The Issue

Non-Emergency Medical Transportation (NEMT) is not optional — it is a critical service that ensures seniors, individuals with disabilities, and vulnerable populations can access essential healthcare.

However, transportation providers across the industry are facing a growing crisis.

NEMT brokers, including companies such as MTM (Medical Transportation Management) and others, are setting reimbursement rates that often fail to reflect the true cost of providing safe, reliable, and compliant transportation services.

Providers are expected to cover:

Driver wages
Fuel costs
Rising insurance premiums
Vehicle maintenance
Compliance requirements

Yet payments often fall far below what is needed to operate sustainably.

The Reality

This is not just a business issue — it is a healthcare access issue.

Across the industry, providers are being forced into difficult decisions just to survive.

Many transportation providers report:

Considering reducing fleet sizes
Cutting driver hours or staff
Limiting service areas
Or exiting the industry altogether

These decisions are not due to lack of demand — but the result of unsustainable reimbursement rates and increasing operational costs.

When providers cannot sustain operations, patients experience:

Missed or delayed medical appointments
Reduced access to care
Increased health risks
The Core Problem

There is a clear imbalance of power within the NEMT system.

Brokers control:

Trip distribution
Pricing structures
Payment timelines

While providers — the ones actually delivering the service — have little to no ability to negotiate fair rates or challenge unfair practices without fear of retaliation.

Our Demands

We are calling on:

State Medicaid agencies
Managed Care Organizations (MCOs)
NEMT brokers

To take immediate action and implement the following:

Fair and Sustainable Reimbursement Rates
Rates must reflect real operational costs and allow providers to operate without loss.
Full Transparency in Pricing
Providers deserve to understand how rates are calculated and distributed.
Timely and Reliable Payments
Payment delays should not threaten business stability.
Provider Protection Policies (No Retaliation)
Providers must be able to raise concerns without fear of losing trips or contracts.
Direct Provider Engagement
Establish open communication between decision-makers and transportation providers.

Why This Matters

Transportation providers are not optional vendors —

we are the backbone of this system.

Without providers:

Trips don’t happen
Patients miss care
Healthcare outcomes decline

Call to Action

We are calling on providers, drivers, healthcare advocates, and community members to stand together.

Sign this petition to demand fairness, accountability, and sustainability in the NEMT industry.

Enough is enough. It’s time for change.