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Medicaid NEMT Broker by State (2026)

Short answer: most states hand Medicaid rides to a broker, a company that books the trips and contracts with ride companies. Some states use one broker for everyone. Some use one for fee-for-service members and let health plans pick their own. Some split the state into regions, and some use counties or health plans with no broker at all. Four states changed or picked a broker in 2026: Georgia, Colorado, Montana and Wisconsin. This page lists each state, with the source we checked on October 15, 2026. Where we couldn't confirm a state, we say so.

Updated October 15, 2026 · Checked against the official sources listed at the end

The four ways states arrange NEMT

Federal law lets each state choose how Medicaid rides are arranged. In practice, states fall into four groups:

One broker for all Medicaid rides. Example: Georgia (Verida).
One broker for fee-for-service members only. Health plans arrange rides for their own members. Example: Louisiana (Verida for fee-for-service; health plans use MediTrans).
Several regional brokers. Example: Kentucky (one broker in each of 15 regions).
No single broker. Counties, health plans or the state arrange rides. Examples: Pennsylvania (county MATP offices) and Maryland (local health departments).

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Broker changes in 2026

These are the confirmed changes. Each one means ride companies sign a new contract and go through the new broker's credentialing.

Georgia: one statewide broker. Verida, all 5 regions, since April 1, 2026. Live. (Source: Georgia DCH NEMT page.)
Colorado: moving to one statewide broker, MediDrive. Denver metro since July 1, 2026; statewide January 1, 2027. (Source: Colorado HCPF NEMT page.)
Montana: one broker. Modivcare, replacing Mountain Pacific Quality Health, from October 1, 2026. Modivcare also took over provider enrollment. (Source: Montana DPHHS provider notice.)
Wisconsin: one statewide vendor. MTM today. Verida was picked May 21, 2026; no switch date is set. (Source: Wisconsin DHS NEMT vendor page.)

What a broker switch means for ride companies

When a state changes brokers, your old contract doesn't carry over. You sign with the new broker and send your driver files again. Its list may not match the old one.

Colorado shows how this works. From January 1, 2027, only ride companies contracted with MediDrive can take and get paid for Health First Colorado trips. The state's transition memo says the driver roster for contracting with MediDrive includes, for each driver, a 10-panel drug screen and a federal criminal background check dated within 30 days, plus an FBI fingerprint check, driving records, third-party defensive driving, first aid and CPR, passenger assistance training, and OIG and SAM exclusion screening.

Georgia went the same way on April 1, 2026, when Modivcare left the Central, East and Southwest regions and Verida took all five. Montana's providers now enroll with Modivcare instead of the state's old contractor.

Keep every driver's file current all the time. Then a switch means sending files you already have.

State-by-state list

Fee-for-service means members not in a health plan. 'Not confirmed' means we couldn't verify the broker on a public page. Check with your state Medicaid agency before acting on this list.

Alabama: the state runs its own Non-Emergency Transportation program. No broker named. (Source: Alabama Medicaid transportation page.)
Alaska: not confirmed.
Arizona: not confirmed.
Arkansas: not confirmed. The state site blocked our reads.
California: not confirmed. The state site blocked our reads.
Colorado: see above.
Connecticut: one broker, MTM. Start date not stated. (Source: Connecticut DSS NEMT page.)
Delaware: one broker, Modivcare. Start date not stated. (Source: Delaware DMMA medical transportation page.)
District of Columbia: not confirmed. Check with DC's Department of Health Care Finance.
Florida: health plans arrange rides; NEMT is a required service in every Managed Medical Assistance plan. Fee-for-service vendor not confirmed. (Source: Florida AHCA NET policy page.)
Georgia: see above.
Hawaii: not confirmed.
Idaho: one broker, MTM. Start date not stated. (Source: Idaho DHW NEMT page.)
Illinois: not confirmed.
Indiana: Verida for fee-for-service members. Health plan members not covered by this source. (Source: Indiana IHCP Transportation Services module, 2025.)
Iowa: MTM for fee-for-service and for all three health plans listed. (Source: Iowa HHS medical transportation page.)
Kansas: not confirmed.
Kentucky: regional model. One broker in each of 15 regions, contracted by the Transportation Cabinet. (Source: Kentucky legislative slides, November 5, 2025.)
Louisiana: Verida for fee-for-service (legacy Medicaid). All five health plans list MediTrans. (Source: Louisiana LDH NEMT page.)
Maine: regional model. Modivcare in most counties; Penquis CAP in Kennebec, Penobscot, Piscataquis and Somerset. List dated July 1, 2026. (Source: Maine DHHS broker list.)
Maryland: no broker. Grants to local health departments and Montgomery County's transportation department. (Source: Maryland Department of Health public notice 26-0002.)
Massachusetts: not confirmed. The state site blocked our reads.
Michigan: mixed. A contracted broker (Modivcare) for fee-for-service in Wayne, Oakland and Macomb counties; local MDHHS offices elsewhere; health plans for their members. (Source: Michigan Medicaid Provider Manual, October 1, 2026.)
Minnesota: not confirmed.
Mississippi: Modivcare for fee-for-service members. Health plan members not covered by this source; start date not confirmed. (Sources: Modivcare Mississippi page; the Division of Medicaid site links to Modivcare for rides.)
Missouri: MTM handles MO HealthNet rides; health plan members call their plan's ride line. (Source: Missouri DSS transportation page.)
Montana: see above.
Nebraska: Heritage Health plans have covered rides since July 1, 2019. Which vendor each plan uses: not confirmed. (Source: Nebraska DHHS Heritage Health FAQ, 2022.)
Nevada: unconfirmed. MTM's own site says MTM serves Nevada and that health plans may now handle rides in rural areas since January 1, 2026.
New Hampshire: not confirmed. The state site blocked our reads.
New Jersey: one broker, Modivcare. (Source: NJ DMAHS transportation page.)
New Mexico: not confirmed.
New York: one state broker, Medical Answering Services (MAS). MAS took over Fidelis members in Rockland County on April 1, 2026. (Source: NY DOH Medicaid transportation page.)
North Carolina: health plans arrange rides; NC Medicaid Direct members call their county social services office. (Source: NC Medicaid NEMT page.)
North Dakota: not confirmed.
Ohio: no single broker. County job and family services offices for fee-for-service; health plans for their members. (Source: Ohio rule 5160-15-10.)
Oklahoma: SoonerRide, through LogistiCare Solutions (now Modivcare), for SoonerCare Traditional and Choice. Health plans not confirmed. (Source: OHCA SoonerRide page.)
Oregon: coordinated care organizations provide rides for their members; the state covers fee-for-service members. (Source: Oregon rule 410-136-3000.)
Pennsylvania: county-run Medical Assistance Transportation Program (MATP). (Source: Pennsylvania DHS MATP page.)
Rhode Island: unconfirmed. MTM's own site calls MTM the state's NEMT manager; we did not confirm on a state page.
South Carolina: Modivcare is the state's NEMT broker. Whether health plan members are included: not confirmed. (Source: SCDHHS update.)
South Dakota: no broker. Members book directly with ride companies enrolled with South Dakota Medicaid. (Source: South Dakota DSS transportation page.)
Tennessee: by health plan. BlueCare and TennCare Select use Verida; UnitedHealthcare and Wellpoint use Tennessee Carriers. (Source: TennCare ride guide.)
Texas: not confirmed.
Utah: Modivcare for door-to-door rides for Traditional Medicaid. Health plans not confirmed. (Source: Utah Medicaid NEMT page.)
Vermont: one broker, the Vermont Public Transportation Association (VPTA). (Source: Vermont DVHA NEMT page.)
Virginia: unconfirmed for fee-for-service. The DMAS provider page names ModivCare, but MTM published a Virginia Medicaid fee-for-service provider handbook approved August 10, 2026. Ask DMAS which broker sends your trips.
Washington: regional model. Several nonprofit and public brokers by county, including Hopelink, Paratransit Services and Northwest Regional Council. (Source: Washington HCA broker list, May 2025.)
West Virginia: one statewide broker, Modivcare, since September 1, 2018. (Source: West Virginia BMS transportation page.)
Wisconsin: see above.
Wyoming: not confirmed.

How Pact helps (and what it doesn't do)

Pact Compliance keeps each driver's file in one place: license, driving record, background check, drug test and training certificates, with reminders 30, 14 and 7 days before anything runs out. Pact checks every active driver against OIG's exclusion list, plus the Medicaid exclusion lists your states publish as a file, each month and keeps a dated record of each check. It includes a random drug testing program, with lab tests at Quest for $40. Pricing is $15 per active driver a month, with a $99 minimum.

Pact is not a broker and is not affiliated with or approved by any broker. It doesn't enroll you with a broker or with Medicaid, run state or FBI fingerprint checks, check SAM.gov, or inspect vehicles. Upload those results and Pact tracks when they're due. Your broker contract and your state's rules are the final word.

Common questions

What is a Medicaid NEMT broker?

A company the state (or a health plan) hires to book non-emergency rides for Medicaid members. It contracts with ride companies, checks their drivers and vehicles, assigns trips and pays for them.

If my state changes brokers, do I have to re-credential?

Yes, in the switches we've seen. In Colorado, only providers contracted with MediDrive can take Health First Colorado trips from January 1, 2027. In Georgia, ride companies now contract with Verida for every region.

Why does my state show health plans instead of a broker?

Many states let each Medicaid health plan arrange rides for its members. Each plan may use a different broker, so a ride company may need contracts with more than one.

Who sets the driver requirements?

Federal law sets a short minimum: an exclusion check, a valid license, a process for state drug-law violations and a way to disclose driving history. States and brokers add the rest, such as drug tests, background checks and training.

Why is my state marked not confirmed?

We couldn't verify the current broker on a public state or broker page on October 15, 2026, often because the state site blocked our reads. Call your state Medicaid agency to confirm.

Sources

Related guides

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