Who pays for NEMT?
Mostly Medicaid, which requires states to assure necessary transportation for members with no other means of getting to covered care, plus health plans, facilities and private-pay riders. States may pay for it as an administrative expense or as an optional service.[1]
What are the levels of service in NEMT?
Commonly ambulatory (the rider walks, perhaps with help), wheelchair (the rider stays in a wheelchair in an accessible vehicle) and stretcher, plus whether the driver helps curb to curb, door to door or through the door. Each level needs the right vehicle and training.[2]
How is NEMT different from a taxi ride?
Trips are booked ahead by brokers, plans or facilities, the rider's eligibility and level of service are set before the trip, and every trip must be documented (times, mileage, signatures) for the payer to check. Taxi work is on-demand and paid by the passenger.[2]
Frequently asked questions
What does NEMT stand for?
Non-emergency medical transportation: scheduled rides to and from medical care for people who cannot otherwise get there.
Is NEMT the same as an ambulance?
No. NEMT is for non-emergency trips; emergencies go by ambulance.
How do I become a NEMT provider?
Form a business, meet your state's and brokers' vehicle, insurance and driver requirements, enrol as a Medicaid provider where required, and get credentialed by the broker or health plans in your area.
Sources
Fees and rules change. Each source is the official page we read, with the date we read it; check it before you apply or pay.
- [1] Medicaid.gov: Assurance of Transportation (read 2 Nov 2026)
- [2] CMS: Non-Emergency Medical Transportation (read 2 Nov 2026)