No — Certificate of Need (CON) requirements in Southeast states apply to hospitals, ambulance services, and certain healthcare facilities, not standard NEMT vehicles (sedans, minivans, or wheelchair-accessible vans). Mississippi, Alabama, Louisiana, Florida, Tennessee, North Carolina, and Georgia all allow entry into the NEMT market without a CON for standard vehicle types. This is one of the regulatory advantages that makes NEMT a relatively accessible business to start compared to ambulance or air transport services.
Learn more about state-specific requirements: Mississippi | Alabama.





