# Pike County, PA Transportation: The County Department Behind MATP, Its Fares, and the Rides It Cannot Cover

Canonical URL: https://nemtguide.com/states/pennsylvania/pike-county/ · Updated 2026-09-30

Pike County, Pennsylvania runs its own ride service. The Pike County Transportation Department at 109 Bennett Avenue in Milford (570-296-3408, toll free 866-681-4947) drives Medical Assistance, senior, disability, and general public riders in county vans, and MATP rides are free to members. The county has no hospital, so medical runs leave for Monroe, Lackawanna, and Luzerne counties, New York, and New Jersey on set days.

- One county department in Milford books and drives every public ride program in Pike County, including MATP.
- Pike County has no hospital or urgent care center, so most serious medical trips leave the county on set days and times.
- A state waiver lets grouped out-of-county MATP trips drop riders off and pick them up up to 2.5 hours from the appointment.
- New zone fares took effect July 1, 2026, from $21.60 in county to $63.35 for long trips outside it at full fare.
- The county hires its own drivers, so an outside company's openings are Sundays, holidays, off-schedule trips, and stretcher rides.

## Pike County NEMT at a glance

| Fact | Details |
| --- | --- |
| Who runs MATP | The Pike County Transportation Department, a county office at 109 Bennett Avenue, Milford 18337 |
| Phones | 570-296-3408 or toll free 866-681-4947, weekdays 8:30 a.m. to 4 p.m. Same-day line 570-296-3434. |
| State model | County sole service provider in the June 25, 2026 state study: the county itself is the MATP transportation provider |
| Programs | Shared ride for ages 65 and older, MATP for Medical Assistance members of any age, persons with disabilities 18 to 64, and general public |
| MATP booking | By noon the business day before, up to six months ahead. Cancel at least one hour before pickup. |
| Out-of-county days | Monroe County Monday to Thursday; Lackawanna, Luzerne, New Jersey, and Middletown and Goshen, NY Monday, Wednesday, and Friday; pickups 10 a.m. to noon |
| One-hour rule | State waiver since February 16, 2024 for grouped out-of-county MATP trips: drop-off and pickup up to 2.5 hours from the appointment |
| MATP trips | 5,836 of 25,807 shared-ride trips in fiscal 2024-25, with 25 vehicles in peak service (PennDOT) |
| Public fares | From July 1, 2026: $21.60 one way in county up to 15 miles, up to $63.35 for 41 miles or more outside the county |
| Health plans | HealthChoices Northeast zone: AmeriHealth Caritas Pennsylvania, Geisinger Health Plan, Jefferson Health Plans EverWell, and UPMC for You |

## Who arranges rides here

- [Pike County Transportation Department, 109 Bennett Avenue, Milford](https://www.pikepa.org/transportation): Registers riders for MATP and its three other programs, books trips, and drives them. (570) 296-3408
- [Pike County Transportation, same-day trip line](https://www.pikepa.org/Document%20Center/Living%20&%20Working/Transportation/New%20Site/pct-same-day-pilot.html): Takes same-day ride requests under the PennDOT pilot, weekdays until noon. (570) 296-3434
- [Pike County Board of Commissioners, 506 Broad Street, Milford](https://www.pikepa.org/government/commissioners_office/index.php): Signs the state MATP funding terms and awards the county's vehicle sales. (570) 296-7613
- [Pennsylvania Public Utility Commission](https://www.puc.pa.gov/motor-carrier/forms-applications/): Grants the paratransit authority a private carrier needs before any paid ride.

Pike County sits in Pennsylvania's northeast corner, where the Delaware River meets New York and New Jersey. It has no hospital and no urgent care center inside its borders, so a Medicaid ride to either means a drive out of the county. One county department books those trips and drives them in its own vans, which shapes where a private company can fit.

## Who runs transportation in Pike County

Pennsylvania pays for Medicaid rides through each county's Medical Assistance Transportation Program (MATP), and only Philadelphia uses a broker. The [Pennsylvania guide](https://nemtguide.com/states/pennsylvania/) covers Public Utility Commission (PUC) authority, insurance, and the clearances MATP drivers need.

The state's June 25, 2026 [broker study](https://nemtguide.com/news/pennsylvania-matp-broker-study/) lists Pike among eight "county sole service provider" programs, where the county is the transportation provider itself. Wayne County, just north, is another.

Here the provider is the Pike County Transportation Department in Milford. The same office runs four programs: shared ride for residents 65 and older, MATP for Medical Assistance members of any age, a program for people with disabilities aged 18 to 64, and a general public service called Pike County Connect. PennDOT lists no fixed-route bus agency in Pike, only the department's shared ride.

### The department by the numbers

PennDOT's report for fiscal 2024-25 (July 2024 to June 2025) profiles the service:

| Pike County Transportation | Fiscal 2024-25 |
|---|---|
| Riders 65 and older | 15,590 trips |
| MATP | 5,836 trips |
| Persons with disabilities | 4,304 trips |
| Other shared ride | 77 trips |
| Total shared-ride trips | 25,807 |
| Vehicles in peak service | 25 |
| Average cost per trip | $36.04 |
| Average fare | $22.28 |

MATP is about 23% of the work, and seniors are well over half. Using 2020 Census figures, the report counts 58,535 residents over 545 square miles, and 23.5% of them are 65 or older.

The county's proposed 2026 budget shows the scale in dollars. It plans on $248,000 in MATP revenue, up from $200,000 budgeted for 2025, and $558,981 in driver wages. The June 3, 2026 salary board agenda listed $15.00 an hour for two new part-time drivers working under 1,000 hours a year. PennDOT's Section 5310 tables also credit the department with six vehicles and $723,879 in grants from 2020 through 2024.

## Out-of-county medical runs

Because the county has no hospital, hospital care means an out-of-county trip, and those trips run on set days. The welcome packet lists these windows and says pickups are generally between 10 a.m. and noon:

| Where | Days | Times |
|---|---|---|
| Pike and Wayne counties and Port Jervis, NY | Monday to Friday | 10 a.m. to 1 p.m. |
| Monroe County: Stroudsburg, East Stroudsburg, Mount Pocono, Bartonsville | Monday to Thursday | 10 a.m. to noon |
| Lackawanna and Luzerne counties, plus Middletown and Goshen, NY and Newton, Andover, and Sparta, NJ | Monday, Wednesday, Friday | 10 a.m. to noon |

MATP's one-hour rule normally keeps drop-off and pickup within an hour of the appointment. The Department of Human Services granted Pike an indefinite waiver of that one-hour rule for grouped out-of-county MATP trips, effective February 16, 2024. A rider on one of those runs can be dropped off up to 2.5 hours before the appointment and picked up up to 2.5 hours after it ends.

Other rules follow the county's welcome packet. MATP trips are booked up to six months ahead and by noon the business day before. The van has a 30-minute [pickup window](https://nemtguide.com/glossary/pickup-window/), service is [curb to curb](https://nemtguide.com/glossary/curb-to-curb/) unless a doctor confirms door-to-door need, and a cancellation less than an hour before pickup is a no-show. During business hours, the office tries to arrange an urgent care ride within three hours.

## What Pike County charges from July 1, 2026

MATP riders ride free, but the new zone fares show what a county van seat costs everyone else:

| One-way trip | General public | Age 65 and older | Persons with disabilities |
|---|---|---|---|
| Zone 1: in county, 15 miles or less | $21.60 | $1.65 | $3.25 |
| Zone 2: in county, 16 to 21 miles | $24.05 | $1.85 | $3.65 |
| Zone 3: in county, 22 miles or more | $26.55 | $2.00 | $4.00 |
| Zone 4: outside county, under 20 miles | $36.00 | $2.70 | $5.40 |
| Zone 5: outside county, 21 to 40 miles | $54.10 | $4.10 | $8.15 |
| Zone 6: outside county, 41 miles or more | $63.35 | $4.80 | $9.55 |
| Extra stop, booked ahead | $10.80 | $0.85 | $1.65 |

On these fares, escorts pay a flat $1.00 each way, and riders pay any tolls. If you plan [private pay rides](https://nemtguide.com/guides/private-pay-nemt/), the general public column is the county's price to beat.

### The same-day pilot

Pike is one of the transit providers in PennDOT's Phase 2 shared ride pilot. Registered MATP, senior, and disability riders can call 570-296-3434 on weekdays by noon or two hours before the pickup they want, whichever comes first, and ride when a cancellation or open seat fits. Urgent care, sick visits, medication pickups, and food trips come first. The county says the pilot will be reviewed with PennDOT, so check the page before you count on it.

## Where a private company fits in Pike County

1. **Get PUC authority, and a DOT number for interstate runs.** Any paid ride that starts and ends in Pennsylvania needs PUC authority. Trips to Port Jervis, Middletown, or Newton cross a state line, so read [out-of-state NEMT trips](https://nemtguide.com/guides/out-of-state-nemt-trips/) and [DOT numbers for NEMT](https://nemtguide.com/guides/dot-number-for-nemt/).
2. **Ask before you assume there is a contract.** The county drives with its own hired staff, and on June 3, 2026 the commissioners hired two part-time drivers and moved a third to full time. Call 570-296-3408 to ask whether it ever places overflow trips with an outside carrier.
3. **Serve the days and hours the vans skip.** The county's fact sheet lists no service on Sundays or holidays, and the state's June 18, 2026 contact list shows weekday hours only. A Scranton appointment on a Tuesday falls outside the set runs, and so does a Stroudsburg hospital discharge on a Friday, when no Monroe County run is scheduled. See [hospital discharge transportation](https://nemtguide.com/guides/hospital-discharge-transportation/) and [dialysis transportation](https://nemtguide.com/guides/dialysis-transportation/).
4. **Take the trips MATP leaves out.** The county provides no ambulance or emergency rides, and MATP excludes stretcher service, so those requests go to the rider's HealthChoices plan, such as [UPMC for You](https://nemtguide.com/health-plans/upmc-for-you-pennsylvania/).
5. **Watch the vehicle sales.** The county sells retired vans through bids the commissioners award and through online auctions. On July 1, 2026 they awarded four Dodge Grand Caravans, three listed as 2019 models, for $12,200 to $14,200 each and a 2018 Ford Econoline for $35,700. Weigh a used fleet van against new in [lease or buy NEMT vehicles](https://nemtguide.com/guides/lease-or-buy-nemt-vehicles/).
6. **Follow the commissioners.** They executed the state's MATP Conditions of Funding and Participation on August 19, 2026, and driver hires and vehicle sales also pass through their meetings.

Monroe County, where the Monday to Thursday runs go, buys its rides through a vendor instead of a county fleet.

## Frequently asked questions

### What is the phone number for Pike County Transportation in Milford, PA?

Call 570-296-3408, or toll free 866-681-4947, weekdays from 8:30 a.m. to 4 p.m. The office is at 109 Bennett Avenue in Milford and handles every application, eligibility question, and booking. For a same-day ride under the PennDOT pilot, call 570-296-3434 by noon. Riders can also apply online through the county site or PennDOT's Find My Ride.

### Does Pike County offer senior transportation?

Yes. The shared ride program serves residents 65 and older for medical, financial, and social trips, and from July 1, 2026 a senior pays $1.65 one way for an in-county trip up to 15 miles. Vans also serve the senior centers on set days: Blooming Grove on Tuesday and Thursday, Dingmans Ferry on Tuesday and Friday, the Pike County Library on Wednesday and Friday, and Lackawaxen on Wednesday.

### Does Pike County Transportation go to Stroudsburg, Scranton, or New York?

Yes, on set days. Monroe County trips, including Stroudsburg and East Stroudsburg, run Monday to Thursday. Scranton, Wilkes-Barre, Middletown and Goshen in New York, and Newton and Sparta in New Jersey run Monday, Wednesday, and Friday. Pickups for those runs are generally between 10 a.m. and noon, and Wayne County and Port Jervis trips run weekdays from 10 a.m. to 1 p.m.

### Is MATP free in Pike County?

Yes. MATP rides cost nothing for Pike County residents with Medical Assistance, for trips to care that Medical Assistance pays for, including pharmacies. Riders with a car can ask for mileage repayment instead, at the state rate, with parking and tolls repaid against receipts. Emergencies are not covered, and the county runs no ambulance service.

### Can I get a same-day ride from Pike County Transportation?

Sometimes. Under a PennDOT pilot, registered MATP, senior, and disability riders can call 570-296-3434 by noon or two hours before the pickup they want, whichever comes first, and ride if a cancellation or open seat fits. Urgent care, sick visits, medication pickups, and food trips go first, and the fare is the same. Same-day rides are not guaranteed.

### Can a private transportation company get Pike County medical trips?

The state lists the county as its own MATP provider, and the county hires its own drivers. Call the department at 570-296-3408 to ask whether it ever uses outside carriers. The clearer openings are trips county vans do not make: Sundays, holidays, appointments outside the set out-of-county windows, and stretcher rides, which go to the rider's health plan.

## Official resources

- [Pike County: Transportation](https://www.pikepa.org/transportation)
- [Pike County: MATP Welcome Packet](https://www.pikepa.org/Document%20Center/Living%20&%20Working/Transportation/Pike_County_MATP_Welcome_Packet-%20Final.pdf)
- [Pike County: Commissioners agendas and minutes](https://www.pikepa.org/government/commissioners_office/agendas_and_minutes/index.php)
- [Pennsylvania PUC: Motor carrier forms and applications](https://www.puc.pa.gov/motor-carrier/forms-applications/)