How to Start a Non-Emergency Medical Transportation Business

Paratransit VanThe growth of the health care industry offers entrepreneurs a great business opportunity within the community. The market is limitless for non-emergency medical transportation (NEMT) business. The following are some steps to consider on embarking on your new business venture.

Independent operator

Starting up and operating your own NEMT business has many benefits. The ability to set your own hours, set your staffing level, acquire contracts and offering training to your employees are all key factors. This business is very possible to start up and with the right tools and training it can succeed.

Choosing the right location for your business

The number one key factor in determining your business location is demographics. Find statistics on where the elderly population live nearby. Compile a list of adult day care centers, hospitals, clinics, dialysis centers, retirement homes and group homes. Reach out to those facilities and inquire on what transportation services they currently use to better help sustain your business.

Research and competition

Know who your competitor is. Call local business and inquire about their practice. Identify their competitions strengths and weaknesses. Call and ask them questions, read on their website if they have one. Do some research on their vehicles and drivers.

Getting started

Requirements for starting up a NEMT vary from state to state. First, call your local Dept. Health and Human Services and enquire what your obligations are. Registering your business name and getting a busness license are also other requirements to start up.

Vehicles and equipment

Paratransit VanTypically, business owners start up with one to two vehicles and gradually add more as business increases. The most common vans used for transport have the following:

– raised roof and doorways,clients are able to enter from the side or the rear of the vehicle.
– manual lists or hydraulic.
securing devices for wheelchair clients.
– vans should be able to accommodate both wheelchair and ambulatory clients.
– don’t forget to buy good paratransit dispatch software to schedule and dispatch rides.

Insurance policies

You will need to purchase auto insurance to cover your vehicles. A general liability policy to ensure your clients are covered if an accidents happens while they are in your vehicle. An auto policy to cover any damages done to your vehicle, stolen or any other traffic incidents.

You will need to purchase a Workers comp. policy to protect your employees if injured on a work related accident.

Payment options

Depending on who you contract with will most likely determine your payment. You may need to invoice certain facilities on a monthly basis. If you are contracting clients through organizations such as Medicaid or state contracted organizations those facilities may require you to bill them and you will receive a check from them weekly or monthly. Call your local DHHS and inquire on their requirements.

Keep in mind, when setting prices and fees with facilities take into consideration your cost. Fuel, staffing, vehicle maintenance.

Service hours

Starting up your own business has its perks. Your hours of operation are one of them. You want to operate during busy hours so 5 days week 7-5 are the most common. Saturdays are also beneficial for your business. Obviously, you will work with what you have at hand, as your employees and vehicles increase your hours of operation will as well.

Staffing requirements

Hiring drivers and office staff are essential to grow your business. As the owner, you want to be able to free yourself to market and manage the business. Drivers should have a valid drivers license. Some states require certain licenses such as a Public Passenger License (PPL). Some states also require drivers to get certain training. Defensive driving courses, CPR certifications, and knowing how to properly assist passengers getting in and out of vehicles. An essential staffing requirement is to be respectful to clients and build a positive reputation.


Getting your name out there is key:

– make business cards and drop them off at local facilities.
– make sure your business name and phone number is on all of your vehicles.
– a business website that pops up in a search when people are looking for services.
– a small yellow page ad.
– as always, word of mouth and referrals are key.
– flyers, pamphlets and local newspaper ads are always great start up marketing ideas.

18 thoughts on “How to Start a Non-Emergency Medical Transportation Business

  1. I would like to start a business ,non emergency wheelchair services there is s need in my community thank for the info how do I build a website thank you

  2. I want to start my own business but I jus want to do it myself to help people go to Dr to store to visit family to work and I charge them that way so how do I get business license to do that

  3. I would like information on starting a non medical transportation services in metro Detroit, Michigan, please provide if possible

  4. My neighborhood is in need of transportation services for the elderly I need a van how do I get started I live in Mo I have a cdl b already

  5. I live in Conyers, Georgia about 15 minutes from Atlanta, Georgia. I’m interested in starting my very own Non Emergency Medical Transportation service. I don’t know much at all about what I need to do from start to finish, and everytime I ask someone with there on NEMT service questions about this particular field, they don’t like to share information. Can someone please help me get the information needed to start. Also do you have to own a vehicle or can you lease one?

    • YOU WILL NEED IN GA. aT THE LEAST,$50.000 #1 (2) CERTIFIED emtS,(2) AMBULANCES,(WITH REQUIRED EQUIPMENT, office of business,Insurance,on ambulances workers comp.(pay role and maintenance to amulances will be your bibbest goal to meet at fist.The most important thind,If you dont already have good solid clients clients ready to commit to you .You will be in trouble.(note everything above mentioned will have to be inspected (and passed )by state inspector for for you send your first bill,Remember Ga. law ,YOU MUST HAVE TO CERTIFIED EMT PER AMBULANCE (NOT A WALK IN THE PARK.(PS WRONG LOCATION WILL SINK YOU)

  6. I live in Jonesboro, GA. I plan to start my on NEMT service asap. Do I have to have a wheelchair van or can I start with a 7 passenger minivan?

  7. Hello, this is great information. I have been thinking of starting a company like this for a awhile. I want to get started. I you could send me more info or lead me in the right direction I would really appreciate it.

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