Why do brokers exist?
Federal rules require state Medicaid programs to assure necessary transportation to and from providers for eligible members, and states may use a broker to manage it. The broker handles the call centre, eligibility and the provider network.[1][2]
How does a transport company work with a broker?
You apply to join the broker's network, meet its vehicle, insurance and driver requirements, then receive trips through its portal and bill at its rates. Trips must be documented: pick-up and drop-off times, signatures or proof, and mileage.
How should a provider run broker trips?
Import or enter the trips, group them into efficient routes, and keep timestamps for every leg so claims are not rejected. See NEMT broker contracts and NEMT dispatch and billing software.
Frequently asked questions
Do I need a broker to do Medicaid rides?
In states that use a broker, Medicaid trips come through that broker's network. Some states also contract providers directly; check your state's Medicaid program.
Can I work with more than one broker?
Yes, where several brokers or plans operate in your area, as long as you meet each one's requirements.
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 8 Nov 2026)
- [2] CMS: Non-Emergency Medical Transportation (read 8 Nov 2026)
