NEMT Billing Services

NEMT codes change
at every state line.

NEMT has no single national code set. One state retires a mileage code and replaces it. The state next door still uses the old one. Most trips now go to a private broker, not the state directly, each with its own portal and credentialing. Our NEMT billing services track your specific state and broker, not a generic code sheet.

96%avg. net collection rate across TruCare clients

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Results across TruCare clients

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why NEMT companies choose our non-emergency medical transportation billing services

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Apr 02, 2027

We finally understood our own state’s code changes

Our state retired a mileage code we had been billing for months, and nobody told us. We found out from a denial, not a notice.

Darnell Okafor, NEMT company owner

3 weeks ago

Three brokers, one clean process

We run trips across county lines and answer to three different brokers depending on the pickup. That used to mean three different messes. Now it is one process that adapts to whichever broker a trip belongs to.

Marisol Fontaine, operations manager

Feb 11, 2027

Our EVV compliance stopped being a guess

We did not realize our state had moved to mandatory GPS verification until a batch of claims started failing. That gap closed fast.

Terrence Oyelaran, dispatch manager

Dec 20, 2026

Our Medicare Advantage trips finally get billed

We had been running MA-covered trips and billing them like Medicaid trips because nobody had separated the two. That was real revenue we were either losing or billing wrong.

Priscilla Vantongeren, billing manager

Nov 08, 2026

One view across every broker and every code

Every trip, every broker, every code, in one place instead of spreadsheets for each contract.

Harold Mbeki, company owner

What we handle, trip to payment

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We get you enrolled with the state and with every broker

TruCred files your state Medicaid enrollment and handles the separate credentialing required by each broker you work under. Revalidation dates are tracked so nothing lapses.

State Medicaid enrollmentBroker credentialingRevalidation

There is no national rulebook for NEMT. Each state has its own.

Most medical billing runs on a code set that works the same way whether the claim goes to Texas or Vermont. NEMT does not. One state retires a mileage code and replaces it with a different one. A neighboring state keeps using the retired code without issue. A vehicle type that bills one way under direct Medicaid billing bills a different way once that same state moves to a broker-administered model.

That broker layer is the second thing that makes this specialty unlike almost anything else in medicine. Many NEMT trips are not billed to a government payer at all. They are billed to a private transportation broker under contract with the state, through that broker’s own portal, under that broker’s own credentialing requirements, which can differ from what the state itself would have required under a direct-bill arrangement. A company running trips across county lines can answer to two or three different brokers depending on where a given pickup happens to fall.

On top of both of those sits a documentation requirement most other specialties do not carry: proof that the trip actually happened, verified electronically, because this category has a long and well-documented history of billing for rides that were never taken.

A billing company that applies one national code sheet to every NEMT client will get some states right and quietly fail every other state it touches.

Six places NEMT revenue goes missing

A retired code was still being used

States update their code requirements without always notifying every provider directly. A claim built on last year’s manual can be a routine, avoidable denial.

The wrong broker received the claim, or the right broker received the wrong code

A provider working under multiple broker contracts can mix up which portal, which credentialing, and which code set applies to a given trip.

The vehicle level was not justified

Billing for a wheelchair van or stretcher van without documentation showing why that level was medically necessary, rather than a standard ambulatory vehicle, invites a denial or worse.

EVV documentation was missing or incomplete

A growing majority of states now require electronic trip verification for Medicaid NEMT, and a claim without it is increasingly rejected outright.

Medicare Advantage trips were billed like Medicaid trips

These run through separate broker systems. Billing one under the other’s rules does not match either payer’s actual requirement.

Mileage was not billed separately from the base trip

Loaded mileage is frequently its own billable line distinct from the base trip or encounter code, and folding it into one charge leaves revenue uncollected.

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Our service offerings

Every kind of trip your company runs

Ambulatory transportation

Sedan and taxi-level trips for patients who do not require a wheelchair or stretcher, billed under whichever code your specific state or broker currently assigns to this level.

Wheelchair van transportation

Trips requiring a wheelchair-accessible vehicle, with the medical necessity for that level documented and billed correctly.

Stretcher van transportation

Non-ambulance transport for patients who must travel lying down, billed under its own distinct code and its own documentation standard.

Multi-passenger and group transport

Mini-bus and shared-ride trips, billed with the specific modifiers your state or broker requires for multiple passengers.

Mileage billing

Base trip and per-mile billing handled as the separate line items they usually are, rather than folded into a single flat charge.

Attendant and escort services

A separate billable service when a trip requires an attendant beyond the driver, documented and billed on its own line.

Medicaid fee-for-service and broker-administered billing

Direct state billing where that model still exists, and broker-portal billing everywhere the state has moved to a contracted broker, handled under each one’s own specific rules.

Medicare Advantage NEMT

Supplemental transportation benefits offered by MA plans, billed through the plan’s broker system and kept distinct from Medicaid billing.

What actually makes this work

Billers who track your specific state, not a national average

Certified billers on your account know that NEMT coding is not standardized nationally, and they build your claims around your actual state and broker requirements.

Credentialed across every broker you answer to

If your trips run through more than one broker, we maintain the credentialing and the billing relationship with each one separately.

No disruption to how your dispatch already runs

We work from the trip and dispatch system your company already uses. Nobody learns a second one.

What actually causes NEMT claims to fail

A NEMT denial is rarely about whether the trip was needed. It is almost always about a code that does not match the specific state or broker it was sent to, or documentation that does not prove the trip actually happened the way it was billed.

Here is what we see most, and how each is caught before it becomes routine.

Curious what your denials are actually costing you?

Send us 90 days of claims and we will show you the pattern.

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The recurring six:

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Retired or outdated code still in use

A code your state or broker has phased out does not match what the current system expects, regardless of how long it worked before.

Vehicle level without supporting documentation

A higher level of service billed without a clear medical necessity justification is a predictable denial.

Missing or incomplete EVV data

A trip without electronic verification where it is required is treated as if it cannot be confirmed, whatever actually happened.

Trip sent to the wrong broker, or billed under the wrong broker’s code set

Multi-broker operators are especially prone to this, and it is one of the more common, entirely avoidable denial causes in this specialty.

Mileage billed as part of the base trip instead of separately

Where the two are meant to be distinct lines, combining them does not match what the payer expects to see.

Medicare Advantage trip billed under Medicaid rules

These two payer categories are not interchangeable, and applying one’s rules to the other’s claim produces a mismatch.

The codes your revenue runs on, and why they are not fixed

Our NEMT billing and coding services run on a code set that is genuinely not standardized nationally, which is the single most important thing to understand about billing this specialty correctly. The codes below are common across many states and brokers, but which one actually applies to your trip depends entirely on where you are and who you bill.

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What commonly applies, and why it varies:

A0100–A0225

The traditional HCPCS transportation series

Covering taxi, wheelchair van, mileage, attendant fees, and ancillary services under many state Medicaid programs, though several states have moved away from parts of this series entirely.

We connect to the dispatch system you already use

Your trips are already tracked through your own dispatch and scheduling system, and we do not ask that to change. Whether your company runs on RouteGenie, Tobi, or Ride Scheduler, TruCare pulls from whatever platform you already use to run your operation.

What changes is what gets caught before it becomes a denial. A code your state has quietly retired. A trip about to be billed to the wrong broker. A vehicle level missing the documentation that justifies it. Each one surfaces while it can still be corrected.

Check for your system

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Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What is moving in this specialty, state by state and in Washington

Electronic trip verification keeps expanding at the state level

States continue to adopt GPS-based or electronic verification requirements for Medicaid NEMT on their own timelines, extending a mandate originally built for personal care and home health services.

Ohio’s law is a concrete example of where this is heading

Ohio enacted a law requiring GPS-based electronic verification for Medicaid NEMT, taking effect in late 2026, illustrating the kind of state-specific requirement providers need to track individually.

A federal mandate has been proposed, but is not yet law

A bill introduced in the House in September 2026 would require electronic verification for Medicaid NEMT nationally, with a proposed effective date of January 1, 2027, if enacted. This remains a proposal, and providers should not assume it is current law.

State broker transitions continue to reshape how providers get paid

States continue to move toward single statewide or regional broker models for Medicaid NEMT, with new brokers sometimes replacing existing ones entirely and bringing new enrollment and billing requirements with the transition.

Code retirements continue on a state-by-state basis

Individual states continue to retire older transportation and mileage codes in favor of newer ones, often with limited advance notice to providers still billing under the old system.

Someone has to track fifty different sets of rules, not one

A specialty with no single national standard needs someone watching every state and every broker your company actually touches, not a general billing update that assumes the rules are the same everywhere.

We track your specific states and your specific broker relationships, and we build each confirmed change into how your claims are checked before they go out.

In-house vs. outsourced

What one biller cannot track across fifty different rulebooks

A general biller can learn one state’s Medicaid rules reasonably well. Tracking multiple states, multiple brokers, and the code changes each one makes on its own schedule is a fundamentally different and much larger job. Outsourcing NEMT billing services puts people on this who track it across many providers and many jurisdictions, not just one company’s home state.

The question	One in-house biller	TruCare
State-specific code updates	Noticed through a denial	Tracked as each state updates its requirements
Multi-broker billing	A source of confusion	Managed as distinct, separate workflows
Vehicle level documentation	Inconsistent	Supported with medical necessity on every claim
EVV compliance	Assumed, not verified	Confirmed before submission
Medicare Advantage vs. Medicaid trips	Sometimes mixed up	Kept distinct, billed under the correct rules
Mileage billing	Folded into the base trip	Billed separately where that is expected
Cost shape	Salary, benefits, training, software	A percentage of collections, so it scales with volume
Staff absence	Billing slows across the company	Coverage is handled without disruption
Regulatory change	Discovered through denials	Tracked and built into process ahead of time
Visibility	A report assembled on request	Live, by state, by broker, and by trip type

Compare against your numbersCurious where your company actually stands? Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

NEMT billing services in every state

We work with NEMT providers operating under direct state Medicaid billing, broker-administered contracts, and Medicare Advantage transportation benefits. As a NEMT medical billing services provider, we track each state’s actual requirements individually, since this is a specialty where the rulebook genuinely changes at every border.

State-specific HCPCS coding

Broker credentialing and billing

Medicare Advantage NEMT

EVV compliance

Multi-state and multi-broker operations

A named account contact

Who we bill every day

State Medicaid programs

Direct fee-for-service billing where that model still applies

Medicaid managed care and broker-administered programs

Billing through ModivCare, MTM, and other contracted brokers

Medicare Advantage plans

Supplemental transportation benefits, billed through the plan’s own broker system

Original Medicare

Does not cover routine NEMT, and this is not expected to change

Other

Private pay and facility-contracted transportation

We bill whatever states, brokers, and plans your company operates under. If you are not credentialed yet, TruCred handles the enrollment.

NEMT billing saver guide

A company collecting $790,000 saves up to $53,389 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$19,671	—
Total annual cost	$73,060	$19,671	$53,389

Example: a company collecting $790,000 a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by company and are not counted. We do not replace your dispatch team, we take the claims work off it. Larger companies, particularly those operating across multiple states or brokers, are quoted on volume rather than at the starting rate, so a bigger operation should not scale this example up.

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What a NEMT company gains once every state is actually tracked

“We had assumed billing was billing, and that once we learned our home state’s rules we were basically set. Then we expanded into two neighboring counties that happened to sit in a different broker’s territory, and everything we thought we knew stopped applying. Once someone was actually tracking each one separately, the difference in what we collected was not small.”

Darnell Okafor

NEMT company owner, multi-county transportation provider

NEMT codes changeat every state line.