How to Become an MTM NEMT Provider

MTM has stayed privately held and family-owned since Peg and Lynn Griswold founded it in 1995 out of a one-room office. Their daughter, Alaina Macia, has run the company as CEO since 2005 and grew revenue from about $30 million to a reported $1.75 billion by 2025. MTM has also been repeatedly recognized as a woman-owned business by the St. Louis Business Journal. It has never taken on a private equity owner and doesn't file public financial statements.

The company has grown mainly by acquisition rather than by winning every contract on its own. It bought Veyo, the tech-forward Medicaid broker, in August 2022, then bought Access2Care from Global Medical Response (the parent of AMR) in October 2024, adding roughly 1,900 provider partners, 14,000 vehicles, and 8.6 million trips a year in one deal. MTM rebranded to "MTM Health" in February 2025 to mark its 30th anniversary.

MTM's direct contracts cover more than 30 states, and the practical footprint is larger once you count the acquired Veyo and Access2Care books of business, which are being migrated onto MTM's own systems over time rather than staying separate indefinitely. If you already hold a contract with one of these acquired brands, ask your MTM rep about consolidation options rather than applying to MTM separately from scratch.

Because MTM now owns all three brands, a state that shows "MTM" as its broker of record may still route your actual trip assignments through a legacy Veyo or Access2Care system during the transition, depending on the region and how far that state's migration has progressed. This isn't a distinction most state Medicaid websites make clear, so verify it directly with the broker before assuming which onboarding process applies to you.

MTM's credentialing process runs longer than most other national brokers, generally 6 to 10 weeks for a complete application. The extra time mostly comes from a more thorough document review and, in several states, a required in-person or virtual vehicle inspection scheduled after the paperwork review clears.

Standard requirements apply: commercial auto and general liability insurance, workers' compensation once you employ drivers, complete driver background checks and drug screens, and current vehicle registration and inspection documentation. MTM asks for state-specific rate sheets to be requested directly, since trip rates vary meaningfully by state and aren't published on a single national schedule.

MTM generally pays 30 to 45 days after claim submission, slower than ModivCare's 15-to-30-day window but faster than Access2Care's 45-to-60-day terms. Request a current, state-specific rate sheet before signing your contract, since MTM adjusts per-trip rates by region based on local Medicaid fee schedules.

Trip volume allocation for new providers is typically conservative in the first 90 days, then increases as your on-time percentage and completion rate establish a track record. Operators report that consistent performance in the first quarter matters more for long-term volume than aggressive bidding for every available trip early on.

The most common feedback is that MTM's credentialing takes real patience. Providers who plan their launch timeline around a 4-week ModivCare-style process often end up with idle vehicles and drivers waiting on approval. Building the 10-week window into your startup budget avoids that gap.

Once approved, operators generally describe MTM Link as reliable but less flexible than Veyo's app-based dispatch, with trip assignments coming through more of a fixed schedule than real-time proximity matching. Providers who value predictability over dispatch speed tend to have a smoother experience with MTM's core platform than with its more tech-forward subsidiaries.

MTM's provider relations team responds well to operators who can demonstrate they're not brand new to healthcare transport compliance. HIPAA training documentation, a working dispatch system, and driver files that are already complete rather than in progress all signal lower onboarding risk to a reviewer working through a large applicant queue.

If you're already credentialed with Veyo or Access2Care and expanding into a market MTM covers directly, lead with that relationship when you reach out. MTM's internal consolidation process for providers who already work with one of its subsidiaries is generally faster than a cold application.