EHR Integration
ehr-integration
Connecting transportation scheduling to a facility's electronic health record so appointments and discharges generate trip requests automatically.
EHR IntegrationElectronic Visit Verification (EVV)
electronic-visit-verification-evv
A federal Medicaid mandate requiring electronic proof of home-care visits; not required for NEMT, but the same GPS-and-timestamp model is now expected for trips.
Electronic Visit Verification (EVV)Rider Notifications
rider-notifications
Automated calls and text messages that confirm bookings, remind riders the day before, and announce driver arrival, cutting no-shows and dwell time.
Rider NotificationsTelematics
telematics
Vehicle-installed devices that report location, speed, engine data and driver behavior, used for fleet tracking, safety scoring and maintenance alerts.
TelematicsBroker Trip Import
broker-trip-import
Automated transfer of assigned trips from a broker's portal or API into the provider's dispatch software, replacing manual re-keying.
Broker Trip ImportDriver App
driver-app
The mobile application drivers use to receive manifests, navigate, update trip status, capture signatures and GPS data, and communicate with dispatch.
Driver AppNEMT Software
nemt-software
Purpose-built platforms that handle trip intake, broker imports, dispatch, routing, driver apps, signature and GPS capture, billing and reporting for NEMT providers.
NEMT SoftwareFounding Member Listing
founding-member-listing
NEMT Entrepreneur's charter tier for the first 100 providers who claim and verify their directory listing, locking in a discounted annual rate.
Founding Member ListingUtilization Rate
utilization-rate
The share of available vehicle or driver capacity actually used for billable trips; low utilization means fixed costs are spread over too few trips.
Utilization RateAccounts Receivable in NEMT
accounts-receivable-nemt
Money owed for completed trips not yet paid by brokers, payers or facilities; broker payment cycles of 30 to 60 days make AR the main cash flow challenge.
Accounts Receivable in NEMTRevenue Per Vehicle Hour
revenue-per-vehicle-hour
Billable revenue generated per hour a vehicle is in service, the productivity metric that shows whether routes and multi-loading are working.
Revenue Per Vehicle HourCost Per Trip
cost-per-trip
Total operating cost divided by completed trips, the number every NEMT rate must exceed; typically driven by driver wages, fuel, insurance and vehicle costs.
Cost Per TripCommercial Auto Insurance
commercial-auto-insurance
Liability and physical damage coverage for vehicles used to carry passengers for hire; brokers require $1 million or more per NEMT vehicle.
Commercial Auto InsuranceHospice
hospice
End-of-life care focused on comfort, delivered at home or in facilities; hospice patients need stretcher and wheelchair transport handled with particular care.
HospiceHome Health Agency
home-health-agency
An organization delivering nursing and therapy in patients' homes; its patients need transport to appointments they cannot otherwise reach.
Home Health AgencyBehavioral Health Transport
behavioral-health-transport
Non-emergency trips to mental health and substance use treatment, including daily methadone dosing, requiring extra confidentiality and rider sensitivity.
Behavioral Health TransportAdult Day Program
adult-day-program
A daytime care and activity center for seniors and adults with disabilities that generates daily round-trip transportation for its participants.
Adult Day ProgramCase Manager
case-manager
A nurse or social worker who coordinates care for a patient across providers and services, often the person who requests and authorizes NEMT.
Case ManagerDischarge Planner
discharge-planner
The hospital nurse or social worker who arranges a patient's transition home or to another facility, including booking transportation.
Discharge PlannerAssisted Living Community
assisted-living-community
A residence for seniors who need help with daily activities but not skilled nursing; a prime source of private-pay ambulatory and wheelchair trips.
Assisted Living CommunitySkilled Nursing Facility (SNF)
skilled-nursing-facility-snf
A licensed nursing home providing 24-hour nursing and rehabilitation; residents need regular wheelchair and stretcher transport to outside appointments.
Skilled Nursing Facility (SNF)Dialysis Center
dialysis-center
An outpatient clinic where patients with kidney failure receive dialysis, typically three times a week; the single largest generator of NEMT standing orders.
Dialysis CenterIncident Report
incident-report
The documented account of any accident, injury, rider complaint or unusual event during a trip, required by brokers and insurers within a set time.
Incident ReportDriver Qualification File
driver-qualification-file
The per-driver compliance file holding license, driving record, background check, drug test, training certificates and medical clearance, kept audit-ready.
Driver Qualification FilePASS Certification
pass-certification
Passenger Assistance Safety and Sensitivity, the CTAA training program for drivers on assisting riders with disabilities, wheelchair securement and sensitivity.
PASS CertificationOIG Exclusion List
oig-exclusion-list
The federal list of individuals and entities barred from participating in Medicare and Medicaid; providers must screen employees and owners against it.
OIG Exclusion ListFraud, Waste and Abuse (FWA)
fraud-waste-and-abuse-fwa
The compliance category covering false billing, unnecessary trips and improper practices in Medicaid programs; NEMT is a frequent enforcement target.
Fraud, Waste and Abuse (FWA)Credentialing
credentialing
A broker's or plan's verification of a provider's licenses, insurance, vehicles, drivers and policies before assigning trips, repeated at renewal.
CredentialingMedicaid Provider Enrollment
medicaid-provider-enrollment
The process of registering with a state Medicaid agency as an approved transportation provider, a prerequisite to broker credentialing in most states.
Medicaid Provider EnrollmentNPI (National Provider Identifier)
npi-national-provider-identifier
The 10-digit identifier assigned by CMS to healthcare providers, including NEMT companies, used on Medicaid enrollment and claims.
NPI (National Provider Identifier)Drug and Alcohol Testing
drug-and-alcohol-testing
Pre-employment, random and post-accident testing of NEMT drivers, required by most brokers and state programs even where DOT rules do not apply.
Drug and Alcohol TestingLevel 2 Background Check
level-2-background-check
A fingerprint-based state and federal criminal history check required for NEMT drivers in many states and by most brokers.
Level 2 Background CheckBusiness Associate Agreement (BAA)
business-associate-agreement-baa
The HIPAA-required contract between a covered entity or broker and a vendor that handles PHI on its behalf, such as an NEMT provider or its software.
Business Associate Agreement (BAA)Protected Health Information (PHI)
protected-health-information-phi
Any health-related information that identifies an individual, including a rider's name linked to a medical appointment; the data HIPAA protects.
Protected Health Information (PHI)HIPAA
hipaa
The federal law governing the privacy and security of protected health information; NEMT providers handle PHI on every trip and must comply.
HIPAALivery Vehicle
livery-vehicle
A vehicle used to carry passengers for hire; the insurance and registration category that most NEMT vehicles fall into.
Livery VehicleVehicle Inspection
vehicle-inspection
Scheduled checks of NEMT vehicles and accessibility equipment required by states, brokers and insurers, plus the driver's daily pre-trip inspection.
Vehicle InspectionStretcher Van
stretcher-van
A van equipped with a locking cot mount and a stretcher for transporting riders who must lie flat, without ambulance-level medical equipment.
Stretcher VanWheelchair Securement System
wheelchair-securement-system
The four-point tie-down straps and occupant lap and shoulder belts that anchor a wheelchair and rider to the vehicle floor during transport.
Wheelchair Securement SystemWheelchair Lift
wheelchair-lift
A powered platform, usually hydraulic, that raises a wheelchair and rider from ground level into a van; the alternative to a ramp.
Wheelchair LiftWheelchair-Accessible Vehicle (WAV)
wheelchair-accessible-vehicle-wav
A van or minivan modified with a ramp or lift, lowered floor or raised roof, and securement points so riders can travel seated in their wheelchair.
Wheelchair-Accessible Vehicle (WAV)Medical Courier
medical-courier
Time-sensitive transport of specimens, medications, records and equipment between healthcare sites; an adjacent service line many NEMT providers add.
Medical CourierLong-Distance Medical Transport
long-distance-medical-transport
Non-emergency trips beyond the local service area, often between cities or states, for specialist care, transfers or relocations; usually private pay.
Long-Distance Medical TransportTrip Cancellation
trip-cancellation
A scheduled trip called off before pickup by the rider, facility or broker; late cancellations may be billable under some contracts.
Trip CancellationSame-Day Trip
same-day-trip
A ride requested for the same day it is needed, usually for urgent care, hospital discharge or a missed standing order; higher effort, sometimes higher pay.
Same-Day TripRoute Optimization
route-optimization
Software-driven sequencing of trips across vehicles to minimize miles and driver hours while meeting pickup windows and level-of-service constraints.
Route OptimizationEscort or Attendant
escort-attendant
A companion who rides with the member, such as a parent, caregiver or aide, typically authorized by the payer at no extra charge.
Escort or AttendantDoor-to-Door Service
door-to-door-service
A service level where the driver assists the rider from the door of the origin to the door of the destination, as opposed to curb-to-curb.
Door-to-Door ServiceBariatric Transport
bariatric-transport
Transport of riders above standard weight capacities using reinforced wheelchairs, lifts or stretchers rated for higher loads and additional crew.
Bariatric TransportStretcher Transport
stretcher-transport
Non-emergency transport of a rider who must lie flat, in a stretcher van with a two-person crew; regulated more heavily than wheelchair service in many states.
Stretcher TransportWheelchair Transport
wheelchair-transport
NEMT for riders who travel seated in their wheelchair, requiring a lift- or ramp-equipped van, a securement system and a trained driver.
Wheelchair TransportAmbulatory Transport
ambulatory-transport
NEMT for riders who can walk and board a standard vehicle on their own or with minimal assistance; the highest-volume, lowest-rate level of service.
Ambulatory TransportLevel of Service
level-of-service
The category of transport a rider needs, ambulatory, wheelchair, stretcher or bariatric, which determines the vehicle, equipment, driver training and rate.
Level of ServicePickup Window
pickup-window
The span of time around a scheduled pickup within which a driver's arrival counts as on time, typically 15 minutes either side.
Pickup WindowOn-Time Performance (OTP)
on-time-performance-otp
The share of trips where the rider was picked up or dropped off within the contract's pickup window; the key service metric brokers track.
On-Time Performance (OTP)Deadhead Miles
deadhead-miles
Miles driven without a rider on board, such as traveling to a pickup or returning to base; unpaid in nearly every NEMT contract.
Deadhead MilesMulti-Loading
multi-loading
Carrying two or more unrelated riders in the same vehicle on overlapping trips to raise revenue per mile, within payer and safety limits.
Multi-LoadingStanding Order
standing-order
A recurring trip booked once for a series of dates, such as dialysis three times a week, that repeats automatically until cancelled.
Standing OrderWill Call
will-call
A return trip with no fixed pickup time; the rider calls when their appointment ends and the provider must send a vehicle within a set window.
Will CallTrip Manifest
trip-manifest
The ordered list of trips assigned to a driver for a shift, with riders, addresses, times, level of service and special instructions.
Trip ManifestDispatch
dispatch
The function of assigning trips to drivers and vehicles, sequencing them through the day and handling changes in real time.
DispatchTimely Filing
timely-filing
The payer's deadline for submitting a claim after the date of service; claims filed late are denied and generally cannot be appealed.
Timely FilingGPS Trip Verification
gps-trip-verification
Using location data from the driver's device or vehicle telematics to prove where and when a trip occurred and how many miles were driven.
GPS Trip VerificationSignature Capture
signature-capture
Collecting the rider's signature (or an approved substitute) at drop-off as proof the trip happened, usually on the driver's phone or tablet.
Signature CaptureTrip Log
trip-log
The record of a completed trip: rider, addresses, times, odometer readings, level of service and signatures, required to support every claim.
Trip LogNo-Show
no-show
A scheduled trip where the rider is not present or refuses the ride; some payers pay a reduced no-show fee, most pay nothing.
No-ShowWait Time
wait-time
Time a driver spends waiting for a rider at pickup or at the appointment; sometimes billable after a threshold, often not.
Wait TimeBase Rate
base-rate
The flat amount paid per trip leg before mileage, set by level of service; the starting point of every NEMT reimbursement.
Base RateLoaded Mile
loaded-mile
A mile driven with the rider in the vehicle; the only mileage most payers reimburse, as opposed to deadhead miles to and from pickups.
Loaded MileRemittance Advice
remittance-advice
The payer's statement explaining what was paid, denied or adjusted on a batch of claims; the document you reconcile against your trip records.
Remittance AdviceDenial
denial
A payer's refusal to pay a submitted trip, usually for a missing authorization, mismatched trip details, late submission or documentation gaps.
DenialClaim
claim
The formal request for payment submitted to a payer after a trip, listing the member, date, codes, mileage and charges.
ClaimHCPCS Codes for NEMT
hcpcs-codes-nemt
The A-codes used to bill non-emergency transport, such as A0100 (taxi), A0120 (mini-bus or van), A0130 (wheelchair van) and A0425 (mileage).
HCPCS Codes for NEMTTrip Authorization
trip-authorization
Approval from a broker, plan or state that a specific NEMT trip is covered before it is performed; trips without a valid authorization are usually not paid.
Trip AuthorizationVeterans Affairs Transportation
veterans-affairs-transportation
Transportation programs run by the VA, including the Beneficiary Travel program and contracts for wheelchair and stretcher transport of veterans to VA care.
Veterans Affairs TransportationFacility Contract
facility-contract
A direct agreement with a hospital, dialysis center, nursing home or clinic to transport its patients at negotiated rates, billed to the facility.
Facility ContractPrivate Pay
private-pay
NEMT trips paid directly by the rider, a family member or a facility at the provider's own rates, outside any Medicaid or broker contract.
Private PayCapitation
capitation
A payment model where a broker or plan receives a fixed amount per member per month to cover all transportation, regardless of how many trips occur.
CapitationFee-for-Service Medicaid
fee-for-service-medicaid
The Medicaid model where the state pays providers directly per trip rather than through a broker or managed care plan.
Fee-for-Service MedicaidManaged Care Organization (MCO)
managed-care-organization-mco
A health plan paid a fixed monthly amount per Medicaid member to manage all of their care, including transportation, often subcontracted to a broker.
Managed Care Organization (MCO)Medicare Advantage
medicare-advantage
Private Medicare plans (Part C) that can offer non-emergency transportation as a supplemental benefit, a payer beyond Medicaid.
Medicare AdvantageMedicaid
medicaid
The joint federal-state health program for low-income Americans; federal law requires states to assure transportation to covered care, the legal basis of the NEMT benefit.
MedicaidNEMT Broker
nemt-broker
A company contracted by a state Medicaid agency or health plan to manage NEMT benefits, credential providers, assign trips and pay for completed rides.
NEMT BrokerAcute Healthcare
acute-healthcare
Short-term treatment for severe or urgent conditions, delivered in hospitals and urgent care settings; the source of same-day and discharge NEMT trips.
Acute HealthcareAmericans with Disabilities Act (ADA)
americans-with-disabilities-act-ada
The federal civil rights law prohibiting disability discrimination, which sets accessibility standards for vehicles, service and communication in transportation.
Americans with Disabilities Act (ADA)