New service
Medicaid NEMT broker startup consulting
Startup consulting for Florida providers and operators across the United States who want to move up the chain and become a Medicaid non-emergency medical transportation broker.
We guide you through the full sequence — business model, formation, compliance, network, credentialing, technology, contracting and rate modeling — on one roadmap that ends with you broker-ready.
Consulting is billed hourly or by engagement. Contracting, enrollment and award decisions are made by state agencies and health plans, so no outcome is guaranteed.
The roadmap
Startup to broker-ready, in sequence.
Every stage below is worked in order, so nothing gets built twice and nothing blocks a contract later.
Business model and corporate formation
Decide whether you operate as a full-risk broker, an administrative broker or a hybrid provider-broker, then build the entity, ownership structure, governance documents and banking to match that model.
Medicaid-grade compliance program
Written policies, code of conduct, exclusion screening, fraud-waste-and-abuse plan, grievance and appeals process, records retention and an audit trail that survives a state or plan review.
HIPAA and cybersecurity
Risk analysis, safeguards, role-based access, audit logging, incident response and Business Associate Agreements with every downstream vendor and transportation provider.
Insurance and working capital
Coverage lines and limits brokers are actually asked for, plus a capital plan that funds provider payments while claims and plan reimbursements are still in flight.
Provider network development
Build coverage by county and level of service, with network agreements, rate sheets, performance standards and enough depth to answer a plan's access requirements.
Ambulatory and wheelchair recruitment
Source, vet and onboard ambulatory and wheelchair operators, including vehicle standards, driver requirements and the onboarding packet that gets them live quickly.
Credentialing and monitoring
Credentialing files for drivers, attendants and vehicles — licenses, background checks, drug testing, inspections, insurance certificates — with recredentialing and expiration monitoring built in.
Technology platform
Trip intake, eligibility and authorization handling, assignment, GPS tracking, driver app, claims and encounter data, plan reporting and the integrations a payer expects.
Call center and dispatch
Reservation lines, where's-my-ride handling, scripting, hours of operation, interpretation services, call metrics and an escalation path for urgent discharges.
Staffing plan
Org chart and hiring sequence for operations, network management, credentialing, compliance, quality and finance, scaled to the trip volume you are underwriting.
Florida Medicaid contracting paths
How work reaches a broker in Florida — managed care plan subcontracts, statewide procurement and delegated arrangements — and which door fits your stage and capital.
Procurement readiness and rate modeling
Proposal library, past-performance narrative and readiness-review preparation, paired with per-member-per-month and per-trip rate models, utilization assumptions and margin testing.
Pilot KPIs
The numbers a plan will ask you for
Coverage
Florida first, nationwide next
Florida providers get the state-specific contracting paths — managed care plan subcontracts, statewide procurement and delegated arrangements. Operators in other states get the same roadmap mapped to that state's Medicaid program and broker structure.
If you also need the software side, the same platform that runs our NEMT and ambulance clients can carry trip intake, dispatch and reporting for your broker operation.
See the platformImplementation
A 90-day sequence.
- Days 1-30
Foundation
Model selection, entity and governance, compliance and HIPAA program drafted, insurance quoted, capital plan set, technology shortlisted.
- Days 31-60
Network and systems
Provider recruitment underway, credentialing files opened, platform configured, call center and dispatch workflows built, staffing plan hired against.
- Days 61-90
Broker-ready
Rate model finalized, proposal and readiness package assembled, KPI reporting live, pilot trips run end to end, contracting conversations opened.
Engagements
Pick the depth you need.
Scope depends on your state, your current license status and how much of the network and technology already exists, so we quote each engagement individually.
Roadmap
For an operator deciding whether the broker model fits before spending capital.
Contact for pricing
- Model selection: full-risk, administrative or hybrid
- Entity, ownership and governance plan
- Market and county coverage review
- High-level rate and capital model
- Written roadmap with sequenced next steps
Build
For providers in Florida or another state building toward broker-ready in 90 days.
Contact for pricing
- Everything in Roadmap
- Compliance, HIPAA and cybersecurity program build
- Provider network development and recruitment support
- Credentialing files, standards and monitoring process
- Technology, call center and dispatch design
- 90-day implementation sequence with weekly working sessions
Procurement
For groups pursuing managed care subcontracts or a statewide solicitation.
Contact for pricing
- Everything in Build
- Rate modeling, utilization and margin testing
- Proposal library and past-performance narrative
- Readiness review preparation
- Pilot KPI dashboard and reporting package
- Nationwide coverage beyond Florida
Request your quote.
Tell us where you operate and where you are today, and we will come back with a scope and pricing for your broker roadmap.