How to Become an American Logistics NEMT Provider
American Logistics (ALC) has been managing Medicaid and Medicare Advantage transportation for 25+ years, but it has one requirement that rules out a lot of owner-operators before they even apply.
Visit American Logistics's official siteWhat NEMT operators are working with at American Logistics
St. George, Utah
Headquarters
Nationwide, via Medicaid and Medicare Advantage health plan contracts
States covered
Set per health plan contract; confirm terms during onboarding
Payment terms
Established transportation companies with W-2 employee drivers
Best fit for
6 Steps to Work With American Logistics
American Logistics, often shortened to ALC, is a transportation management company founded in 1999 and headquartered in St. George, Utah, that contracts with Medicaid and Medicare Advantage health plans nationwide to manage non-emergency medical transportation benefits. It works with local and national transportation providers in the markets it covers, which vary by which health plans have contracted with ALC in a given region.
The single most important thing to know before you spend time on an ALC application: it requires providers to operate as a company with W-2 employee drivers, not independent owner-operators. If your business model relies on 1099 contractor drivers, you'll need to restructure before ALC will credential you, regardless of your fleet size or experience.

This is a hard requirement, not a preference. American Logistics does not contract with independent owner-operators. If your drivers are 1099 contractors, you'll need to convert to an employee model before applying.
ALC's coverage depends on which Medicaid and Medicare Advantage health plans in your state or region have contracted with them, rather than a single statewide broker designation. Ask ALC's provider recruitment team which plans in your market they manage.
You'll need commercial auto liability insurance, general liability insurance, and workers' compensation insurance covering all employee drivers before you can be credentialed.
Background checks and drug and alcohol screening are required for every driver, consistent with standard NEMT credentialing practices across the industry.
ALC requires providers to qualify through its Safety Society program, its internal safety and compliance certification process. Ask your ALC contact for the current Safety Society requirements and documentation checklist.
Start the application process through ALC's provider recruitment channel. Since coverage depends on active health plan contracts in your area, confirm current opportunities in your market before completing a full application.
American Logistics in Numbers
What you're working with before you apply.

More than 25 years managing Medicaid and Medicare Advantage transportation for health plans nationwide.
Independent 1099 owner-operators are not eligible, a hard requirement that rules out some fleets before they apply.
ALC's internal safety and compliance credentialing layer, required alongside standard insurance and background checks.
Coverage, Requirements, Pay & Reputation
Unlike ModivCare or Verida, which typically hold a direct broker contract with a state Medicaid agency, American Logistics contracts primarily with individual Medicaid and Medicare Advantage health plans. That means ALC's presence in your market depends on which specific plans have chosen ALC to manage their transportation benefit, rather than a single statewide designation you can look up on your state Medicaid website.
In practice, this means the same state might have ALC managing transportation for one Medicaid managed care plan while ModivCare or MTM manages it for another plan in the same county. Confirm exactly which plans ALC covers in your specific service area before assuming their presence in your state translates into available trip volume.
American Logistics' requirement that providers use W-2 employee drivers, not 1099 independent contractors, sets it apart from some other brokers and reflects a broader industry and regulatory shift toward employee classification in healthcare transportation. If you're currently structured around owner-operators, this is worth factoring into your decision about whether to pursue ALC credentialing at all, since it may require a genuine restructuring of your business model, not just additional paperwork.
This requirement also signals what ALC is looking for in a provider partner: an established transportation company with real operational infrastructure (payroll, employee management, and direct oversight of drivers) rather than a loose network of contracted individuals. If that matches how your business already operates, it's a point in your favor during the application.
ALC's Safety Society program is its internal safety and compliance credentialing process, layered on top of standard requirements like commercial auto liability, general liability, and workers' compensation insurance. Specific documentation requirements should be confirmed directly with ALC's provider relations team, since the exact checklist isn't fully published and can vary by the health plan contract you'd be operating under.
Background checks and drug and alcohol screening for all drivers round out the baseline requirements. This is standard practice across the industry, but it's worth confirming ALC's own screening frequency and renewal requirements, since some brokers require periodic re-screening beyond the initial hire.
Because ALC's payment terms, exact rate structure, and full state footprint aren't published in a single standardized document the way a state Medicaid fee schedule is, get these specifics directly from ALC's provider recruitment team before investing significant time in the Safety Society credentialing process: which health plans in your service area they currently manage, their standard payment timeline, and their per-trip rate structure for your vehicle type.
With 25-plus years operating in this space and national reach across Medicaid and Medicare Advantage plans, ALC is a broker worth investigating for any established transportation company. The employee-driver requirement means it's not a fit for every operator, though, so confirm that fit before starting the application.


American Logistics requires an established, employee-driver operation.
If you're building toward that structure, a professional website and local SEO presence signal the operational maturity brokers and facilities look for.
3 Mistakes Operators Make With American Logistics
The most common, and most avoidable, missteps we see.

American Logistics requires W-2 employee drivers. Applying without restructuring your driver classification first will likely result in an immediate disqualification, wasting the time spent preparing other documentation.
ALC's presence depends on which specific health plans have contracted with them in your area, not a single statewide broker designation. Confirm your exact service area coverage before assuming trip volume will be available.
ALC doesn't publish a single national rate schedule or payment timeline. Get these specifics in writing from your provider relations contact before committing fleet capacity to the credentialing process.

Who American Logistics Works Best For
ALC's model favors established, structured transportation companies over newer or smaller operations.
Companies already using W-2 employee drivers
If your business already operates with employee drivers rather than independent contractors, you meet ALC's core structural requirement that disqualifies many owner-operator-based fleets.
Operators serving Medicare Advantage populations
ALC's contracts span both Medicaid and Medicare Advantage plans, making it a relevant broker for fleets interested in serving Medicare Advantage members alongside or instead of Medicaid recipients.
Multi-market operators considering national expansion
Because ALC contracts with health plans across the country rather than a single state agency, established operators expanding into new markets may find ALC relevant in more than one location as they grow.
Frequently asked questions
Does American Logistics accept independent owner-operators?
What states does American Logistics operate in?
What is the American Logistics Safety Society program?
How does American Logistics pay providers?
NEMT Software That Connects to American Logistics
Dispatch platforms that name American Logistics as a broker integration in their own documentation.
Other NEMT Brokers to Know
Most operators end up credentialed with more than one broker. See how American Logistics compares.
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