One Call: A Different Kind of Transportation Network

It's worth being direct about this: if you're looking for Medicaid NEMT trip volume, One Call is not the broker to apply to. It serves an entirely different payer category, workers' compensation insurance carriers, self-insured employers, and third-party claims administrators, who are managing the medical care and associated transportation for employees injured on the job, under state workers' compensation law rather than Medicaid.

The confusion happens because the actual service (driving a patient to a medical appointment in a non-emergency vehicle) looks identical from the vehicle's perspective. The difference is entirely in who's paying, why, and under what regulatory structure. Workers' comp transportation is governed by each state's workers' compensation statute and the specific insurance carrier's claims process, not by Medicaid NEMT regulations.

One Call is a specialty network company, meaning transportation is one of several service lines it manages for the workers' compensation industry alongside physical therapy, diagnostics, durable medical equipment, home health and complex care, language services, and dental care. It coordinates care for roughly one million injured workers annually and maintains a nationwide provider network that it monitors down to the ZIP code level.

For an NEMT operator, that structure means One Call functions more like an insurance-industry vendor network than a Medicaid broker with a public credentialing portal. Getting into that network typically involves direct outreach to One Call's network development team rather than a self-serve online application, and the relationship is governed by whatever contract terms One Call and your business agree to.

Because trips come through individual workers' compensation claims rather than a broker-assigned volume, payment terms and rate structures aren't standardized the way Medicaid NEMT rates are. They're set by the specific insurance carrier or claims administrator behind each referral, and can vary considerably. There's no single published rate card the way there is for a state Medicaid fee schedule.

Volume is also inherently less predictable than Medicaid broker trips, since it relies on the number of active injury claims requiring transportation in your service area at any given time, rather than a contracted trip allocation. Operators considering this market should expect variability and plan for it as supplemental capacity rather than guaranteed volume.

This market makes the most sense for operators who already have steady Medicaid broker volume and are looking to diversify revenue, fill schedule gaps between Medicaid trips, or simply reduce dependence on any single broker's rate schedule and payment timeline. It's a genuinely different customer base, injured workers, not Medicaid recipients, which means it doesn't compete for the same trip pool.

Operators newer to NEMT, or those without established compliance and insurance infrastructure yet, are usually better served focusing on Medicaid broker credentialing first, since that path has clearer, more standardized entry requirements. Workers' comp transportation is a stronger fit once you already have documented safety practices and insurance coverage in place, since claims administrators evaluate providers on the same operational reliability standards Medicaid brokers do.