Starting a Non-Emergency Medical Transportation (NEMT) Business in Nebraska

To start an NEMT business in Nebraska, you need to follow these steps:

Obtain Required Licenses and Permits

In Nebraska, you need to obtain a Certificate of Public Convenience and Necessity from the Nebraska Public Service Commission to operate an NEMT business. The application process involves submitting documents like business registration, insurance proof, vehicle list, and driver information. You can find the application form and requirements on the commission’s website: https://psc.nebraska.gov/transportation/motor-carrier-permits

Register Your Business

Register your NEMT business with the Nebraska Secretary of State’s office. You can register as a sole proprietorship, partnership, limited liability company (LLC), or corporation. Consult with an attorney or accountant to choose the best option for your business structure.

Obtain Insurance Coverage

NEMT businesses in Nebraska require commercial auto insurance and general liability insurance. Recommended insurance providers that specialize in NEMT coverage include National Interstate Insurance Company, Lancer Insurance Company, and James River Insurance Company. Ensure your coverage meets the state’s minimum requirements, which typically include $1 million in liability coverage per vehicle.

Acquire Vehicles

For an NEMT business, you’ll need vehicles equipped to transport passengers with mobility issues. Recommended vehicle types include:

• Wheelchair-accessible vans: Ford Transit, Dodge Grand Caravan, Toyota Sienna
• Non-emergency ambulances: Ford E-Series, Chevrolet G-Series, Mercedes-Benz Sprinter

Consider purchasing new or used vehicles from reputable dealers or auctions specializing in NEMT vehicles.

Hire and Train Staff

Your staff should include drivers, dispatchers, and administrative personnel. Drivers must have a valid Nebraska driver’s license, a clean driving record, and potentially a commercial driver’s license (CDL) depending on the vehicle type.Recommended training for NEMT staff includes:

• CPR and first aid certification
• Passenger assistance and wheelchair securement
• HIPAA compliance and patient confidentiality
• Defensive driving and safe transportation practices

Organizations like the National Transit Institute and the Community Transportation Association of America offer NEMT-specific training programs.

Establish Billing and Reimbursement Processes

NEMT services in Nebraska are covered by Medicaid and other state programs. To receive reimbursement, you’ll need to enroll as a provider with the Nebraska Department of Health and Human Services and follow their billing procedures. This may involve submitting claims electronically or using specific billing codes for NEMT services.

Market Your Services

Develop a marketing strategy to promote your NEMT business to potential clients, such as healthcare facilities, nursing homes, and social service organizations in Nebraska. Create a professional website, distribute brochures and business cards, and consider advertising in local publications or directories.By following these steps and adhering to state regulations, you can establish a successful NEMT business in Nebraska, providing essential transportation services to those in need.

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ABOUT THE AUTHOR

MIKE B.

Mike is a seasoned transportation consultant and technology advocate. Drawing from years of experience in the transportation industry, Mike bridges the gap between innovative software solutions and practical implementation strategies. His articles focus on the transformative power of software for organizations that deliver transportation options for the elderly, special needs and disabled communities. Outside his writing endeavors, Mike enjoys exploring the landscapes of Costa Rica and advocating for sustainable transportation initiatives.