHHS in 2026 |
| How to join | Enroll your company in CHAMPS, the MDHHS provider system. Then apply to each broker, and ask the local MDHHS offices in your counties to add you. |
| State registration | LARA limousine carrier registration for vehicles with 8 or fewer seats, driver included. An MDOT certificate of authority for vehicles with 9 or more. |
| Insurance | LARA: $1 million combined single limit plus no-fault coverage. MDOT: $1.5 million for 9 to 15 seats, $5 million for 16 or more. Brokers set their own minimums. |
| Drivers | At least 18 under the Medicaid manual and 19 under the limousine act. More than 4 moving violations or 1 major violation in 3 years disqualifies a limousine driver. |
| Vehicle inspections | A Michigan-licensed mechanic every year for LARA vehicles 5 or more years old. MDOT inspects buses every year. Modivcare inspects three-county vehicles every six months. |
| Pay | Brokers set their own rates. Fee-for-service since January 1, 2026: $0.725 a mile, or $35 a round trip plus $0.725 a mile for wheelchair lift and Medi-Van trips. |
| EVV | NEMT is not on the list. Michigan EVV covers personal care services and home health care services. |

Michigan has no single Medicaid ride broker. Members in a health plan get rides through that plan, which uses a broker or runs its own rides. Members without a plan get fee-for-service rides from their local MDHHS office, except in Wayne, Oakland, and Macomb counties, where Modivcare arranges them. The rules below follow the Michigan Medicaid Provider Manual dated July 1, 2026.

## How Medicaid rides work in Michigan

The Michigan Department of Health and Human Services (MDHHS) runs Medicaid. Under the state plan, as amended effective January 1, 2025, MDHHS runs fee-for-service rides itself in every county except Wayne, Oakland, and Macomb, where a broker runs them. Health plans cover rides for their own members.

That gives you three ways into Medicaid ride work:

| Rider | Who books the ride | Who pays you |
|---|---|---|
| Health plan member | The plan's broker | The broker, at its rate |
| No plan, Wayne, Oakland, or Macomb | Modivcare | Modivcare, at its rate |
| No plan, any other county | The local MDHHS office | MDHHS, at its rate schedule |

### Health plans and their brokers

Medicaid health plans must cover transportation for every medically necessary Medicaid service, dental visits included. The MDHHS contact list revised February 26, 2026 shows nine plans and who runs their rides:

| Broker | Health plans |
|---|---|
| MTM Health | Aetna Better Health of Michigan, Blue Cross Complete, HAP CareSource, Molina Healthcare of Michigan, UnitedHealthcare Community Plan |
| SafeRide Health | Meridian (since May 1, 2024), Priority Health (since December 1, 2023) |
| Modivcare | McLaren Health Plan |
| None | Upper Peninsula Health Plan runs its own rides |

Upper Peninsula Health Plan uses member mileage payments and its own system of volunteer drivers, buses, and taxis. See our Upper Peninsula Health Plan guide for how its ride program works.

MI Coordinated Health, which replaced MI Health Link for members with Medicare and Medicaid on January 1, 2026, runs in limited regions. Its plans also cover their members' rides.

### Who qualifies and where rides go

The benefit covers Medicaid, MIChild, and Healthy Michigan Plan members, and Children's Special Health Care Services members who also have Medicaid. A member qualifies when they have no other way to get to a covered service, a pharmacy, or a medical equipment supplier. The least costly mode that fits the member's needs must be used.

Emergency Services Only members, Plan First members, and members who have not met their spend-down get no fee-for-service NEMT. Nursing home and other long-term care residents get routine van rides from their facility, whose daily rate covers them.

### Ride types

The manual's ride types are commercial and nonprofit vehicles, public transit, volunteer drivers, relatives or friends, and members who drive themselves. Two special allowances pay more:

- **Wheelchair lift-equipped vehicle.** For members who depend on a wheelchair or on life-sustaining equipment that a standard vehicle cannot carry. Service is door to door.
- **Medi-Van.** For members who can walk and transfer but need door-to-door or curb-to-curb help because of their condition.

Drivers of both assist and escort the rider. A special allowance needs a Medical Verification for Transportation (DHS-5330), signed by the member's primary care doctor (or another licensed provider when the doctor is not available) and renewed every year. A trip can still be paid if the form arrives within 10 business days of the appointment.

Stretcher vans are not among Michigan's NEMT ride types, and the state's contract with Modivcare says ambulances and stretcher vans are not NEMT vehicles. See the stretcher note under licenses below.

### How far ahead members book

Each health plan sets its own notice rule. The MDHHS list of February 26, 2026 shows:

| Health plan | Routine notice |
|---|---|
| Aetna Better Health | 3 days |
| Blue Cross Complete | 48 hours (2 business days) |
| HAP CareSource | 2 days |
| McLaren | 1 business day, called in by 3 p.m. |
| Meridian | 72 hours for sedan and transit rides |
| Molina | 3 days, waived in Genesee County |
| Priority Health | 3 business days |
| UnitedHealthcare | 3 days |
| Upper Peninsula Health Plan | 5 business days |

Most plans try to arrange urgent trips the same day or the next day. Modivcare's Michigan page asks for two business days' notice, depending on the plan.

## Which brokers to join

Health plan work comes through the brokers, and fee-for-service work starts with CHAMPS enrollment. Plan on both.

### Enroll your company in CHAMPS

CHAMPS is the MDHHS provider enrollment and payment system. The manual says transportation providers must be enrolled in CHAMPS on the date of service to receive fee-for-service NEMT payment. Only public transit, taxicabs, members who drive themselves, family members, and foster parents are exempt.

1. **Register your EIN with DTMB.** Your EIN or Social Security number must be in the Department of Technology, Management and Budget vendor registration first.
2. **Get a MILogin account.** The person who submits the application becomes the Provider Domain Administrator for your company.
3. **Apply in CHAMPS Provider Enrollment.** MDHHS enrolls NEMT companies as atypical providers, which do not provide health care and may not have an NPI. Approval takes about one to two weeks.
4. **Pass screening.** MDHHS verifies your tax ID, runs a criminal background check, and checks the [OIG exclusion list](https://nemtguide.com/glossary/oig-exclusion-list/) for the company and every 5 percent owner, board member, agent, and managing employee.
5. **Keep it current.** Report any change within 35 days, revalidate at least every five years, and allow unannounced site inspections.

The CHAMPS provider enrollment line is 1-800-292-2550. For NEMT questions about authorizations and payments, MDHHS lists an atypical provider line at 800-979-4662.

### Apply to the health plan brokers

Each broker runs its own application and credentialing. Apply to all three, because each serves different plans:

- **MTM Health** serves five plans. Its steps are an application, an interview, a contract, credentialing, training, and a first trip. If it has no need in your area, it keeps your file. Every employee takes fraud, waste, and abuse training and HIPAA training each year. See our [MTM Health guide](https://nemtguide.com/brokers/mtm-health/).
- **SafeRide Health** serves Meridian and Priority Health. Its signup form asks for a real NPI, and an application not finished within 30 days starts over. Priority Health's manual, updated February 21, 2026, says SafeRide uses cab and specialty companies in all 23 counties Priority serves. See our [SafeRide Health guide](https://nemtguide.com/brokers/saferide-health/).
- **Modivcare** serves McLaren and fee-for-service members in Wayne, Oakland, and Macomb. See our [Modivcare guide](https://nemtguide.com/brokers/modivcare/).

Get an NPI for your company (a Type 2 NPI) before you apply. See [how to get an NPI number](https://nemtguide.com/guides/how-to-get-an-npi-number-for-nemt/) and how to contract with Medicaid health plans.

### Wayne, Oakland, and Macomb

MDHHS pays Modivcare a monthly amount per eligible member to run fee-for-service rides here, under a contract that began August 1, 2019. The July 1, 2026 manual still lists Modivcare as the broker. The contract tells Modivcare to let current NEMT providers join if they meet its criteria, including CHAMPS enrollment, and to negotiate a rate with each one.

### Every other county

Elsewhere, the local MDHHS office checks eligibility, keeps its own network of transportation providers, and books the least costly suitable ride. After you enroll in CHAMPS, ask the MDHHS offices in your counties to add you to their list.

## Licenses and registrations

### Your company

Form your company with LARA's Corporations Division through the MiBusiness Registry Portal. Articles of Organization for an LLC (form CSCL/CD-700) cost $50, and a for-profit corporation costs $60 for up to 60,000 shares. Filing within 24 hours costs $50 more. A sole proprietor registers an assumed name with the county clerk instead.

An LLC files an annual statement by February 15 each year, starting the year after it forms, unless it formed after September 30. The statement costs $25 through September 30, 2027 and $15 after that, under MCL 450.5101. A corporation files an annual report by May 15 for $25.

Get your employer identification number (EIN) from the IRS, which never charges for one and issues it online right away. Public Act 345 bars cities and counties from requiring a license, tax, or fee for limousine service.

### LARA and MDOT

Michigan sorts for-hire passenger vehicles by seat count, driver included. MDOT counts each 14 inches of seat width as one seat.

| Vehicle | Regulator | What you need |
|---|---|---|
| 8 or fewer seats | LARA | Limousine carrier registration |
| 9 to 15 seats | MDOT | Certificate of authority |
| 16 or more seats | MDOT | Certificate of authority, and a CDL for drivers |

Public Act 345 covers for-hire vehicles with 8 or fewer seats, and the state's contract with Modivcare says a van taking patients to doctor appointments is a limousine that needs limousine authority. MDOT says a non-emergency vehicle carrying 9 or more falls under the Motor Bus Transportation Act. A vehicle that can seat 9 is a bus even if you only let 8 ride, unless you physically remove seats.

**LARA limousine carrier registration.** Apply online through MiCLEAR. You need a physical business location, a certificate of insurance that meets MCL 257.2119, and proof from the Corporations Division that your company is active. The first year costs $25 plus $100 for the first vehicle and $50 for each vehicle from the second through the ninth. Registrations renew every August 31. MCL 257.2104, as amended in 2022, says LARA stops charging these fees beginning September 30, 2027. LARA's licensing line is 517-241-9221.

**MDOT certificate of authority.** Send MDOT Form 3184 with a vehicle roster, and have your insurance company file MDOT Form 3040, the certificate of insurance. The filing fee is $300 plus $100 for each bus. MDOT says processing usually takes two weeks. Each bus also needs a USDOT number. Authorities expire March 1, and renewal costs $100 per bus, due by the end of February.

**Stretcher service.** Michigan's Public Health Code calls a person carried on a stretcher, cot, or litter a nonemergency patient. Patient transport is licensed as an ambulance operation, which costs $100 a year under MCL 333.20920. The fee-for-service NEMT rules and the three-county contract do not pay for stretcher vans, so talk with MDHHS before you plan stretcher work. For the licensing layers NEMT companies face everywhere, see [NEMT license requirements](https://nemtguide.com/guides/nemt-license-requirements/).

## Vehicle rules

Inspections depend on your registration and your broker:

- **LARA vehicles.** Each vehicle 5 or more years old needs a safety inspection by a Michigan-licensed mechanic every year. The record covers 20 items, including brakes, steering, glass, lights, tires and tread depth, mirrors, safety belts, and the defroster.
- **MDOT buses.** MDOT's own inspectors inspect every bus each year, and a garage inspection does not count. A late inspection costs $250 (1 to 30 days) or $500 (31 days or more), and each reinspection after a failure costs $100. Keep the current report on board.
- **Modivcare in the three counties.** The state contract requires an inspection before a vehicle starts and every six months. A pass earns a green sticker good for six months. A failure earns a red sticker and takes the vehicle out of service until it passes.

Every Medicaid vehicle needs seat belts, child safety seats as Michigan law requires, and working heat and air conditioning. Commercial and nonprofit providers must also comply with the Americans with Disabilities Act. LARA vehicles display a sign or emblem that names your company and can be read from 50 feet in daylight. MDOT buses show your company name on both sides, readable from 50 feet.

Run through our [vehicle inspection checklist](https://nemtguide.com/templates/nemt-vehicle-inspection-checklist/) before each inspection. For vehicle types in general, see [NEMT vehicle requirements](https://nemtguide.com/guides/nemt-vehicle-requirements/).

## Driver rules and training

The Medicaid manual sets these minimums for commercial and nonprofit providers and their drivers:

- At least 18 years old.
- Able to read and communicate well in English.
- A valid license for the class of vehicle, and compliance with sections 304 and 319 of the Michigan Vehicle Code on restricted licenses. MDHHS can deny or revoke enrollment over a restricted or suspended license.
- Every license and certification that transportation laws require, including any liability insurance.

Under the Consolidated Appropriations Act of 2021, the manual adds rules that reach even family members and taxi drivers. No provider may be excluded from federal health care programs, appear on the MDHHS sanctioned provider list, or have a felony controlled substance conviction after August 21, 1996. Providers report any such conviction and any traffic violations.

LARA's act adds its own rules for limousine carriers. Before a driver starts, and every year after, you run a local and national criminal background check, including the national sex offender registry, and review a driving history report. A driver is disqualified for any of these:

- More than 4 moving violations, or 1 major violation such as reckless driving, in the 3 years before applying.
- A felony conviction in the last 5 years for impaired driving, fraud, a sexual offense, using a vehicle to commit a felony, property damage, theft, violence, or terrorism.
- A listing on the national sex offender registry.
- No valid driver's license, or being under 19.

Limousine drivers do not need a chauffeur's license. Bus drivers are different: the Michigan Vehicle Code counts anyone who drives a bus as a chauffeur, so MDOT bus drivers fall under its chauffeur license rules. The limousine act requires trip records (pickup and drop-off, duration, distance, and fee) for at least one year, and driver records for one year after a driver leaves. Medicaid records must be kept at least seven years from the date of service.

Brokers set the training. SafeRide asks for background and sex offender checks, driving records, pre-hire drug screens, first aid or CPR, defensive driving, and wheelchair securement. Modivcare lists a PASS wheelchair certificate, first aid and CPR, defensive driving, a drug screen, a driving record, and a background check. The three-county contract requires first aid, CPR, and the PASS course or an equivalent. Our [driver file checklist](https://nemtguide.com/templates/nemt-driver-file-checklist/) tracks it all.

## Trip rules and how you get paid

### Health plan and Modivcare trips

Your broker agreement sets your rate, your payment dates, and how you dispute a denied trip. The state's contract for the three counties sets these service standards for Modivcare's network:

- **Pickups.** Within 15 minutes before or after the scheduled time on at least 85 percent of trips.
- **Appointments.** Arrival no later than the appointment time on at least 90 percent of trips.
- **Shared rides.** No rider spends more than 30 minutes longer in the vehicle than the average direct travel time.
- **Tracking.** Modivcare gives network providers a real-time tracking system, used in at least 90 percent of contracted vehicles, that can capture rider e-signatures.

Modivcare's Michigan page gives providers three hours to pick up a hospital discharge and 60 minutes for a [will-call return](https://nemtguide.com/glossary/will-call-trip/). SafeRide asks for a 100 percent response rate, 95 percent acceptance, 95 percent on-time performance, and complaints under 1 percent.

### Fee-for-service trips from local MDHHS offices

The local office must approve each trip first. Afterward, you send a Medical Transportation Statement (MSA-4674) with receipts within 12 months of the date of service, by fax or secure email where the office accepts it. Round-trip mileage is rounded up to the next mile and must match an online map or GPS record. Log every trip on a [trip log](https://nemtguide.com/templates/nemt-trip-log-template/).

MDHHS sets the maximum rates. Its rate schedule effective January 1, 2026 pays:

| Service | Maximum |
|---|---|
| Commercial or nonprofit vehicle | $0.725 a mile |
| Wheelchair lift or Medi-Van vehicle | $35 a round trip plus $0.725 a mile |
| Medically necessary attendant | $15 |
| Tolls and parking | Actual cost, with receipts |

You are paid the lower of the maximum and your usual and customary charge to the public. Medicaid does not pay for:

- Unloaded miles driven with no rider on board. See [deadhead miles](https://nemtguide.com/glossary/deadhead-miles/).
- Waiting time.
- A trip when the member [fails to keep the appointment](https://nemtguide.com/glossary/no-show/).
- Trips given before the authorizing party approved them.

A member denied a ride gets a written notice (DHS-301) within one business day and can ask for a hearing with the Michigan Office of Administrative Hearings and Rules. NEMT is not on Michigan's electronic visit verification (EVV) list, which covers personal care services and home health care services.

## Insurance requirements

Your registration sets the state minimums:

| Registration | Minimum liability |
|---|---|
| LARA, 8 or fewer seats | $1,000,000 combined single limit |
| MDOT, 9 to 15 seats | $1,500,000 combined single limit |
| MDOT, 16 or more seats | $5,000,000 combined single limit |

Both acts also require the personal and property protection coverage of Michigan's no-fault law, and LARA warns that a regular no-fault policy alone does not meet the limousine act. A lapse in coverage revokes or suspends your registration.

Brokers add their own checklists:

- **SafeRide Health.** At least $1 million general liability per occurrence and $2 million aggregate, at least $500,000 auto liability, and SafeRide named as an additional insured.
- **Modivcare.** General liability (limits vary by state), sexual abuse and molestation coverage, auto liability that meets state minimums, and workers' compensation where the state requires it.
- **Three-county contract.** The state tells Modivcare to require its subcontractors to carry the contract's insurance, which includes $1 million per occurrence in general and auto liability and a $5 million umbrella.

Confirm each broker's limits in writing before you buy. For what brokers ask for elsewhere, see [NEMT insurance requirements](https://nemtguide.com/guides/nemt-insurance-requirements/).

Michigan requires workers' compensation once you regularly employ 3 or more people at one time, part-time workers included, or 1 person 35 hours or more a week for 13 weeks in the past 52. A sole proprietor is not covered as an employee. If everyone in the company is a partner or owner, the Workers' Disability Compensation Agency (517-284-8922) can issue a certificate of exemption.

## What it costs and how long it takes

These are the fees Michigan sets as of September 2026. Vans, insurance premiums, and equipment depend on your quotes. See [what it costs to start a NEMT business](https://nemtguide.com/guides/how-much-does-it-cost-to-start-a-nemt-business/) for those.

| Item | Cost | Paid to |
|---|---|---|
| EIN | Free | IRS |
| LLC Articles of Organization | $50 | LARA |
| LLC annual statement | $25 a year | LARA |
| Limousine carrier, first vehicle | $125 first year, $100 to renew | LARA |
| Each vehicle, second to ninth | $50 a year | LARA |
| MDOT authority | $300, plus $100 a bus | MDOT |
| MDOT renewal | $100 a bus each year | MDOT |

A workable order, from first call to first trip:

1. **Pick your vehicles.** Seat count decides whether you register with LARA or MDOT, and which insurance minimum applies.
2. **Form your company** with LARA and get your EIN the same day.
3. **Register with DTMB and enroll in CHAMPS.** Approval takes about one to two weeks.
4. **Get an NPI** if a broker asks for one, as SafeRide does.
5. **Buy insurance** that meets your registration and your brokers' checklists.
6. **Register with LARA,** or apply to MDOT, which usually takes two weeks. Get each vehicle inspected.
7. **Hire and screen drivers:** background checks, driving records, drug screens, and training.
8. **Apply to MTM Health, SafeRide Health, and Modivcare,** and call the local MDHHS offices where you work.
9. **Finish credentialing,** pass each broker's inspection and training, and take your first trip.

The broker steps depend on need. MTM Health, for one, moves ahead where it needs providers and keeps other applications on file. For the same steps in any state, see [how to start a NEMT business](https://nemtguide.com/guides/how-to-start-a-nemt-business/).

## Work beyond Medicaid

Several other sources of rides are worth a call.

- **Nursing homes.** Routine van rides for residents, dialysis and therapy trips included, are part of the facility's daily Medicaid rate, so the facility buys them. See [how to get NEMT facility contracts](https://nemtguide.com/guides/how-to-get-nemt-facility-contracts/).
- **Hospice.** Non-emergency trips related to a hospice patient's terminal illness are the hospice's responsibility.
- **Children's Special Health Care Services.** For CSHCS members who use a wheelchair, are bed bound, or cannot use other transport, the local health department approves commercial rides on form MSA-0709, and MDHHS pays the provider directly.
- **Veterans.** The VA pays for special mode transportation, such as a specially equipped vehicle, when the local VA health facility approves it in advance. Ask your nearest VA medical center's travel office how it books these rides.
- **Regional coordinated plans.** MDOT's coordinated transportation plans for 14 planning regions list ride needs for older adults, people with disabilities, and people with lower incomes. Section 5310 funding depends on them, so read your region's plan.
- **Private pay.** Riders and families who pay for themselves add work that does not depend on a broker.

## Frequently asked questions

### Do I need a license to run a NEMT business in Michigan?

Yes. A company that carries riders for hire in vehicles with 8 or fewer seats, driver included, registers with LARA as a limousine carrier under Public Act 345 of 2016, and the state's Detroit-area broker contract calls a van taking patients to appointments a limousine. Vehicles with 9 or more seats need a certificate of authority from MDOT under the Motor Bus Transportation Act. You also form your company with LARA's Corporations Division and enroll in CHAMPS to take Medicaid trips.

### Who is the Medicaid NEMT broker in Michigan?

There is no single broker. On the MDHHS list of February 26, 2026, MTM Health arranges rides for five health plans, SafeRide Health for Meridian and Priority Health, and Modivcare for McLaren. Upper Peninsula Health Plan runs its own rides. For members without a health plan, Modivcare arranges rides in Wayne, Oakland, and Macomb, and local MDHHS offices arrange them in every other county.

### Do I have to enroll with Michigan Medicaid?

For fee-for-service work, yes. The Medicaid Provider Manual says transportation providers must be enrolled in CHAMPS on the date of service to be paid. The state's contract with Modivcare for Wayne, Oakland, and Macomb also requires CHAMPS enrollment for its network providers. NEMT companies enroll as atypical providers, which can enroll without an NPI.

### How much does Michigan Medicaid pay for NEMT?

For fee-for-service trips, the MDHHS rate schedule effective January 1, 2026 pays commercial and nonprofit providers up to $0.725 a mile. Wheelchair lift and Medi-Van trips get $35 a round trip plus $0.725 a mile. You are paid the lower of that amount and your usual charge to the public. Health plan brokers and Modivcare negotiate their own rates with you.

### Can I run stretcher trips as a NEMT company in Michigan?

Not under the fee-for-service NEMT rules. The state's contract with Modivcare says ambulances and stretcher vans are not NEMT vehicles, and the Medicaid NEMT chapter lists wheelchair lift and Medi-Van vehicles but no stretcher vans. Michigan's Public Health Code treats a person carried on a stretcher, cot, or litter as a patient under its ambulance licensing rules. Ask MDHHS before you buy a stretcher vehicle.

### How long does it take to start a NEMT business in Michigan?

The state steps are quick. MDHHS says CHAMPS enrollment takes about one to two weeks, and MDOT says a complete application for authority usually takes two weeks. An EIN is issued online the same day. The broker steps depend on need: MTM Health, for one, moves ahead only where it needs providers, and brokers credential every driver and vehicle before the first trip.

### Can I start a Michigan NEMT business with one van?

Yes. A single van with 8 or fewer seats, driver included, is registered with LARA as a limousine carrier for $125 in the first year and $100 a year after, until LARA stops charging these fees on September 30, 2027. It needs $1 million in combined liability coverage plus no-fault coverage. You still need CHAMPS enrollment and a broker agreement to get Medicaid trips.

## Official resources

- [MDHHS: Non-Emergency Medical Transportation provider page and rates](https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/non-emergency-medical-transportation)
- [MDHHS: Medicaid Provider Manual (NEMT chapter)](https://www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf)
- [MDHHS: Health plan NEMT contacts and brokers](https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/Other-Prov-Specific-Page-Docs/MHP-NEMT-Contact-and-Process.pdf)
- [LARA: Transportation Company licensing (limousine carrier)](https://www.michigan.gov/lara/bureau-list/cscl/licensing/prof/tnc)
- [MDOT: Bus and limousine questions and answers](https://www.michigan.gov/mdot/about/faqs/passenger-transportation/bus-and-limousine)
- [MDOT: Application for Certificate of Authority (Form 3184)](https://mdotjboss.state.mi.us/webforms/GetDocument.htm?fileName=3184.pdf)
- [MTM Health: Join the network](https://www.mtm-inc.net/service-providers/)
- [SafeRide Health: Join the NEMT network](https://www.saferidehealth.com/what-to-expect-nemt-provider)
- [Modivcare: Become a transportation provider](https://www.modivcare.com/transportation-providers-contact-us/)
- [Michigan Workers' Disability Compensation Agency: Employer questions](https://www.michigan.gov/leo/bureaus-agencies/wdca/frequently-asked-questions/employers/all-employer-faqs)