Michigan mixes a broker in metro Detroit with local administration elsewhere.
Modivcare handles fee-for-service in Wayne, Oakland and Macomb counties; local MDHHS offices handle it elsewhere, and health plans arrange rides for their members.
See how the brokers score on contract stability, payment and oversight in the NEMT Broker Report Card, and the licensing steps in NEMT licensing by state. Broker contracts change often; confirm with the state Medicaid agency before you sign.