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How to start a NEMT business in Connecticut: MTM Health, livery permits, and driver rules

Updated

Connecticut uses one statewide broker. The Department of Social Services contracts with MTM Health to arrange rides for HUSKY Health members, and MTM contracts the transportation companies that drive them. The state rules that shape a NEMT company here are transportation rules: a CTDOT livery permit, at least $1.5 million in liability insurance per livery vehicle, and a DMV public passenger endorsement for every driver.

Connecticut NEMT at a glance

Runs the program
Connecticut Department of Social Services (DSS)
Program
HUSKY Health non-emergency medical transportation (NEMT)
How rides are arranged
One statewide broker. DSS contracts one statewide broker, MTM Health, to arrange rides for HUSKY A, C, and D, Covered CT, and limited-benefit members.
Brokers you will contract with
MTM Health
State operating license
CTDOT livery permit for any business carrying passengers for hire (CGS 13b-103), and a DMV public passenger endorsement for each driver (CGS 14-44).
EVV for NEMT trips
Not required
Medicaid enrollment
871,818 (May 2026, Medicaid only)
On this page

How Medicaid NEMT works in Connecticut

DSS runs Connecticut Medicaid as HUSKY Health and buys NEMT through a single broker. MTM Health holds the program today. It closed its purchase of the previous broker, Veyo, on August 1, 2022, and DSS reports carried the Veyo name through August 2023. NEMT covers HUSKY A, C, and D, Covered CT, and other limited-benefit members who have no other way to reach a Medicaid-covered medical, behavioral health, or dental appointment. HUSKY B is not on the eligible list.

Members book at least two business days ahead, and urgent rides are scheduled 24 hours a day. Recurring rides can be booked up to 90 days out. MTM picks the mode: bus passes for members near a bus line, mileage reimbursement for members with a car, livery or ambulatory rides, wheelchair van rides, and non-emergency ambulance or air ambulance with prior approval.

For a provider, MTM is the customer. It contracts the transportation companies that run the trips. Under Veyo, the program also used independent drivers for ambulatory trips, with 719 active in June 2023. MTM sends trips through its MTM Link provider portal or connects to a provider's own dispatch software. Rates are negotiated with each provider, and MTM does not pay for no-shows.

Governing rule:Connecticut General Statutes, chapter 244b: Motor vehicles in livery service

Who brokers Medicaid rides in Connecticut

One broker covers the whole state and every eligible HUSKY population, so an MTM Health contract is the only Medicaid NEMT contract a Connecticut fleet needs.

BrokerServesProvider sign-up
MTM HealthHUSKY A, C, and D, Covered CT, and limited-benefit members statewide. MTM took over the program when it acquired Veyo in 2022.Provider pageMember reservations 855-478-7350

Complaints go to MTM's We Care line at 866-436-0457 or to DSS at dss.nemt@ct.gov.

DSS posts MTM's monthly reporting packages, including trip counts, on-time performance, and no-show rates, on its NEMT documents page.

How to become a NEMT provider in Connecticut

Connecticut does its screening through transportation law rather than a Medicaid NEMT rule. Get the livery permit, insurance, and driver endorsements in place, then contract with MTM Health.

  1. Form the business

    Register the company with the Connecticut Secretary of the State and get a federal EIN. Use the same legal name on your livery permit, insurance, and MTM contract.

  2. Get a CTDOT livery permit

    Any business that holds itself out as carrying passengers for hire is in livery service under CGS 13b-101 and needs a CTDOT permit. The application fee is $200, and applicants submit a state criminal history record. CTDOT can issue permits for vehicles seating fewer than 11 adults without a public hearing, and it issues restricted permits for service to elderly riders and riders with disabilities under CGS 13b-105, whose vehicles must meet the wheelchair securement rules in CGS 14-100a.

    CTDOT: General intrastate livery service, new permit application

  3. Register and insure every vehicle

    DMV will not register a livery vehicle until the owner files insurance. Vehicles designed for 14 or fewer passengers need a $1.5 million single limit, and 15 or more need $5 million (CGS 14-29).

    Connecticut General Statutes, chapter 246: Motor vehicles

  4. Get every driver a public passenger endorsement

    Livery drivers need a DMV public passenger endorsement (CGS 14-44). Applicants must be at least 18, pass state and national criminal history checks, swear they have no criminal record and no drunk driving conviction in the past five years, and pass a physical exam within 90 days that meets 49 CFR 391. Since January 1, 2024 they must also watch DMV's video on interacting with people with disabilities. A livery permit holder may let a new driver work for up to 90 days while the endorsement is pending, after running its own criminal history and driving record checks (CGS 14-44(e)).

  5. Equip wheelchair vehicles

    Anyone transporting a person who stays in a wheelchair must use a device that secures the rider during the transfer into and out of the vehicle. Livery vehicles first registered on or after October 1, 2007 also need a device that secures the wheelchair to the lift or keeps the rider from falling from it (CGS 14-100a).

  6. Apply to MTM Health

    MTM's process runs through a questionnaire, application, credentialing, and contracting, with an MTM employee guiding each step. MTM sets standards for driver qualifications, motor vehicle records, CPR, defensive driving, and passenger assistance training.

    MTM Health: Connecticut transportation providers

Vehicle and driver requirements in Connecticut

State law covers the operator, the vehicle insurance, and the driver endorsement. MTM Health's contract adds training and trip-tracking requirements.

Vehicles

RequirementState ruleBroker contract
Operating authorityCTDOT livery permit ($200 application fee) for any vehicle in livery service (CGS 13b-103).MTM Health credentialing and contract.
Wheelchair securementTransfer securement device for riders who stay in a wheelchair. Livery vehicles first registered on or after October 1, 2007 also need lift securement (CGS 14-100a).Set in the MTM Health contract.
Nonambulatory vehicles of EMS servicesAn invalid coach run by an emergency medical service organization is inspected to DPH standards and registered with DPH (CGS 19a-181).Non-emergency ambulance trips need prior approval.
Trip trackingNot required by statute.MTM publishes an MTM Link driver app guide for its Connecticut providers, and it reported real-time GPS data on about 95 percent of trips in May 2024.

Drivers

RequirementState ruleBroker contract
License endorsementDMV public passenger endorsement for anyone driving a vehicle in livery service (CGS 14-44).Motor vehicle record review at credentialing.
Criminal and driving historySworn statement of no criminal record, state and national criminal history checks, and no drunk driving conviction in the five years before applying.MTM Health credentialing qualifications.
Age and medical fitnessAt least 18, with a physical exam within 90 days that meets 49 CFR 391, and ongoing compliance at renewal.Covered by the state endorsement.
TrainingDMV disability interaction video before an endorsement is issued or renewed, since January 1, 2024.CPR, defensive driving, and passenger assistance training.

Insurance minimums in Connecticut

Connecticut sets high statutory limits for livery vehicles, and MTM Health aligns its contract with them.

CoverageMinimumSet by
Livery vehicle designed for 14 or fewer passengers$1,500,000 single limitCGS 14-29(b)(3)
Livery vehicle designed for 15 or more passengers$5,000,000 single limitCGS 14-29(b)(4)
MTM Health contractGeneral and auto liability aligned with Connecticut NEMT requirements, MTM listed as certificate holder and additional insured on bothBroker contract
Workers compensationCoverage that meets state requirementsBroker contract

Does Connecticut require EVV for NEMT?

No. Connecticut's electronic visit verification covers in-home care, such as the Connecticut Home Care Program, Personal Care Assistant, and Acquired Brain Injury waiver services, plus home health. NEMT is not part of it.

MTM Health tracks trips instead. It reported real-time GPS data on about 95 percent of trips in May 2024, and DSS publishes MTM's monthly results, including on-time performance by leg and a member no-show rate that ran from 3.11 to 3.46 percent in the second half of 2025.

DSS: Electronic Visit Verification

What changed in Connecticut in 2025 and 2026

Connecticut had 871,818 people on Medicaid and 25,396 on CHIP in May 2026, according to CMS's preliminary monthly data.

MTM completed 241,523 trip legs in October 2025 and 227,156 in December 2025, for about 21,000 members a month. In December, 145,372 legs went by cab, 48,076 by bus, 25,385 by wheelchair lift van, and 8,317 through gas reimbursement. Setting aside return rides, drug rehabilitation (50,431 legs) and behavioral health (18,853) were the largest trip reasons, followed by specialist visits (12,610) and dialysis (11,683).

On-time performance ran 92 percent from July to September 2025 and 90 percent in December. A legs trailed B legs, 86 percent against 94 percent in December. The call center abandonment rate hit 12.88 percent in September 2025, against a 5 percent target.

Rates are set in each provider's MTM contract. MTM does not pay no-shows and asks providers to confirm pickups with members the day before.

  1. Veyo, then operating Connecticut NEMT, tells the Medical Assistance Program Oversight Council it has 719 active independent driver-providers.

    Notice

  2. DMV starts requiring public passenger endorsement applicants to watch its disability interaction video.

    Notice

  3. MTM Health reports about 95 percent GPS compliance and a new facility portal to the Behavioral Health Program Oversight Council.

    Notice

  4. MTM's call center abandonment rate reaches 12.88 percent, against a 5 percent target.

    Notice

  5. MTM completes 227,156 trip legs with 90 percent on-time performance.

    Notice

Frequently asked questions

Who is the NEMT broker in Connecticut?
MTM Health. DSS contracts it to arrange rides for HUSKY A, C, and D, Covered CT, and limited-benefit members statewide. MTM acquired the previous broker, Veyo, in 2022. Members book at 855-478-7350.
Do I need a livery permit to run NEMT in Connecticut?
Yes, in most cases. Any business that represents itself as carrying passengers for hire is in livery service under CGS 13b-101, with narrow exceptions, and must hold a CTDOT permit. The application fee is $200. CTDOT also issues restricted permits for service to elderly riders and riders with disabilities.
What insurance does a Connecticut NEMT company need?
Livery vehicles designed for 14 or fewer passengers need a $1.5 million single liability limit, and vehicles for 15 or more need $5 million, under CGS 14-29. MTM Health must be listed as certificate holder and additional insured, and you need workers compensation that meets state requirements.
What do NEMT drivers need in Connecticut?
A DMV public passenger endorsement. Applicants must be 18 or older, pass state and national criminal history checks, swear to no criminal record and no drunk driving conviction in five years, pass a physical within 90 days, and watch DMV's disability interaction video. MTM adds motor vehicle record, CPR, defensive driving, and passenger assistance requirements.
Does Connecticut require EVV for NEMT?
No. Connecticut's EVV covers in-home care and home health services. MTM Health tracks NEMT trips with real-time GPS data instead.
How far ahead do HUSKY members book rides?
At least two business days before the appointment. Urgent rides can be booked 24 hours a day, and recurring rides can be booked up to 90 days in advance.
Does MTM Health pay for no-shows in Connecticut?
No. MTM does not pay for no-shows and asks providers to confirm pickup times with members the day before. If a member says they are not going, cancel the trip.
Who qualifies for NEMT in Connecticut?
HUSKY A, C, and D members, Covered CT enrollees, and limited-benefit members who have no other way to get to a Medicaid-covered appointment. HUSKY B is not on DSS's eligible list.

Running NEMT in Connecticut with HealthRide

Connecticut runs through one broker, but every livery permit, endorsement, and insurance certificate still has to stay current. HealthRide sends reminders before driver and vehicle credentials expire and guards trip assignments against expired credentials, so expirations never sneak up on you.

The live map shows every vehicle in real time with late warnings, which helps with the pickup times MTM reports to DSS each month.

See pricing

Official resources

HealthRide plans the whole day in one click and bills every ride.

$59 per vehicle per month. No contracts.

NEMT in other states

Comparing brokers across states?See who arranges Medicaid rides in every state