Start a Non-Medical Transportation Business

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Facts about Non-Medical Transportation Business (NEMT)
Exciting, Growing and in High Demand

Did you know that one out of five seniors does not drive. AAA survey said “Next to health, transportation is the most important issue for seniors.” 8,000 Americans turn 65 every day. The senior population is expected to double by 2030. 6 million Americans miss or delay medical care services because they lack transportation. 78% of the population age 55 and older has at least one chronic condition (arthritis, asthma, cancer, cardiovascular disease, COPD and diabetes etc.) and need regular access to life-sustaining treatments and health care services. Chronic kidney disease patients undergo dialysis three times a week. 66% of them rely on others for transportation.

Non-Medical Transportation (NEMT) is for those who require assisted transportation from one place to another on an occasional or regular basis. It includes those who are not mobile enough to walk, drive or get in and out of public transport independently. Non-Emergency Medical Transportation (NEMT) companies were established to fill a unique void in medical care, by enabling patients who cannot drive or do not have access to transportation to get to their appointments.


Non-Medical Transportation is not assistance curb-to-curb but door-thru-door. The goal of non-emergency medical transportation is getting the patient, get them to the vehicle, properly secure them, and drive them to their destination, taking them to the appropriate office.

In addition to medical appointments, you can assist with Doctor Appointments, Physical Therapy, Dialysis Treatment, Outpatient Surgery, Treatment Centers, Prescription Drug Pick Up, Dental Appointments, Optometrist Visits, Hospital Checkout, Emergency Room Pick Up, Long Distance Transportation,shopping, errands, airport drop-off and pick-up, church services and social events.

Click on each section to read more about our Non-Medical Transportation start-up process.

Our Non-Medical Transportation business startup process includes the completion of your states home transportation license / operational application and all of the required business license paperwork requirements for you. Our startup process begins with incorporating your transportation business and obtain a Tax ID and NPI number. Every state has different transportation license and/or operational requirements and standards. Our Non-Medical Transportation consultants are well versed in all states and are able to assure you will achieve transportation business licensure using our non-medical transportation policies and consulting services.

Our Non-Medical Transportation business startup process includes non-medical transportation policy and procedure manuals that are customized for your transportation business including your logo, staff and office details. Along with your customized, state specific non-medical policy and procedure manuals, our business startup process also includes all of the operation forms and documents you will need to operate your transportation business and stay compliant with State and Federal regulations.

Complete setup of your human resource department, including personnel files, competency evaluations, in-service education guides and all other forms required for your Non-Medical Transportation business to be operational.

We will get your Non-Medical transportation business approved for Medicaid benefits to be qualfied to obtain covered medical services from both local providers and from tertiary care centers. Reimbursement methodologies used by states for NEMT services vary by state. We will also get you registered with your states transportation broker (if applicable). A number of states contract with transportation brokers to coordinate and pay for all necessary transportation with reimbursement including Medicaid.

One area of our Non-Medical Transportation startup process focuses on assisting you with developing the essential marketing pieces you will use to market your Non-Medical Transportation business. Our business startup process will provide you with a customized search engine optimization website, tailored specifically for your transportation business. The goal of your SEO (search engine optimization) website is to help your business achieve first page presence on search engines like Google, Yahoo and Bing. Also included as part of our startup process we will be creating and customizing your Non-Medical Transportation business brochures and business cards. These marketing materials along with others are yours. We will provide you with 1000 HQ glossy transportation business brochures and business cards as well as the design files for all marketing materials.

Speciality programs designed to market to the following:

  • Case Management Services
  • Insurance Claims Services
  • Workers Compensation Claims
  • Medical Logistical Coordination
  • Risk Management Firms
  • Law Firm Clients
  • Physical Therapy Centers
  • Dialysis Patients
  • Senior Care Facilities
  • Hospitals
  • Senior Citizens and Families

Our online training program provides your company with access to the Non-Medical Transportation’s premier resource for driver training programs, in-service education plans, teaching guides and webinars.

Examples of our driver training programs are:

  • Prepare your wheelchairs and strechers to transport a patient.
  • How to properly secure both wheelchair and stretcher bound patients.
  • Load and unload patients in and out of vehicles.
  • How to use different types of locking systems and restraining devices.
  • How to operate side and rear mounted lifts.
  • Emergency Procedures.
  • Infection Control.
  • Store, prepare and maintain equipment.
  • Etc;

Some examples of In-Service education plans are HIPAA, infection control, blood-borne pathogens, fraud, waste, and abuse, emergency situations, assisting persons with disabilities, guidance for CPR Cerfication, First Aid Certification and Defensive Driving courses.

Lifetime home care business training means that anytime you need home care consulting, have questions or have staff that require training, we are available to assist you at no additional cost. We will review the all clinical aspects of your agency. Admitting patients, review policies, referrals, as well as train you and your staff to understand how to obtain new clients, marketing, medical and emergency scenarios and many other topics. We offer 4 days of live home health care training. Our home health care business training seminars take place quarterly and are available to you, your current and future employees and never at any additional cost to attend.

Our certified Non-Medical Transportation consultants will provide ongoing support via phone or email at your convenience. Our certified Non-Medical Transportation consultants will help you get through the possible challenges in operating a successful transportation business. With that being said, a successful transportation depends on having all the building blocks in place to be known in their own market area as a provider of quality transportation services. Critical to this process is understanding the importance of our internal and external customers. This include our Employees, our Clients, and our Client Referral Sources and how we effectively identify, cultivate, grow and maintain relationships with each. Our coaches will provide you with the necessary assistance in understanding the requirements in providing services in the many areas pertaining to Non-Medical Transportation.

This website is designed to provide patient referrals for our clients only. It provides a home care and non-medical transportation resource guide for patients in need of transportation services throughout the country. This website recognizes the Home Care Agencies that we have established who have the very best of management and clinical operations. Their accomplishments are the result of 21st Century Health Care Consultants professional team and comprehensive training programs provided by 21st Century Home Care University. Your agency must first complete our standards of excellence program and then you will be eligible to appear in this directory.

We are proud to offer several Veterans Home Care Patient Resource and Support Programs. You will have access to this patient resource opportunity for veterans and their surviving spouses. Approximately 1 out of 3 seniors across the nation will qualify. We have several support and service options designed with your agency’s ability to provide personal and companion services in mind.

As the industry leader in home healthcare consulting, we are able to pass on to our clients proprietary pricing that amounts to thousands of dollars in savings. * These discounts are exclusively provided to our Non-Medical Transportation clients only. Partnerships include software and schedualing companions, dispatch companies, insurance companies, and other organization. Call for details.

Are you looking to add Non-Medical Transportation to your existing Home Care Business?

Here are the reasons why:

  • Target Markets are similar
  • Marketing Strategies and Contacts are similar
  • Both service-based businesses (no products to buy, store, ship or sell)
  • NEMT clients may benefit from access to Home Care and vice versa
  • Access to NEMT services provides a significant competitive advantage
  • 80% of Home Care reimbursements are Private-Pay
  • Leveraging both increases overall profitability and efficiency
  • Multiple sources of revenue insulate your business from market volatility (recession-proof)

What Type(s) of Insurance Do I Need?

  • Commercial Auto Insurance (Livery Insurance) – Transport for Hire
  • Workers’ Compensation – Work-related Injury, Illness or Death
  • Disability Insurance
  • Property Insurance
  • Business Liability
  • General Liability (or Errors and Omissions)
  • Employment Practices Liability – Employee Alleges Violations
  • Umbrella Liability – Extra Protection from Large or Multiple Claims that exceed Limits on other Policies

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Who can I market my services too?

  • Nursing Homes
  • Dialysis Centers
  • Senior Centers
  • Daycare Centers
  • Assisted Living Facilities
  • Hospital and ER Discharges
  • Out-patient Surgery Centers
  • School Districts
  • Workers’ Compensation
  • Retirement Homes
  • Local Health Authorities
  • Medicaid

Do I Need a Market Feasibility Study?

  • Assess economic viability of the business
  • Gather information about customers / competitors
  • Foresee any obstructions that may affect success
  • Outcome will determine whether or not to proceed
  • Understanding of what people want and need
  • Vital tool in developing marketing plan

Will I need a Business Plan?

  • Blueprint for business formation, operation, success
  • Requires Competitive Market Analysis
  • Outline of Operational Management
  • Financial Analysis and Forecast
  • Helps create a realistic timeline and quantifiable metrics
  • Critical if you plan on raising capital, applying for a Business Loan, Line of Credit or Grant

What Type of Vehicle Do I Need?

  • Used Vehicle already equipped
  • High-top roof or lowered floor
  • Electric Lift or Ramps
  • Wheelchair and Stretcher Mounts
  • Securing System
  • Jump Seats
  • Specialty Service Doors
  • Panels and Guardrails
  • Passenger Protection

What Type of Driver Do I Need?

  • Customer Service-Centric
  • Passes Criminal Background Check
  • Passes DMV Check of Driving History
  • CPR Certified
  • First Aid Certified
  • Defensive Driver’s Training Course
  • HIPAA Regulation Training
  • Assisting Persons with Disabilities Training
  • Emergency Situation, Procedures, and Bloodborne Pathogens Training
  • Fraud, Waste and Abuse Training