08/26/2026
🚨 NEMT PROVIDERS: PLEASE KNOW WHAT YOU’RE PAYING FOR BEFORE YOU PAY A “CREDENTIALING COMPANY.”
I’m seeing something in this industry that NEMT owners need to be aware of.
If someone tells you, “We can credential your NEMT company directly with Medicare, Medicaid, and all the major commercial insurance companies,” please ask questions before handing over your money.
A traditional Non-Emergency Medical Transportation (NEMT) company is NOT the same thing as a Medicare-enrolled ambulance supplier.
Medicare generally does not enroll ordinary NEMT transportation companies simply because they transport patients to medical appointments.
Medicaid NEMT is also heavily dependent on the state and its transportation delivery model. In many markets, transportation is coordinated through large transportation brokers and networks, and smaller NEMT companies participate by contracting with those networks rather than simply credentialing directly with every payer.
Companies such as Modivcare and SafeRide Health operate transportation networks that contract with health plans and government programs and build networks of transportation providers.
That distinction matters.
Before you pay anyone thousands of dollars for “Medicare and Medicaid credentialing,” ask them:
👉 What exact provider type are you enrolling me as?
👉 What enrollment application are you submitting?
👉 Will my company receive its own billing privileges with the payer?
👉 Will I bill the payer directly, or am I actually joining a transportation broker/network?
👉 What state-specific Medicaid requirements apply to my company?
👉 Can you show me the payer’s actual enrollment requirements?
If they cannot clearly answer those questions, do not write the check.
There is a major difference between NEMT contracting, Medicaid transportation network participation, commercial payer contracting, and Medicare ambulance enrollment.
A legitimate credentialing professional should explain that difference before taking your money — not after.
NEMT owners work too hard to build their companies to lose thousands of dollars paying someone for an enrollment that may not even exist for their provider type.
Do your homework. Ask for the regulations. Ask for the provider type. Ask how you will actually get paid.
Credentialing isn’t about submitting applications.
It’s about knowing which applications you’re actually eligible to submit.
