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

Canonical URL: https://nemtguide.com/states/vermont/ · Updated 2026-09-29

To start a NEMT business in Vermont, form your company, register each vehicle with the Vermont DMV and insure it at jitney limits, and enroll in Vermont Medicaid through Gainwell. Then ask the regional transit provider for your towns for subcontract work. VPTA, the statewide broker for the Department of Vermont Health Access, runs every Medicaid ride through those providers, and every driver must pass background checks first.

- Vermont pays Medicaid only to transportation providers that are subcontracted under the broker, VPTA, and enrolled in Vermont Medicaid (HCAR 4.225).
- Your agreement is with the regional public transit provider for your towns, which can send rides to taxis and other subcontracted companies as well as its own vans and volunteers.
- The DMV treats vehicles used for hire as jitneys, with insurance minimums of $50,000 per person and $100,000 per crash for up to 7 passengers.
- Every driver and office worker clears criminal, abuse registry, DMV, and exclusion checks before hire and yearly, and exclusion checks again every month.
- Proposal GCR 26-057 would pay $30.75 per unit for a taxi and $77.98 for a wheelchair van, but as of September 2026 it is still a proposal.

## Vermont NEMT at a glance

| Fact | Details |
| --- | --- |
| Medicaid agency | Department of Vermont Health Access (DVHA), which pays its broker a set amount per member per week: $45.80 in the latest posted rate, for state fiscal year 2026 |
| How rides work | One statewide broker. Its regional public transit members book rides by town and send each one to a bus, volunteer driver, agency van, or taxi. |
| Medicaid broker | Vermont Public Transportation Association (VPTA), under DVHA contract 41132 since January 1, 2021. Its members have run Medicaid rides since 1986. |
| How to join | Ask the regional provider for your towns for subcontract work, and enroll in Vermont Medicaid through Gainwell as a non-emergency transportation provider |
| State registration | Vermont DMV: vehicles regularly used to carry passengers for hire register as jitneys unless an exclusion fits. Vehicles built for 16 or more people need a CDL driver. |
| Insurance | Jitney minimums of $50,000 per person and $100,000 per crash for vehicles seating 7 passengers or fewer, rising with seats, plus $50,000 for property damage |
| Drivers | A valid license, two years of US driving, and clear criminal, abuse registry, DMV, and federal exclusion checks before hire and every year |
| Vehicle inspections | A DMV-designated inspection station checks every Vermont-registered vehicle once a year |
| Pay | Your regional provider sets your rate. A fee-for-service schedule proposed June 30, 2026 was still pending as of September 2026. |
| EVV | NEMT is not on the list. Vermont EVV covers personal care in four programs and home health services. |

Vermont runs Medicaid rides through one broker, the Vermont Public Transportation Association (VPTA), and the regional public transit agencies that belong to it. Each regional provider books the rides for its towns and gives each one to a bus, a volunteer driver, an agency van, or a taxi or other subcontracted company. A private company gets Medicaid work as a subcontractor of that provider. This page follows the Department of Vermont Health Access (DVHA) NEMT Program Manual last updated July 28, 2025.

## How Medicaid rides work in Vermont

DVHA runs Vermont Medicaid inside the Agency of Human Services. Its NEMT rule, Health Care Administrative Rule (HCAR) 4.225, took effect April 1, 2021 and requires prior authorization for every ride. DVHA contracts with VPTA under contract 41132, which began January 1, 2021, and VPTA's members have held Medicaid ride contracts since the program began in 1986.

DVHA pays VPTA a set amount per member per week, based on how many different members were served over the past year, not a fee per trip. The regional providers still send Gainwell Technologies, DVHA's fiscal agent, a claim for every ride, paid at zero dollars so the state can track use. See [capitation](https://nemtguide.com/glossary/capitation/) for how per-member payment works, and our [VPTA guide](https://nemtguide.com/brokers/vpta/) for the broker's side.

The contract amendments DVHA has posted run through June 30, 2026. Amendment 8, signed in September 2026, added a temporary June 2026 rate but did not change that end date. DVHA's NEMT page still sends every ride call to VPTA, so check DVHA's contracts page for the current term.

### The regional providers

The manual assigns each member to one of eight transportation providers by town. As of September 2026, VPTA's provider lookup marks six of them as Medicaid providers:

| Provider | Area | Phone |
|---|---|---|
| Special Services Transportation Agency (SSTA) | Chittenden County | 802-878-1527 |
| Rural Community Transportation (RCT) | Towns in Caledonia, Essex, Orleans, Lamoille, Franklin, and Grand Isle counties | 855-811-6360 |
| Marble Valley Regional Transit District (MVRTD) | Rutland County | 800-339-3191 |
| Tri-Valley Transit (TVT) | Addison County; Orange and northern Windsor counties; Washington County | 802-388-2287; 802-728-3773; 802-223-7287 |
| Green Mountain Community Network (GMCN) | Bennington County | 802-447-0477 |
| The MOOver | Windham and southern Windsor counties; the Deerfield Valley | 888-869-6287; 802-460-7433 |

Green Mountain Transit and Advance Transit also belong to VPTA, but the lookup does not mark them as Medicaid providers. Grand Isle area service changed on January 1, 2026, so look up each town you want to serve.

### Who qualifies and how rides are booked

The manual covers a ride only when all six of these conditions are met:

1. **The rider is enrolled** in Vermont Medicaid, including Dr. Dynasaur, on the day of the appointment. VPharm, Medicare Savings Programs alone, and Vermont Health Connect plans do not count.
2. **The service is covered** and comes from a Medicaid-enrolled provider, or the trip picks up covered prescriptions or equipment.
3. **There is no other ride.** The provider checks the household's DMV records before the first trip.
4. **It is the nearest qualified provider:** within 30 miles of home, or the nearest one with the needed specialty.
5. **It is approved in advance.** The regional provider approves trips under 100 miles one way. DVHA approves trips of 100 miles or more through a Physician Referral Form faxed at least two weeks ahead.
6. **It is the least costly mode that fits,** from a free bus to a volunteer driver, taxi, demand response van, bus fare, hardship mileage, or commercial air.

Members within three quarters of a mile of a bus route must take the bus unless a doctor files a Public Transportation Medical Exemption. Members book at least two business days ahead, and after hours the only unscheduled rides are hospital discharges. See [least costly mode](https://nemtguide.com/glossary/least-costly-mode/) and [prior authorization](https://nemtguide.com/glossary/prior-authorization/).

Ambulance and emergency rides fall under a separate rule, HCAR 4.226. Skilled nursing facilities must transport or pay for their Medicaid residents' medical trips, except initial admission, final discharge, and dialysis.

A VTrans and VPTA presentation to the Senate Transportation Committee in April 2025 counted 312,575 Medicaid rides in state fiscal year 2024, at a cost of about $48.95 a ride, and 38 percent were for opioid treatment. For long trips with few riders per mile, see [rural NEMT](https://nemtguide.com/guides/rural-nemt/).

## How to join VPTA's network through your regional provider

HCAR 4.225 pays only transportation providers that are subcontracted with the broker and enrolled in Vermont Medicaid. VPTA subcontracts with its regional providers, and the manual has them keep lists of the taxi companies and other companies they use. Your way in is a subcontract with the regional provider for your towns, plus your own Medicaid enrollment.

1. **Look up the provider for each town** you can serve, using VPTA's My Area Provider lookup.
2. **Ask what it needs:** which towns, hours, and ride types it is short on, and whether it uses outside companies. SSTA, for example, says it runs its rides in house except for taxis and volunteers. Every area also needs a way to cover after-hours hospital discharges.
3. **Enroll in Vermont Medicaid** online through Gainwell's Provider Management Module, as billing provider type T13, Non-Emergency Transportation Services. You sign a General Provider Agreement, and DVHA issues a provider ID with a confirmation letter.
4. **Clear every person.** Run the background checks in the driver section below on each driver and office worker.
5. **Set up drug and alcohol testing.** The manual requires a drug-free workplace policy and a testing program that follows 49 CFR parts 40 and 655. Start from our [drug and alcohol policy template](https://nemtguide.com/templates/nemt-drug-and-alcohol-policy/).
6. **Buy insurance and workers' compensation** at the limits the provider gives you in writing. On state contracts over $250,000, the standard terms ask for a list of subcontractors and their subcontractors, with each one's workers' compensation insurer.
7. **Sign the subcontract and a business associate agreement.** VPTA's contract makes it a HIPAA business associate, and it needs that agreement with any subcontractor that receives members' health information. See [HIPAA for NEMT](https://nemtguide.com/guides/hipaa-for-nemt/).

VPTA re-registers its subcontractors every year and confirms their insurance and background checks. VPTA itself cannot sign a subcontract without DVHA's prior approval through the state's Subcontractor Compliance Form. See subcontracting NEMT trips, and if you run a cab company, adding NEMT to a taxi business.

Vermont lets NEMT companies enroll in Medicaid without an NPI, and DVHA screens each enrollment by risk level, with site visits for moderate and high risk providers. Since June 1, 2026, a new enrollment can ask for an effective date up to 90 days before Gainwell accepts the complete application. Vermont told CMS on June 4, 2026 that in early 2027 it will set risk-scoring criteria for providers without an NPI, NEMT included. See [provider risk levels](https://nemtguide.com/glossary/provider-risk-levels/). Gainwell Provider Services answers at 800-925-1706, and VPTA's Bennington office at 802-442-0629.

## Licenses and registrations

### Your company

Form an LLC or corporation with the Vermont Secretary of State's Business Services Division. As of September 2026, LLC articles of organization and articles of incorporation each cost $155. Online filings normally take less than one business day, and mailed filings 7 to 10 business days. See [LLC for NEMT](https://nemtguide.com/guides/llc-for-nemt/).

A Vermont LLC files an annual report within three months after its fiscal year ends, for $45. A domestic business corporation's annual report costs $60. An LLC that misses its report is terminated. To reinstate it, you file the annual report and pay the report fee and the $35 reinstatement fee for each year you missed.

Get your employer identification number (EIN) from the IRS, which never charges for one. Then ask your town clerk whether your town licenses businesses or vehicles for hire. Burlington does, through a city business license, but its ordinance excludes vehicles used mainly for government-funded special transportation programs for older adults and people with disabilities.

### Vermont Department of Motor Vehicles

The vehicle rules come from the DMV. Under 23 V.S.A. § 4(15), a vehicle advertised or regularly used to carry passengers for hire, not on a fixed route, is a jitney. The definition leaves out vehicles used for elders or people with disabilities in special transportation programs funded by state and federal authority through public and private nonprofit social service agencies, so ask the DMV which class fits before you register.

| If your vehicle | You need |
|---|---|
| Is designed for 7 or fewer people, driver included, and carries riders for hire | Jitney registration at the passenger car fee: $91 a year or $167 for two years for a gas vehicle (form VD-119i, September 2025) |
| Is designed for more than 7 people, driver included | Jitney registration at the motor bus fee: $2.40 per 100 pounds of vehicle weight plus 150 pounds per passenger, $43 minimum |
| Is designed for 16 or more people, driver included | A driver with a commercial driver's license and a passenger endorsement |
| Crosses a state line and weighs 10,001 pounds or more, or is designed or used for more than 8 people for pay, driver included | USDOT registration with FMCSA and the federal motor carrier rules |

Purchase and use tax is due when you title and register a vehicle: 6 percent of the price or the vehicle's clean trade-in book value, whichever is greater, minus any trade-in. Out-of-state trips are part of the program, since the manual counts providers in other states when they are the nearest. See [DOT numbers for NEMT](https://nemtguide.com/guides/dot-number-for-nemt/), [do NEMT drivers need a CDL](https://nemtguide.com/guides/do-nemt-drivers-need-a-cdl/), and [NEMT license requirements](https://nemtguide.com/guides/nemt-license-requirements/).

## Vehicle rules

Every Vermont-registered vehicle gets a safety and visual emissions inspection once a year at a DMV-designated inspection station, plus an emissions or on-board diagnostics check if it is 16 model years old or less. A vehicle new to Vermont registration must be inspected within 15 days. Motor buses, which seat more than 7 and run a regular route, are inspected twice a year.

DVHA's manual has no vehicle equipment list. It checks paperwork: each driver's DMV record must show a valid license, registration, and current insurance. Your subcontract may add equipment rules, so ask for them in writing. Use our [vehicle inspection checklist](https://nemtguide.com/templates/nemt-vehicle-inspection-checklist/) and see [NEMT vehicle requirements](https://nemtguide.com/guides/nemt-vehicle-requirements/).

For wheelchair vans, the federal ADA vehicle standard in 49 CFR 38.23 sets these minimums:

- A lift with a design load of at least 600 pounds.
- A lift platform with at least 30 inches of clear width and 48 inches of clear length, measured from 2 to 30 inches above its surface.
- At least one wheelchair securement location on a vehicle 22 feet long or less, and two on a longer one.

See [wheelchair securement](https://nemtguide.com/guides/wheelchair-securement/). A parent who brings a child provides and installs any car seat or booster; the manual says the driver does not. See [children in NEMT](https://nemtguide.com/guides/children-in-nemt/).

## Driver rules and training

The manual's background checks follow federal rules 42 CFR 455.434 and 455.436. They cover VPTA's staff and every volunteer driver, taxi company employee, and subcontractor worker, office staff included. Each person clears these before hire and again every year:

- **Criminal history.** National and Vermont criminal checks (NCIC and VCIC), with no fingerprints. A conviction for an offense involving bodily injury, abuse of a vulnerable person, a felony drug offense, or a property or money crime involving a position of trust disqualifies, such as assault, domestic assault, embezzlement, kidnapping, or sexual assault.
- **Abuse registries.** No substantiated finding on the Child Abuse Registry or the Adult Abuse Registry.
- **Driving record.** A valid license, registration, and current insurance, and at least two years of continuous driving in the United States. Minor tickets, such as speeding, may be allowed.
- **Exclusion lists.** The [OIG exclusion list](https://nemtguide.com/glossary/oig-exclusion-list/), [SAM](https://nemtguide.com/glossary/sam-exclusions/), and the Social Security Death Master File, at hire and then every month.

DVHA will not pay for a trip given by anyone without clear checks. A driver who gets a notice of license suspension or revocation reports it by the end of the next business day. Keep proof of every check on an [exclusion screening log](https://nemtguide.com/templates/exclusion-screening-log/), and see [NEMT driver background checks](https://nemtguide.com/guides/nemt-driver-background-check/).

VPTA's contract has it provide training on Medicaid rules, specialized passenger needs, and privacy, so ask your regional provider which sessions your drivers must complete. On the job:

- **Every ride goes through the provider.** Rides need its prior approval, and a ride a member sets up directly with a volunteer driver is not paid.
- **Report incidents at once.** DVHA must hear about any incident on a member's ride within 24 hours.
- **Report abuse.** Call the Child Protection Line at 1-800-649-5285 about a child, or Adult Protective Services at 1-800-564-1612 about a vulnerable adult.

Each regional provider keeps the names of its subcontracted drivers with proof of their checks. Every invoice you send carries the driver's name and signature, or the provider keeps a driver attestation form on file. Our [driver file checklist](https://nemtguide.com/templates/nemt-driver-file-checklist/) keeps each driver's papers together.

## Trip rules and how you get paid

The manual sets these timing rules for the whole network:

| Situation | Rule |
|---|---|
| Ready to board | Within 5 minutes of the vehicle's arrival |
| Early pickup | Up to 1 hour before a local appointment, to share rides |
| Drop-off | Within 15 minutes of the appointment as standard, never more than 45 minutes early, and never more than 15 minutes before the office opens |
| Return wait | Up to 45 minutes after the appointment's scheduled end |
| [Will-call](https://nemtguide.com/glossary/will-call-trip/) returns | Within 1 hour of the call, or by the facility's close of business, whichever is earlier |
| Average wait | 15 minutes or less past the scheduled pickup, averaged over the month |
| Delays | Tell waiting members about any delay of 15 minutes or more |

VPTA's contract targets 95 percent on-time arrivals. Each trip record needs the member and appointment details, the driver's name and signature, odometer miles, actual pickup and drop-off times, when billing starts and stops, whether the ride happened, and anything unusual, such as a detour or an accident. Our [trip log template](https://nemtguide.com/templates/nemt-trip-log-template/) has most of these fields.

DVHA does not pay subcontractors directly. Amendment 8 of contract 41132 pays VPTA $45.80 per member per week for state fiscal years 2025 and 2026, with a possible fiscal 2026 adjustment of up to $0.86 tied to opioid treatment trips. A temporary rate of $83.25 applied to rides given from June 5, 2026 and paid by June 19, 2026, capped at $800,000 from Act 74 of 2026 (GCR 26-069).

The manual lets the contractor pay subcontractors by any method that follows tax and employment law, so your rate, invoice schedule, and no-show terms come from your subcontract. VPTA's contract requires it to keep a working capital account and a line of credit for subcontractors waiting on claim payments. Three more rules matter:

- **No-shows.** Vermont's General Provider Manual bars billing Medicaid or the member for a missed appointment, so ask how your subcontract treats a rider who does not board. After a member's third no-show, the member must confirm each ride by noon the business day before, or no driver is sent. See [no-shows](https://nemtguide.com/glossary/no-show/).
- **Eligibility.** Gainwell recoups payment for rides to members who were not eligible on the date of service, no matter who made the error.
- **Audits.** DVHA audits the contractor's and subcontractors' locations every year. Keep records for seven years and produce them within 30 days of a request. See [NEMT record retention](https://nemtguide.com/guides/nemt-record-retention/).

### The proposed switch to fee for service

On June 30, 2026, the Agency of Human Services published GCR 26-057, which would move NEMT to fee for service payment effective July 1, 2026, with no expected change in total cost. Comments closed July 30, 2026, and as of September 2026 the Global Commitment Register still lists it as proposed. The proposed prices per unit:

| Code | Service | Price |
|---|---|---|
| [A0080](https://nemtguide.com/glossary/a0080/) | Volunteer driver with no vested interest, per mile | $2.11 |
| [A0090](https://nemtguide.com/glossary/a0090/) | Driver with a vested interest, per mile | $0.66 |
| [A0100](https://nemtguide.com/glossary/a0100/) | Taxi | $30.75 |
| [A0120](https://nemtguide.com/glossary/a0120/) | Mini-bus or other transportation system | $77.98 |
| [A0130](https://nemtguide.com/glossary/a0130/) | Wheelchair van | $77.98 |

Air travel, parking and tolls, lodging, and meals would be paid as billed at actual cost. These would be Medicaid's prices on the claim; what a subcontractor earns would still depend on its agreement. See [NEMT billing codes](https://nemtguide.com/guides/nemt-billing-codes/).

## Insurance requirements

Vermont sets two floors in law. Every registered vehicle needs at least the minimum in 23 V.S.A. § 800:

| Coverage | Minimum |
|---|---|
| Injury or death, one person | $25,000 |
| Injury or death, two or more people | $50,000 |
| Damage to property | $10,000 |

A jitney needs more before it carries paying passengers. Under 23 V.S.A. §§ 841 and 843, the owner carries liability insurance or a surety bond from a company authorized in Vermont, covering passengers and others, by seating capacity:

| Seats | Per person | Per crash |
|---|---|---|
| 7 passengers or fewer | $50,000 | $100,000 |
| 8 to 12 passengers | $50,000 | $250,000 |
| 13 to 20 passengers | $50,000 | $300,000 |
| 21 to 30 passengers | $50,000 | $350,000 |

Every jitney also needs $50,000 for property damage. Your regional provider and your town can require more: VPTA must make sure every subcontractor has proper insurance, and Burlington requires $500,000 in commercial liability for licensed vehicles for hire other than rideshare. Get the provider's limits in writing before you buy. See [NEMT insurance requirements](https://nemtguide.com/guides/nemt-insurance-requirements/).

Vermont's Department of Labor calls workers' compensation mandatory for all Vermont employers, and 21 V.S.A. § 687 requires employers to secure it. If you pay a person to work for your business, you must cover them unless they carry their own policy, or they are a member, manager, or executive officer of a registered LLC or corporation with an approved Form 29 exclusion. Sole proprietors and partners do not have to cover themselves. If you plan to pay drivers as contractors, read [1099 or W-2 drivers](https://nemtguide.com/guides/nemt-drivers-1099-or-w2/) first.

## What it costs and how long it takes

These are the fees Vermont sets as of September 2026. Vehicles, 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/).

| Item | Cost | Paid to |
|---|---|---|
| EIN | Free | IRS |
| LLC articles of organization | $155 | Secretary of State |
| LLC annual report | $45 a year | Secretary of State |
| Jitney registration, 7 or fewer people, gas | $91 a year, $167 for two years | DMV |
| Purchase and use tax | 6% of price or book value | DMV |
| Yearly inspection | Posted by each station | Inspection station |

A workable order, from first call to first trip:

1. **Call the regional provider for your towns** and ask where it needs another company.
2. **Form your company** and get your EIN. Online filings normally clear in under one business day.
3. **Ask your town clerk** about local licenses.
4. **Buy insurance** at the jitney minimums or the provider's higher limits, plus workers' compensation.
5. **Title, register, and inspect each vehicle,** with inspection due within 15 days of registering.
6. **Hire and screen drivers,** and start your drug and alcohol testing program.
7. **Enroll in Vermont Medicaid** through Gainwell, asking for a retroactive effective date if you need one.
8. **Sign the subcontract and the business associate agreement,** then send invoices with driver signatures.

The subcontract has no set timeline; it depends on whether the provider needs another company in your towns. 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

Other ride work runs through the same networks and beyond them.

- **Older Adults and Persons with Disabilities (O&D) Program.** VTrans funds door-to-door rides for adults 60 and older and people with disabilities to medical appointments, adult day, senior meal sites, and essential shopping, with the public transit providers as regional brokers. It gave 129,967 rides in state fiscal year 2024. Ask your regional provider whether it contracts out any O&D trips.
- **Nursing facilities.** Because skilled nursing facilities must transport or pay for most of their Medicaid residents' medical trips, they buy rides directly. See [how to get NEMT facility contracts](https://nemtguide.com/guides/how-to-get-nemt-facility-contracts/).
- **Veterans.** VA pays for special mode transportation, a specially equipped vehicle, when a veteran is eligible for travel pay, a VA provider decides the veteran's condition requires it, and the trip is approved in advance. VA White River Junction health care has main locations in White River Junction and Burlington and clinics in Bennington, Brattleboro, Newport, and Rutland. See [VA transportation contracts](https://nemtguide.com/guides/va-transportation-contracts/).
- **Private pay.** Private pay riders took 13,904 of Vermont's demand response trips in fiscal 2024, and some Medicare Advantage plans cover rides. See [private pay NEMT](https://nemtguide.com/guides/private-pay-nemt/).

## Frequently asked questions

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

The Vermont Public Transportation Association (VPTA). The Department of Vermont Health Access contracts with VPTA under contract 41132, which began January 1, 2021, and VPTA's members have run Medicaid rides since 1986. Its regional public transit members book and dispatch the rides by town. As of September 2026, DVHA directs all NEMT calls to VPTA at 833-387-7200.

### Can a private NEMT company get Medicaid trips in Vermont?

Yes, as a subcontractor. HCAR 4.225 pays only transportation providers that are subcontracted with the broker and enrolled in Vermont Medicaid. In practice, you contract with the regional provider for your towns, which can use taxis and other companies as well as its own vans and volunteer drivers. Every driver and office worker must pass the state background checks before the first ride.

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

Medicaid asks for two things: a subcontract under the broker and Vermont Medicaid enrollment. The DMV treats a vehicle regularly used to carry passengers for hire as a jitney, with its own registration class and higher insurance limits. Some towns, such as Burlington, license vehicles for hire, so ask your town clerk. Drivers of vehicles built for 16 or more people need a CDL with a passenger endorsement.

### What insurance does a Vermont NEMT company need?

At least the jitney minimums in 23 V.S.A. § 843: $50,000 per person and $100,000 per crash for vehicles seating 7 passengers or fewer, rising to $250,000 per crash for 8 to 12 passengers, plus $50,000 for property damage. Your regional provider can ask for more, and VPTA must confirm that every subcontractor carries proper insurance. Workers' compensation is mandatory once you pay people to work for you.

### How much does Vermont Medicaid pay for NEMT trips?

DVHA pays VPTA a set amount for each member served, not a fee per trip: $45.80 per member per week in state fiscal years 2025 and 2026. As a subcontractor, your rate comes from your agreement with the regional provider. Proposal GCR 26-057, published June 30, 2026, would switch to fee for service, including $30.75 per unit for a taxi and $77.98 for a wheelchair van.

### What background checks do Vermont NEMT drivers need?

Before hire and every year: national and Vermont criminal checks, the Child and Adult Abuse Registries, a DMV check, the HHS OIG exclusion list, SAM, and the Social Security Death Master File. The OIG, SAM, and Death Master File checks repeat every month. Drivers also need a valid license and at least two years of continuous driving in the United States. No fingerprints are required.

### Does Vermont require EVV for NEMT?

No. DVHA's EVV guide lists personal care in four programs (Attendant Services, Brain Injury, Children's Personal Care, and Choices for Care) and home health services from January 1, 2023. Transportation is not among them. Vermont NEMT relies on detailed trip records, appointment checks, and yearly DVHA site audits instead.

## Official resources

- [VPTA: My Area Provider (find the regional provider for a town)](https://vpta.net/my-area-provider)
- [DVHA: Non-Emergency Medical Transportation manual and forms](https://dvha.vermont.gov/providers/non-emergency-medical-transportation)
- [DVHA: Medicaid NEMT Program Manual](https://dvha.vermont.gov/sites/dvha/files/documents/Medicaid-NEMT-Program-Manual.pdf)
- [HCAR 4.225: Non-Emergency Medical Transportation rule](https://humanservices.vermont.gov/sites/ahsnew/files/documents/MedicaidPolicy/HCARAdopted/4.225-HCAR-NEMT-Adopted-Rule.pdf)
- [Vermont Medicaid Portal (provider enrollment through Gainwell)](https://www.vtmedicaid.com/)
- [Vermont Medicaid General Provider Manual](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf)
- [Vermont Secretary of State: Form an LLC](https://sos.vermont.gov/business-services/business-filings/domestic-formation/llc)
- [Vermont DMV: Registration, tax, and title instructions (VD-119i)](https://dmv.vermont.gov/sites/dmv/files/documents/VD-119i-Registration_Tax_Title_Instructions.pdf)
- [Vermont Department of Labor: Workers' compensation fact sheet for employers](https://labor.vermont.gov/sites/labor/files/doc_library/Fact%20Sheet%20For%20Employers.pdf)
- [Vermont AHS: GCR 26-057, proposed NEMT fee for service rates](https://humanservices.vermont.gov/sites/ahsnew/files/documents/26-057-P-GCR-NEMT-Transition-to-FFS.pdf)