NEMT by state: brokers, rules, and how to become a provider

Medicaid pays for non-emergency medical transportation in every state, but each state picks its own brokers, enrollment path, vehicle rules, and insurance floor. These pages put the current answers for one state on one page, with links to the official source for each fact.

NEMT in Texas

Health plans each contract a broker. Brokers: SafeRide Health, MTM Health, Modivcare.

NEMT in Florida

Health plans each contract a broker. Brokers: Modivcare, MTM Health, Alivi, Ride2MD.

NEMT in California

Health plans each contract a broker. Brokers: Modivcare, Call the Car, American Logistics.

NEMT in New York

One statewide broker. Brokers: Medical Answering Services (MAS).

NEMT in Pennsylvania

County-run programs. Brokers: County MATP offices statewide; Modivcare in Philadelphia.

NEMT in Colorado

Statewide broker, phasing in. Brokers: MediDrive.

Three ways states run Medicaid rides

One statewide broker

The state hires a single broker that credentials providers, schedules trips, and pays claims. New York runs this way, and Colorado is moving to it through January 2027.

Health plans each contract a broker

Medicaid managed care plans arrange rides through their own transportation vendors, so a provider credentials with each broker separately. Texas, Florida, and California work this way.

County-run programs

Counties run or contract the program under state rules, so requirements and contacts change at the county line. Pennsylvania is the largest example.

What every state page covers

  • Which agency runs the program and the rule that governs it
  • The brokers and health plans that assign trips, with sign-up links
  • The enrollment path, step by step
  • Vehicle and driver rules, with state law and broker contract in separate columns
  • Insurance minimums and who sets them
  • Whether EVV applies to NEMT trips (it usually does not)
  • What changed in 2025 and 2026
  • Links to every official page used