Key facts
What is a NEMT broker?
A contractor a state may use to run Medicaid transportation: it takes trip requests, checks eligibility and books the ride with a provider such as you. Federal rules let a state contract with a broker chosen through competitive bidding, with oversight of access, complaints and timeliness, and regular state audits.[1][2]
New York's Department of Health, for example, contracts Medical Answering Services to schedule trips, run contact centres and review use; Wisconsin uses one statewide NEMT vendor. See New York and Wisconsin.
What will the broker check?
That your drivers are licensed and qualified and your service is timely, because the federal rule makes the broker responsible for that. In practice that means driver screening and training records, vehicle documents and inspections, insurance and your ability to document each trip.[2]
Can a broker give its own company the trips?
Generally not. The broker, its owners and staff may not provide NEMT services themselves or refer trips to providers they have a financial relationship with, except where no other qualified provider is available (for example in some rural areas or for very specialised transport) or where the broker is a government entity.[2]
How do you keep a broker account?
Turn up on time, document every trip completely, keep driver and vehicle records current, and answer complaints quickly. CMS's provider materials cover common fraud schemes and prevention, which is what audits look for.[3]
TaxiDex keeps every booking on record with an audit trail and tracks permits with expiry dates.
Frequently asked questions
Do I need to be enrolled in Medicaid to work with a broker?
Federal rules say transportation is furnished by a provider to whom a direct vendor payment can be made; your state and broker set the enrolment steps, so ask both before you buy a vehicle.
Can I get NEMT trips without a broker?
In states without one, through the Medicaid agency or managed-care plans; and private-pay and facility work never goes through a broker.
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] eCFR: 42 CFR 431.53, assurance of transportation (read 3 Nov 2026)
- [2] eCFR: 42 CFR 440.170(a), transportation and the NEMT brokerage program (read 3 Nov 2026)
- [3] CMS: Non-Emergency Medical Transportation (provider and beneficiary resources) (read 3 Nov 2026)
- [4] New York State Department of Health: Medicaid transportation (read 3 Nov 2026)
- [5] Wisconsin Department of Health Services: Medicaid non-emergency medical transportation (read 3 Nov 2026)