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How to Start a NEMT Business

  • How do I get a NEMT insurance quote from Bridgeway Insurance?

    Bridgeway Insurance Agency specializes in commercial auto, general liability, and workers' compensation coverage for NEMT operators across Mississippi, Alabama, Louisiana, Florida, Tennessee, North Carolina, and Georgia. We understand the certificate ...

    Read MoreRead More
  • What are the best Southeast markets for a new NEMT business?

    The best NEMT startup markets in the Southeast balance trip volume with manageable competition: South Georgia rural counties (Mitchell, Colquitt, Berrien) have high Medicaid density with very limited providers; Mississippi ...

    Read MoreRead More
  • Can I operate a NEMT business in multiple states?

    Yes — many NEMT operators in border areas (Mobile/Hattiesburg, Memphis/North MS, Chattanooga/North GA) operate in multiple states simultaneously. Each state requires separate Medicaid enrollment, separate broker credentialing, and separate insurance ...

    Read MoreRead More
  • Is a Certificate of Need required for NEMT vehicles in the Southeast?

    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, ...

    Read MoreRead More
  • Do I need a special license to drive NEMT passengers?

    No special state transportation license is required for standard NEMT operations in Mississippi, Alabama, Louisiana, Tennessee, North Carolina, or Georgia — beyond a valid state driver's license appropriate to the ...

    Read MoreRead More
  • How long does NEMT credentialing take?

    Total timeline from LLC formation to first Medicaid trip is typically 3–5 months across Southeast states. Medicaid enrollment takes 30–90 days (Florida's AHCA enrollment is 60–120 days). Broker credentialing (Modivcare ...

    Read MoreRead More
  • How much can a NEMT business earn per vehicle?

    A single well-managed NEMT vehicle in the Southeast can gross $50,000–$135,000 annually, depending on state, trip type mix, and daily utilization. Wheelchair-accessible vehicles earn more per trip ($35–$75) than ambulatory ...

    Read MoreRead More
  • What insurance does a NEMT business need?

    All NEMT businesses require a minimum of $1 million commercial auto liability (Combined Single Limit) before any Medicaid enrollment or broker credentialing can proceed. Most states and brokers also require ...

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  • Which NEMT broker operates in each Southeast state?

    NEMT brokerage varies by state: Mississippi uses MTM (Medical Transportation Management); Alabama, Tennessee, and Georgia use Modivcare as the statewide broker; Louisiana uses Modivcare for most MCOs; North Carolina uses ...

    Read MoreRead More
  • How much does it cost to start a NEMT business?

    Startup costs for a single-vehicle NEMT operation typically range from $15,000 to $55,000 depending on your state and vehicle type. Major costs include: vehicle purchase ($12,000–$75,000 depending on type), commercial ...

    Read MoreRead More
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Bay Saint Louis, MS Office
122 Court St.
Bay Saint Louis, Mississippi 39520
Phone: 877-418-2484
Email: quote@bridgewayins.com
Arab, AL Office
996 N Brindlee Mountain Pkwy
Arab, Alabama 35016
Phone: 877-418-2484
Email: quote@bridgewayins.com
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