How to Start an NEMT Business in Nebraska

Nebraska's Medicaid state plan says NEMT providers may be approved individuals, exempt providers, or PSC providers, and that PSC providers need Nebraska Public Service Commission certification.

To add NEMT services or enroll as a new NEMT provider, Nebraska DHHS directs providers to contact the PSC. The commission reviews the application and lets Medicaid Provider Relations know whether you can provide NEMT for Medicaid clients in a designated area. Plan for this step early.

Effective July 1, 2019, NEMT was carved into Heritage Health. The plans administer NEMT for their members through contracted brokers, and Nebraska Medicaid administers NEMT for fee-for-service members.

Nebraska Total Care works with MTM for transportation, and UnitedHealthcare Community Plan of Nebraska made MTM Health its NEMT broker effective January 1, 2026. Check the third plan's current broker before applying.

Carry commercial auto liability and general liability that satisfy both your PSC authority and your brokers. Add workers' compensation once you have employees.

Keep complete driver files and train for winter driving, CPR, first aid, and wheelchair securement.

Omaha and Lincoln hold most of Nebraska's hospitals and specialists, while central and western Nebraska have long rural trips. Build a page for each city you serve. See our Nebraska NEMT marketing page for how we approach this market.

Claim your Google Business Profile early and collect reviews from facilities and families.