What does ambulatory mean?
The rider can walk to and from the vehicle, perhaps with a cane or walker, and sits in an ordinary seat. It is the most common and lowest-paid level.
What changes for wheelchair and stretcher trips?
Wheelchair trips need a vehicle with a ramp or lift and securement, and drivers trained to use them. Stretcher trips need a stretcher-equipped van and usually two attendants. Each level is paid at its own rate, which your broker or state sets.
What do curb-to-curb and door-through-door mean?
Curb-to-curb: the driver helps only at the vehicle. Door-to-door: the driver escorts the rider from the building door. Door-through-door: the driver helps the rider inside the building. Record the level on every trip so drivers and invoices match.
Frequently asked questions
Which level should a new NEMT company start with?
Most start with ambulatory and wheelchair, which need ordinary and ramp vans; stretcher service needs more equipment and staff.
Who decides a rider's level of service?
The broker or state program, based on the rider's needs; the provider must deliver that level.
