How is a brokerage different from a NEMT provider?

A provider owns vehicles and performs trips. A brokerage contracts and manages a network of providers, handles intake and assignment, verifies trips and reports to the payer. The compliance, technology and capital requirements differ substantially.

Can you secure a state or managed-care contract for us?

No. Procurement and contracting decisions rest with the state and the managed-care organizations. We prepare the organization, the documentation and the operating model.

Brokerage startup consulting

NEMT brokerage startup consulting

For organizations building an actual transportation brokerage operation, not a transportation provider: network development, compliance infrastructure, technology and contracting readiness.

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A brokerage does not move patients. It manages demand, contracts a provider network, controls utilization, verifies trips and answers to the payer for performance. The capital, compliance and technology requirements are different in kind from those of a transportation provider.

This engagement is a staged roadmap from business model through broker-ready, ending with a 90-day implementation sequence you can execute.

Phase 1 — Model and formation

Brokerage model, revenue structure and risk position
Corporate formation, governance and ownership disclosure
Capitalization and working capital planning for payment float
Insurance program appropriate to a broker rather than a carrier

Phase 2 — Compliance infrastructure

Medicaid-grade compliance program and written standards
HIPAA program, workforce training and business associate agreements
Cybersecurity controls, access management and incident response planning
Fraud, waste and abuse monitoring and utilization review

Phase 3 — Provider network

Network design by county, level of service and capacity
Ambulatory, wheelchair and stretcher provider recruitment
Provider credentialing standards and re-credentialing cycles
Provider agreements, rates and performance standards

Phase 4 — Technology and operations

Brokerage platform selection: intake, assignment, verification, claims
Call center and dispatch design, staffing model and scripting
Reporting, KPI dashboards and payer-facing performance reporting
Quality assurance, grievance handling and member communications

Phase 5 — Contracting and launch

Florida Medicaid and managed-care contracting paths
Procurement readiness and response capability
Rate modeling, pilot design and KPI targets
90-day implementation sequence with owners and milestones

Frequently asked questions

How is a brokerage different from a NEMT provider?: A provider owns vehicles and performs trips. A brokerage contracts and manages a network of providers, handles intake and assignment, verifies trips and reports to the payer. The compliance, technology and capital requirements differ substantially.
Can you secure a state or managed-care contract for us?: No. Procurement and contracting decisions rest with the state and the managed-care organizations. We prepare the organization, the documentation and the operating model.

Related consulting

Discuss your brokerage build

Tell us about your company, your market and what you are trying to accomplish. Consulting engagements are billed at an hourly or project rate, quoted before work begins. Submitting a request does not guarantee acceptance as a client.

Request a consultation Call (305) 539-9920