🚑$60K/yrPer Vehicle
💰40%Profit Margin
🚐$250/hrStretcher Rate
📈9% CAGRMarket Growth
♿$90/tripWheelchair
🏥$22BMarket by 2032
🛡️RecessionProof Demand
📋70M+Seniors by 2030
⚡ The Only Website Covering All 50 States

Did You Know NEMT Is a $11.8 Billion Industry — and Still Growing?

Non-Emergency Medical Transportation is one of America's most overlooked, recession-proof businesses. Medicaid demand never drops — it rises during downturns. And nobody on the internet shows you how to start in every state — until now.

🚐
$50K–$60K
Revenue per vehicle per year
📊
15%–40%
Average profit margins
💰
$25K/mo
Top operators earn monthly
🗺️
50 States
Covered — the only site on earth
The Only All-50-State NEMT Launch Guide on the Internet
Other sites sell generic courses or single-state PDFs. We're the first and only platform that gives you state-specific licensing, Medicaid enrollment, insurance requirements, and downloadable documents for every single U.S. state — in one place.
3.6M Americans miss care due to transport
70M elderly Americans by 2030
Medicaid enrollment rises in recessions
8–12 trips per vehicle per day
Start Your NEMT Business → See How It Works
🚑FleetADA Ready
📋Compliance50 States
♿Wheelchair$45–$90/trip
🏥MedicaidEnrolled
🛡️Insurance$300K–$1M
📄Documents200+ Files
The Only All-50-State NEMT Guide · Updated 2026

We Show You Exactly How to Launch

Every form, every license, every Medicaid enrollment step — personalized to your state. Replace expensive consultants with instant digital access.

Get Your State Package → See What's Inside
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Trusted by 500+ NEMT entrepreneurs across 38 states
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
What's Included

Everything You Need. Nothing You Don't.

🏛️

Federal Requirements

EIN, NPI, SAM.gov, USDOT, ADA compliance, HIPAA kit — the foundation every NEMT operator needs regardless of state.

📍

State-Specific Licensing

Exact steps, fees, and agencies for your state's NEMT license, LLC formation, and for-hire permits. All 50 states covered.

🏥

Medicaid Enrollment

Step-by-step portal walkthrough for your state plus broker credentialing with MTM, ModivCare, Access2Care, and more.

🛡️

Insurance & Compliance

State minimum coverage amounts, recommended carriers, workers' comp rules, and audit-ready compliance checklists.

📄

Business Plan Template

All-Access members get a comprehensive NEMT business plan template — ready to customize for lenders, investors, or your own roadmap.

💰

Revenue Intelligence

Medicaid reimbursement rates by service type, mileage rates, wait-time billing, and Medicare Advantage opportunities.

State Packages — All 50 Covered

Preview Any State Package

No other website offers this level of state-specific detail. Tap a state to see what's inside.

Available (50) Coming soon

Alabama NEMT Package

Fee For Service$15–$45/trip6-10–12 weeks
✓ File Articles of Organization
✓ Obtain County Business License
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with Alabama Medicaid
✓ Set Up Direct Billing
✓ Hire and Screen Drivers

Alaska NEMT Package

Fee For Service (Air/Ferry)$45–$75/trip10-16–16 weeks
✓ File Articles of Organization
✓ Get EIN from IRS
✓ Obtain Local Business Licenses
✓ Secure Commercial Auto Insurance
✓ Obtain Aviation Insurance (if applicable)
✓ Enroll with Alaska DOH
✓ Coordinate with Statewide Call Center
✓ Hire and Screen Drivers/Pilots

Arizona NEMT Package

Managed Care/Broker$15–$45/trip14–20 weeks
✓ Register LLC with Arizona Corporation Commission
✓ Obtain EIN and NPI
✓ Complete PT-28 NEMT certification
✓ Enroll through APEP
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Apply to Veyo provider network
✓ Acquire vehicle with GPS tracking

Arkansas NEMT Package

Regional Broker$18–$48/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with DFA
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Identify Your NET Region
✓ Contract with Regional NET Broker
✓ Hire and Screen Drivers

California NEMT Package

Managed Care$25–$55/trip16–22 weeks
✓ File California Articles of Organization ($70)
✓ Pay $800 Annual Franchise Tax to FTB
✓ File Statement of Information ($20)
✓ Apply for CPUC TCP Permit
✓ Submit Vehicle List to CPUC
✓ Complete PAVE Application (DHCS Medi-Cal)
✓ Obtain VSSI Certificate
✓ Obtain Commercial Auto Insurance ($1M CSL)

Colorado NEMT Package

Broker/FFS Hybrid$26–$56/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with IntelliRide (Denver Metro)
✓ Enroll with HCPF (Rural Areas)
✓ Hire and Screen Drivers

Connecticut NEMT Package

Statewide Broker$32–$62/trip8-12–14 weeks
✓ File Certificate of Organization
✓ Register with DRS
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll as CT Medicaid Provider
✓ Contract with Veyo/MTM
✓ Hire and Screen Drivers

Delaware NEMT Package

Managed Care$28–$58/trip8-12–14 weeks
✓ File Certificate of Formation
✓ Register with Division of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with Delaware DMMA
✓ Contract with MCO Brokers
✓ Hire and Screen Drivers

Florida NEMT Package

Carved In$15–$42/trip16–22 weeks
✓ File Florida Articles of Organization (LLC)
✓ Apply for Florida EIN
✓ Set Calendar Reminder for Annual Report (Jan 1–May 1)
✓ Submit AHCA Certification Application
✓ Enroll as Florida Medicaid Provider
✓ Credential with MCO Brokers (ModivCare, MTM, SafeRide)
✓ Set Up AHCA Clearinghouse Provider Account
✓ Complete Level 2 Background Screening for All Drivers

Georgia NEMT Package

Broker Model$15–$42/trip10–16 weeks
✓ File Georgia Articles of Organization ($100)
✓ File Georgia Articles of Organization ($100)
✓ Obtain EIN from IRS (Free)
✓ Obtain EIN from IRS (Free)
✓ Check Local Business License Requirements
✓ Check Local Business License Requirements
✓ Obtain Commercial Auto Insurance ($1M CSL)
✓ Obtain Commercial Auto Insurance ($1M CSL)

Hawaii NEMT Package

Managed Care / MCO Carved In$30–$60/trip8-14–14 weeks
✓ File Articles of Organization
✓ Obtain GET License
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain TDI Coverage
✓ Enroll with Med-QUEST
✓ Contract with QUEST MCO Brokers
✓ Hire and Screen Drivers

Idaho NEMT Package

Statewide Broker$15–$45/trip6-10–12 weeks
✓ File Certificate of Organization
✓ Register with State Tax Commission
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM
✓ Hire and Screen Drivers
✓ Complete Driver Training

Illinois NEMT Package

Mixed Broker/MCO$18–$48/trip12–18 weeks
✓ Register LLC with Illinois Secretary of State
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll with HFS as Medicaid provider
✓ Apply to MTM broker network
✓ Apply to ModivCare broker network
✓ Apply to First Transit (Cook County)

Indiana NEMT Package

Mixed FFS Broker/MCO$25–$55/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain Surety Bond (if required)
✓ Complete IHCP Provider Enrollment
✓ Contract with Verida (FFS)
✓ Contract with MCO Brokers

Iowa NEMT Package

MCO Carved In / Statewide Broker$20–$50/trip6-10–12 weeks
✓ File Certificate of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with Access2Care
✓ Contract with MTM (FFS)
✓ Hire and Screen Drivers

Kansas NEMT Package

MCO / Regional Broker$20–$50/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with Access2Care
✓ Contract with ModivCare
✓ Hire and Screen Drivers

Kentucky NEMT Package

Regional Broker / MCO$22–$52/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll as KY Medicaid Provider
✓ Contract with ModivCare
✓ Hire and Screen Drivers

Louisiana NEMT Package

Statewide Broker / MCO$20–$50/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with Verida (FFS)
✓ Apply to Healthy Louisiana MCO Brokers
✓ Hire and Screen Drivers

Maine NEMT Package

Regional Broker$22–$52/trip8-12–14 weeks
✓ File Certificate of Formation
✓ Register with Maine Revenue Services
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Identify Your Medicaid District
✓ Contract with Regional Broker
✓ Hire and Screen Drivers

Maryland NEMT Package

Fee-for-Service$18–$48/trip12–18 weeks
✓ Register LLC with Maryland SDAT
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll with MDH as Medicaid provider
✓ Acquire and inspect vehicle
✓ Complete driver certifications
✓ Complete wheelchair securement training

Massachusetts NEMT Package

HST Broker$28–$58/trip16–22 weeks
✓ File Certificate of Organization
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll with MassHealth
✓ Contract with regional RTAs
✓ Acquire vehicle with electronic logging
✓ Complete driver certifications

Michigan NEMT Package

Mixed FFS/Broker$15–$42/trip12–18 weeks
✓ Register LLC with Michigan LARA
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll through CHAMPS
✓ Apply to ModivCare (Detroit metro)
✓ Contact county MDHHS (other counties)
✓ Acquire and inspect vehicle

Minnesota NEMT Package

Fee For Service / MCO Direct$30–$60/trip8-14–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Apply for MnDOT STS Certification
✓ Enroll as MHCP Provider
✓ Contract with MCOs Directly

Mississippi NEMT Package

Statewide Broker / MCO Regional$15–$45/trip6-10–12 weeks
✓ File Certificate of Formation
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM (FFS)
✓ Contract with MCO Regional Brokers
✓ Hire and Screen Drivers

Missouri NEMT Package

Statewide Broker$22–$52/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM, Inc.
✓ Complete MTM Credentialing
✓ Hire and Screen Drivers

Montana NEMT Package

Fee For Service / Direct$15–$45/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with DPHHS
✓ Set Up MPQH Coordination
✓ Hire and Screen Drivers

Nebraska NEMT Package

Mixed MCO/FFS$18–$48/trip6-10–12 weeks
✓ File Certificate of Organization
✓ Publish LLC Formation (if required)
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with Heritage Health Brokers
✓ Enroll with DHHS Transportation
✓ Hire and Screen Drivers

Nevada NEMT Package

Managed Care$25–$55/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Dept of Taxation
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with Nevada DHCFP
✓ Contract with MCO Brokers
✓ Hire and Screen Drivers

New Hampshire NEMT Package

Managed Care$25–$55/trip8-12–14 weeks
✓ File Articles of Organization
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with NH DHHS
✓ Contract with MTM
✓ Hire and Screen Drivers
✓ Complete Driver Training

New Jersey NEMT Package

Statewide Broker$22–$52/trip12–18 weeks
✓ Register LLC with NJ Division of Revenue
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll with NJ Medicaid
✓ Apply to ModivCare provider network
✓ Acquire and inspect vehicle
✓ Complete driver background checks

New Mexico NEMT Package

Managed Care$18–$48/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with TRD
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with NM HSD
✓ Contract with Centennial Care MCO Brokers
✓ Hire and Screen Drivers

New York NEMT Package

Broker Managed$25–$55/trip18–24 weeks
✓ File NY Articles of Organization
✓ Complete LLC publication requirement
✓ Register with NY Dept of Taxation & Finance
✓ Obtain $1.5M CSL commercial auto insurance
✓ Obtain workers comp + disability + PFL
✓ Request MAS Letter of Support
✓ Enroll through eMedNY
✓ Obtain NYS DOT carrier authority (ambulette)

North Carolina NEMT Package

Broker/Managed Care$15–$42/trip14–20 weeks
✓ File Articles of Organization with NC SOS
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll through NCTracks
✓ Apply to ModivCare network
✓ Apply to MTM network
✓ Acquire and inspect vehicle

North Dakota NEMT Package

Fee For Service$15–$42/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Tax Commissioner
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Enroll in ND Workforce Safety
✓ Enroll with NDHHS
✓ Contact Regional Human Service Zone
✓ Hire and Screen Drivers

Ohio NEMT Package

Managed Care$15–$45/trip12–18 weeks
✓ Register LLC with Ohio Secretary of State
✓ Obtain EIN from IRS
✓ Apply for NPI
✓ Secure commercial auto insurance
✓ Register with Ohio BWC
✓ Obtain general liability insurance
✓ Enroll with Ohio Medicaid (ODM)
✓ Apply to MCO broker networks

Oklahoma NEMT Package

MCO / Statewide Broker$20–$50/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Tax Commission
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll as SoonerCare Provider
✓ Contract with MTM/MCO Brokers
✓ Hire and Screen Drivers

Oregon NEMT Package

Managed Care (CCO Model)$28–$58/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Identify Your CCO Region
✓ Contract with CCO Broker
✓ Portland City Certification

Pennsylvania NEMT Package

County MATP$18–$48/trip14–20 weeks
✓ File Certificate of Organization with PA Department of State
✓ Obtain EIN and NPI
✓ Apply for PUC certificate
✓ Secure commercial auto + general liability insurance
✓ Obtain workers' compensation
✓ Enroll in PROMISe as Medicaid provider
✓ Contract with county MATP programs
✓ Credential with CHC MCOs

Rhode Island NEMT Package

Statewide Broker$28–$58/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Division of Taxation
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM
✓ Hire and Screen Drivers
✓ Complete Driver Training

South Carolina NEMT Package

Managed Care / Broker$20–$50/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with SCDHHS
✓ Contract with MCO Brokers
✓ Hire and Screen Drivers

South Dakota NEMT Package

Fee For Service$15–$42/trip6-10–12 weeks
✓ File Articles of Organization
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with SD DSS
✓ Get Listed on Provider Map
✓ Hire and Screen Drivers
✓ Complete Driver Training

Tennessee NEMT Package

Managed Care/Broker$25–$55/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Submit RFQ to Verida
✓ Submit Application to Tennessee Carriers
✓ Complete Broker Credentialing

Texas NEMT Package

Hybrid Model$15–$45/trip12–18 weeks
✓ File Texas Certificate of Formation (LLC)
✓ Apply for Texas Sales Tax Permit (if applicable)
✓ Register for Texas Franchise Tax
✓ Create PEMS Account at TMHP
✓ Submit Medicaid Provider Enrollment via PEMS
✓ Credential with MTO or Full Risk Broker
✓ Obtain Commercial Auto Insurance ($1M CSL)
✓ Obtain General Liability Insurance ($1M/$2M)

Utah NEMT Package

Managed Care$22–$52/trip6-10–12 weeks
✓ File Certificate of Organization
✓ Register with State Tax Commission
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with Utah Medicaid
✓ Contract with MCO Brokers
✓ Hire and Screen Drivers

Vermont NEMT Package

Statewide Broker$22–$52/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Taxes
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM
✓ Hire and Screen Drivers
✓ Complete Driver Training

Virginia NEMT Package

Regional$15–$45/trip12–18 weeks
✓ Register LLC with Virginia SCC
✓ Obtain EIN and NPI
✓ Secure commercial auto + general liability
✓ Obtain workers' compensation
✓ Enroll through PRISM portal
✓ Apply to ModivCare provider network
✓ Acquire and inspect vehicle
✓ Complete driver certifications

Washington NEMT Package

Regional Broker$28–$58/trip6-10–12 weeks
✓ File Certificate of Formation
✓ Obtain State Business License
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contact Regional NEMT Broker
✓ Submit Provider Application
✓ Set Up ProviderOne Access

West Virginia NEMT Package

Statewide Broker$18–$48/trip6-10–12 weeks
✓ File Articles of Organization
✓ Register with State Tax Dept
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Contract with MTM
✓ Hire and Screen Drivers
✓ Complete Driver Training

Wisconsin NEMT Package

Managed Care$25–$55/trip8-12–14 weeks
✓ File Articles of Organization
✓ Register with Department of Revenue
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll as ForwardHealth Provider
✓ Contract with MCO Brokers
✓ Hire and Screen Drivers

Wyoming NEMT Package

Fee For Service$15–$42/trip6-10–12 weeks
✓ File Articles of Organization
✓ Get EIN from IRS
✓ Secure Commercial Auto Insurance
✓ Obtain General Liability Insurance
✓ Enroll with Division of Healthcare Financing
✓ Hire and Screen Drivers
✓ Complete Driver Training
✓ Acquire NEMT Vehicles
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  • ✓ All 50 state packages
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Common Questions

Quick answers to what NEMT entrepreneurs ask most

Instant access to your interactive dashboard with state-specific licensing requirements, Medicaid enrollment steps, insurance details, driver qualifications, vehicle standards, a contact directory with direct government links, an interactive compliance checklist. All verified against current regulations.

One-time payment. You pay once and get lifetime access — no monthly fees, no recurring charges. As we add new content, you benefit at no extra cost.

Most courses sell generic info for $500–$997 without covering your state's actual requirements. Consultants charge $2,000–$10,000+. NEMTHQ gives you state-specific, verified information with direct government links and a progress-tracking checklist — at a fraction of the cost. And we're the only platform covering all 50 states.

You get immediate access to the comprehensive federal requirements guide (28 steps every NEMT business needs), all documents, and the blog library. Your state guide gets added as we expand — All-Access members get every new state at no additional cost.

Yes. Every state page shows a "Last Updated" date. We monitor regulation changes — broker assignments, rate structures, licensing updates — and update affected guides accordingly.

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