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

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

Obtain Required Licenses and Permits

In New Hampshire, you need to obtain a Certificate of Public Convenience and Necessity from the New Hampshire Department of Safety 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 department’s website: https://www.nh.gov/safety/divisions/dmv/forms/documents/rdmv109.pdf

Register Your Business

Register your NEMT business with the New Hampshire 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 New Hampshire 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 New Hampshire 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 New Hampshire are covered by Medicaid and other state programs. To receive reimbursement, you’ll need to enroll as a provider with the New Hampshire 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.The state contracts with Coordinated Transportation Solutions (CTS) to manage the NEMT program. You’ll need to work with CTS to become an approved transportation provider and follow their guidelines for scheduling trips and receiving payment .

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 New Hampshire. 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 New Hampshire, 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.