Thank you for contacting the Kentucky Transportation Cabinet, Office of Transportation Delivery. Below are the steps to take in becoming an approved Non-Emergency Medical (Medicaid) Transportation Provider (NEMT).
- First, legally establish the transportation company. Depending on how the company is set up (Incorporated, LLC, Sole proprietor, etc.), the company may be required to file with the Kentucky Secretary of State's Office. For more information on business filings, please see the following link: Kentucky Secretary of State
- Second, the transportation company must apply for State Motor Carrier Operating Authority (certificate) which allows the company to operate as a for-hire passenger motor carrier in Kentucky. To do this, call the Division of Motor Carriers at 502-564-4127 and request an application for either Taxi Authority or Disabled Persons Vehicle (DPV) Authority. The only real difference between the two authorities is that under DPV, all vehicles must be wheelchair lift or ramp equipped. The transportation company can still transport non-wheelchair people in those vehicles; but the DPV vehicles must be wheelchair/ADA accessible. For more information, see the following link: DriveKY
- Once the transportation company is notified of its approval for authority/certificate, the transportation company will have to qualify vehicles through the Division of Motor Carriers. Once qualified, the Division of Motor Carriers will issue a license plate and fee receipt card for each vehicle.
After operating authority is obtained and once all vehicles are qualified through the Division of Motor Carriers, the transportation company is ready to apply to enter into the Medicaid Transportation Provider network.
- First, the transportation company must contact the Regional Broker for the county in which the transportation company intends to operate. For a listing of Brokers and the counties they serve, please select the following link: Office of Transportation Delivery HSTD
- The transportation company will notify the Broker that the company has obtained a certificate and wants to subcontract with the Broker. The Broker will schedule a time to review the contract, inspect vehicles, obtain copies of insurance information, obtain copies of vehicle registrations, obtain worker's compensation insurance verification, and obtain copies of the operating authority certificate(s) and fee receipt card(s). All employees/drivers must be entered into a statewide drug and alcohol random pool. Background checks and pre-employment drug and alcohol tests will have to be completed for all subcontractor safety-sensitive employees; minimum trainings must be obtained as well. The Broker will walk the transportation company through this process.
- One of the last steps to take is apply for Medicaid Provider Identification (billing) Numbers for each type recipient the transportation company wants to transport. There are three (3) recipient types: Type 02 - Ambulatory (no special assistance/needs required), Type 07 - Common Carrier - Ambulatory (disoriented recipients who may need escorts), and Type 08 - Common Carrier - Non-Ambulatory (Wheelchair). The Broker will help the transportation company with this process. Three (3) separate applications (one for each provider type) are required to be submitted if the transportation company intends to transport all three-passenger types. Transportation types must be identified on the Medicaid Provider application in Box #8. The Medicaid Provider Enrollment Application (MAP 811) can be located at the following link: MAP 811 Checklist
The Broker must sign off on the Enrollment application prior to the transportation company mailing the applications to Medicaid Provider Enrollment.
Once approved, the Department for Medicaid Services Provider Enrollment will mail copies of approval letters noting assigned provider numbers for transportation. Copies of these provider number notification letters must be provided to the Broker.
- Once the Broker has all the information obtained on the transportation company, the Broker will forward the company's information to the Office of Transportation Delivery. The Broker will be notified once the subcontractor is entered into the system to begin service.
Things to remember: The transportation provider's contract is with the Broker, not the Commonwealth. The Broker receives all trip reservations and then dispatches trips out to approved providers. Providers will invoice the Broker once the trips are complete; and the Broker will issue payment to the transportation provider.
Please note: Transportation providers are prohibited, per regulation, from soliciting Medicaid trips.
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