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Podcasts and guides on running and growing an NEMT business, with the providers who've done it.

Starting a NEMT business (36) Brokers & Medicaid (4) Private pay (6) Facility contracts (7) Operations & money (17)

Start with the guides

Prove the trips before you buy the van: demand first, then paperwork, insurance quotes and a clean used van, and last facility, private-pay and broker payers
Guide

How to Start a Medical Transportation Business (NEMT)

Twelve steps to start a non-emergency medical transportation (NEMT) business: costs, licensing, insurance, and the order that wastes the least money.

 Tile map of who hands out Medicaid rides by state on Oct 1, 2026: one statewide broker in 15, regional in 5, plan vendors in 23 and DC, state or county in 7
Guide

NEMT Brokers: How They Work and Who Runs Each State

What a NEMT broker does, how Medicaid ride money reaches you, and who arranges Medicaid rides in all 50 states and DC, as of October 1, 2026.

 Rising path of a private-pay booking: found on Google with a website and reviews, answered first with a price, paid up front before the van rolls, booked again
Guide

NEMT Private Pay: What to Charge and How Families Find You

Private-pay non-emergency medical transportation, step by step: who pays, what to charge above broker rates, how to collect up front, and how families find you.

 Title card: three kinds of NEMT contract, broker networks, facility agreements and program contracts, with facility agreements marked as the place to start
Guide

How to Get NEMT Contracts (and Why Facilities Come First)

The three kinds of NEMT contract, why a facility service agreement is the one to win first, and how to go from a facility's backup to its first call.

 One trip's route from the call to the cash: booked, scheduled with room, driven there and home, recorded, then paid, under the title How to run a NEMT business
Guide

How to Run a NEMT Business: Dispatch, Drivers, Vans, Money

How to run a medical transportation business day to day: book trips right, leave room in the schedule, keep drivers and vans ready, get paid by each payer.

 Scoreboard graphic ranking the best NEMT dispatch software platforms of 2026
Guide

Best NEMT Dispatch Software 2026: Ranked and Scored

The 7 best NEMT dispatch software platforms of 2026, ranked and scored on growth impact, capability, ease of use, support, and pricing.

State editions of the how-to-start guide: Arizona · California · Colorado · Florida · Georgia · Illinois · Indiana · Louisiana · Maryland · Massachusetts · Michigan · Minnesota · Missouri · New Jersey · New York · North Carolina · Ohio · Pennsylvania · Tennessee · Texas · Virginia · Washington State · Washington, DC · Wisconsin

A will-call booked with no pickup time, the ready call that starts the window, the van on its way: plan the ride home before the call comes.
Article

NEMT Will-Call Trips: How Long You Have and How to Plan

What a NEMT will-call is, how long MTM, Modivcare and state contracts give you, who starts the clock, and how to plan each ride home before the call comes.

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Three cards: their rules (brokers, facilities, your insurer), your test (how they treat a rider in pain) and the checks before the first trip.
Article

How to Hire NEMT Drivers (With a Free Job Description)

How to hire NEMT drivers: whose rules come first, one hard interview question, the checks in order, a day in the van, and a free job description.

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Title card for what goes in a NEMT service agreement: your rates, every fee and getting paid, with getting paid marked as the heart of it
Article

What Goes in a NEMT Service Agreement With a Facility

What goes in a NEMT service agreement with a facility, clause by clause in the order the facility reads it, and what to check when it sends its own contract.

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Title card: rank a facility list by who pays, who books and what your vans can carry
Article

Which Facilities Use NEMT Services? Build a List That Pays

Which facilities use NEMT, who books and who pays at each, where to get free lists of the facilities near you, and how to rank them, with a free spreadsheet.

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Map of Maryland from Hagerstown to Salisbury: Maryland Medicaid has no ride broker, and its 24 local programs each pick their own vendors
Article

How to Start a NEMT Business in Maryland (2026)

Maryland Medicaid has no NEMT broker: 24 local programs hire their own vendors. The PSC permit, driver licenses, insurance and costs to start a NEMT company.

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Map of Washington State: Apple Health rides go through one broker per county, each with its own bar, and some cities license NEMT vans
Article

How to Start a NEMT Business in Washington State (2026)

How to start a NEMT business in Washington State: one Medicaid broker per county with its own bar and rates, the for-hire endorsement, city licenses and costs.

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A ringing phone and an AI chat bubble with a check mark: put AI on the work nobody would get to, and check what it does.
Article

AI in NEMT: What It Can and Can't Do for Operators (2026)

What AI can and can't do in a small NEMT company as of October 2026: phones, reminders, dash cams, trip lists and scheduling, plus one test for any tool.

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Title card: last month's costs divided by completed one-way trips gives your cost per trip, the floor to check every rate against.
Article

NEMT Cost Per Trip: What Each Trip Costs You to Run

How to calculate your NEMT cost per trip from last month's costs and completed trips, the costs owners leave out, and your cost per mile driven.

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The chair gets strapped down; the rider's belt gets skipped. Cards: four straps on the frame, a lap and shoulder belt marked Most skipped, a trained driver.
Article

Wheelchair Securement in NEMT: Tie-Downs, Belts, Training

How to secure a wheelchair in a NEMT van: four tie-downs on the frame, the rider's lap and shoulder belt, chairs that aren't WC19, and training that proves it.

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Title card: start with a nursing home's rehab patients, whose van rides the home or family pays, then long-stay residents by state rule, then the ride home.
Article

Nursing Home Transportation Contracts: Why Rehab Comes First

Why NEMT owners should start with a nursing home's rehab patients: who pays for each kind of stay, which buildings to call, and what to do when one sells.

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Three cards, the broker, the state and a health plan, with the broker card marked Most trips, below the title How to bill Medicaid for NEMT.
Article

How to Bill Medicaid for NEMT: Brokers, Claims, Codes

Most Medicaid NEMT trips are billed to a broker, not Medicaid. What brokers check, when you file a real claim, the codes, deadlines and why trips get denied.

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A NEMT business plan built on trips: who pays, how many one-way trips a van runs a day, and the months to each payer's first check, which set the cash you need
Article

NEMT Business Plan: A Free Template Built on Trips (2026)

How to write a NEMT business plan a lender believes: trips by payer, counted when each payer's money arrives, with a free Word template and Excel projection.

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Map of Massachusetts' 14 counties: no NEMT license, a LIVERY plate on every van, and MassHealth's two ride brokers want a year of your own service first
Article

How to Start a NEMT Business in Massachusetts (2026)

How to start a NEMT business in Massachusetts when MART and GATRA want a year of your own service first: LIVERY plates, town licenses, insurance and the cost.

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Map of Wisconsin's 72 counties: Verida is named with no date, MTM keeps booking BadgerCare Plus and Medicaid rides, and owners build beyond MTM
Article

How to Start a NEMT Business in Wisconsin (2026)

Wisconsin has no NEMT license, but paid rides need WisDOT's $50 passenger certificate unless exempt. MTM, Verida, Family Care, SMV rules and costs, in order.

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One trip, three payers: Medicaid and brokers set your rate, facilities negotiate it, and for families you set it from your market.
Article

NEMT Rates in 2026: What a Trip Costs, by Who Pays

NEMT rates as of October 2026: what an ambulatory, wheelchair or stretcher trip pays under Medicaid and brokers, and what families pay at posted prices.

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Title card: what a hospital pays for when it calls you, a yes at any hour and a van there fast, with the bed back marked as what it buys
Article

How to Get Hospital Discharge Transportation Contracts

How a small NEMT company wins hospital discharge work: who pays for the ride, who to talk to, what to offer, the vendor paperwork and what to charge.

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Title card: three numbers to set side by side before you sign, the state's schedule, the broker's offer and your own cost per trip.
Article

How Much Does Medicaid Pay for NEMT? 2026 Rates by State

How much Medicaid pays NEMT providers: rates by state as of October 2026, who really sets your rate, what a rate covers and how to weigh a broker's offer.

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Map of Tennessee's 95 counties: TennCare rides go through two vendors split by health plan, and most paid NEMT vans need $1.5 million of insurance
Article

How to Start a NEMT Business in Tennessee (2026)

How to start a NEMT business in Tennessee: Revenue authority at $1.5 million, F-endorsed drivers, TennCare registration, Verida and Tennessee Carriers, costs.

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Title card: what a NEMT van makes depends on what each trip pays, while the van's costs stay about the same, so the payer decides what's left for the owner.
Article

How Much Does a NEMT Business Make? Per Van, by Payer

What a medical transportation business makes per month, one van at a time: what each payer pays for a trip, what the van costs and what the owner keeps.

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A rear-entry wheelchair minivan, ramp down, beside the title NEMT vehicles: choosing and buying your first van, and the takeaway: let your trips pick the van.
Article

NEMT Vehicles: Choosing and Buying Your First Van (2026)

Which NEMT van to buy first: minivan or full-size, rear or side entry, new or used, what it must pass, what it costs in 2026 and how to pay for it.

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Map of Indiana's 92 counties: Medicaid rides need IHCP enrollment and a broker, and a for-profit van company needs DOR authority at $1.5 million
Article

How to Start a NEMT Business in Indiana (2026)

How to start a NEMT business in Indiana: DOR carrier authority at $1.5 million, IHCP enrollment, Verida, WellTrans and LCP, nursing-home rides, costs and order.

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Map of Missouri's 114 counties and the City of St. Louis: van companies don't enroll with Medicaid, and MTM books the state's Medicaid rides
Article

How to Start a NEMT Business in Missouri (2026)

Starting a NEMT business in Missouri: no Medicaid enrollment, MoDOT authority, Class E drivers, MTM's $2 million insurance bar, startup costs and launch order.

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Map of New Jersey's 21 counties: a state license for wheelchair van companies, and one broker booking Medicaid's rides statewide
Article

How to Start a NEMT Business in New Jersey (2026)

How to start a NEMT business in New Jersey: the health department's wheelchair van license, Modivcare's Medicaid network, costs and the order to launch.

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Google bills you by the click, but the number to watch is the interested caller, and a booked rider is what pays the ads back.
Article

What Google Ads Cost a NEMT Company, Per Caller

What Google Ads cost a NEMT company: about $2 to $3 a click and $10 to $20 per interested caller, plus what to set up first, a first budget and what to block.

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Map of Louisiana's 64 parishes with Orleans and Jefferson shaded: no state NEMT license, and one broker for every Medicaid health plan
Article

How to Start a NEMT Business in Louisiana (2026)

Louisiana has no NEMT license, but vans need for-hire plates and chauffeur-licensed drivers, and MediTrans books every plan's rides. Steps, costs, timing.

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Map of Illinois's 102 counties with Cook and the five collar counties shaded: no state NEMT license, and every Medicaid ride starts with IMPACT
Article

How to Start a NEMT Business in Illinois (2026)

Illinois has no NEMT license, but wheelchair vans need medical carrier plates, insurance on file and safety tests; Medicaid starts with IMPACT. Steps, costs.

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Two approval cards, your state's Medicaid enrollment and each broker's credentialing, beside the title How to become a Medicaid transportation provider.
Article

How to Become a Medicaid Transportation Provider (2026)

Medicaid trips usually need the state's approval and each broker's: which comes first in 13 states and DC, what each checks, how long it takes, why it stalls.

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Map of Michigan's 83 counties with Wayne, Oakland and Macomb shaded: no state NEMT license, and health plans hand out most Medicaid rides
Article

How to Start a NEMT Business in Michigan (2026)

Michigan has no NEMT license, but paid vans need LARA or MDOT registration, and health plan vendors hold most Medicaid rides. The filings, costs and steps.

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Five stacked layers labeled company paperwork, state authority, Medicaid and brokers, city and county, and drivers, beside the title NEMT license requirements.
Article

NEMT Business License Requirements: What You Actually Need

There's no national NEMT license. The approvals you need by state, van and payer, licenses that don't exist, what certification means and the order to apply.

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Three bars labeled state floor, broker contract and facility agreement, with a dashed line marking the tallest one as your NEMT insurance limit.
Article

NEMT Insurance: What It Costs and What Brokers Require

What a NEMT company must carry, who sets the limit (state, brokers, facilities), what a new company pays per van, when to bind it, and how to lower it.

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Map of Pennsylvania's 67 counties: no state NEMT license, and paid rides need Public Utility Commission authority
Article

How to Start a NEMT Business in Pennsylvania (2026)

Pennsylvania has no NEMT license, but most paid rides need PUC paratransit authority, and Medicaid rides run county by county. The filings, costs and steps.

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A route from the day-before call to the morning call to the rider's door: when you find out about a no-show decides what it costs.
Article

How to Reduce NEMT No-Shows (and Prove the Ones You Can't)

Who pays for a NEMT no-show, how to confirm broker, private-pay and facility trips so fewer happen, what a normal rate is, and how to prove the rest.

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Map of Ohio's 88 counties: no statewide Medicaid ride broker, and wheelchair rides to medical care need a state ambulette license
Article

How to Start a NEMT Business in Ohio (2026)

Ohio has no NEMT license, but paid wheelchair rides to medical care need an ambulette license and every van needs PUCO. The brokers, costs and steps to launch.

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Map of New York State from Buffalo to New York City: one Medicaid ride broker, MAS, whose letter comes first, and CDL drivers for ambulettes
Article

How to Start a NEMT Business in New York (2026)

New York has no NEMT license, but MAS, its only Medicaid ride broker, must back you before eMedNY will enroll you. Steps, costs and rules to launch.

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A NEMT startup budget for one wheelchair van turns on three cash lines: the van, insurance due up front, and six months of bills before payments arrive steadily
Article

How Much Does It Cost to Start a NEMT Business? (2026)

What it costs to start a NEMT business in 2026: a line-by-line budget for one wheelchair van, state fees, insurance down payments and a free spreadsheet.

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Map of WMATC's Metropolitan District across DC and its inner Maryland and Virginia suburbs, where one regional certificate covers paid van trips
Article

How to Start a NEMT Business in Washington, DC (2026)

DC has no NEMT license, but van companies need a regional WMATC certificate, and MTM still brokers fee-for-service Medicaid while Verida's award is protested.

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Map of the Minnesota NEMT market: no statewide broker, a metro enrollment freeze through January 2027, and MnDOT's STS certificate as the state license
Article

How to Start a Medical Transportation Business in Minnesota

The seven-county metro NEMT enrollment freeze runs to January 27, 2027, and the rest of Minnesota is open. MnDOT's STS certificate, DHS enrollment and rates.

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Colorado NEMT map with five cities: one broker statewide, enrollment reopened October 1, 2026, and a base rate of about $12
Article

How to Start a NEMT Business in Colorado (2026)

Colorado reopened Medicaid NEMT enrollment on October 1, 2026, and MediDrive takes every trip from January 1, 2027. Permits, insurance, and the steps to start.

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Ranked-list graphic for the best patient transport scheduling software of 2026, with the first-place bar highlighted in gold
Article

Best Patient Transport Scheduling Software (2026)

Patient transport scheduling software for hospitals, SNFs, and discharge planners, ranked for 2026: Ryde Central, Duet's free portal, Roundtrip, and more.

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Map of the Virginia NEMT market: a Medicaid-only DMV certificate, a separate authority for private-pay work, four broker doors instead of DMAS, and insurance tiers that count the driver
Article

How to Start a NEMT Business in Virginia (2026 DMV Guide)

Virginia's NEMT certificate covers Medicaid rides only. Which DMV lane to file, the $25,000 bond, insurance by seat count, the brokers, and startup costs.

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Map of the Arizona NEMT market: no statewide broker, fingerprint-level enrollment screening, and expressly legal stretcher vans
Article

How to Start a NEMT Business in Arizona (2026 AHCCCS Guide)

The AHCCCS freeze is over. The provider type 28 steps, the $750 fee and fingerprints, the $1 million insurance bar, startup costs, and who brokers each plan.

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Podcast thumbnail: host James O'Donnell, cofounder of Duet, and guest Harry Chambers beside the title Must-Haves for an NEMT Website over a screenshot of an NEMT homepage
Article

The 5 Must-Haves for an NEMT Website

Five things every NEMT website needs, from a digital marketing expert: service levels, a services page, live reviews, real photos, and a short quote form.

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Map of the North Carolina NEMT market: two statewide Medicaid brokers since the April 2026 plan merger, plus a county DSS fee-for-service lane
Article

How to Start a NEMT Business in North Carolina (2026)

North Carolina runs Medicaid rides through two statewide brokers plus a county DSS lane you can bill directly. The licenses, insurance, and enrollment steps.

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Map of the Florida NEMT market: no statewide Medicaid broker, rides run plan by plan through four vendor networks, permits set county by county
Article

How to Start a NEMT Business in Florida (2026)

No state NEMT license and no statewide broker: each Medicaid plan hires Alivi, Modivcare, MTM or Ride2MD. Enrollment, county permits, insurance and costs.

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Map of the Texas NEMT market: no statewide Medicaid broker since 2021, rides run plan by plan through three vendors
Article

How to Start a Medical Transportation Business in Texas

Texas has no NEMT license and no statewide broker. Medicaid enrollment, each health plan's ride vendor, insurance, startup costs and timeline.

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Map of the California NEMT market: the biggest Medicaid program in the country, no statewide broker, two enrollments
Article

How to Start a NEMT Business in California (2026)

California has no statewide Medicaid NEMT broker. The Medi-Cal enrollment steps, licenses, insurance, and county rules to launch a NEMT company in California.

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Map of the Georgia NEMT market: one statewide Medicaid broker, five regions, since April 1, 2026
Article

How to Start a NEMT Business in Georgia (2026)

Georgia has one statewide Medicaid broker since April 2026: Verida. The licenses, insurance, and enrollment steps to launch a NEMT company in Georgia.

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Podcast thumbnail: guest Rachel Scholler, founder of NEMT Growth Consultants, and host James O'Donnell, cofounder of Duet, beside the title How to Sell Your NEMT Service for 8 Figures
Article

How to Sell a NEMT Business for What It's Really Worth

Businesses selling under $2 million went for about 2 to 3 times owner earnings in mid-2026. What NEMT buyers pay for, what cuts the price, and how to prepare.

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Route from a facility meeting to steady trips: meet the desks that book, become the backup, pass the first-trip test, then the regular calls.
Article

How to Get Your First NEMT Trip From a Nursing Home or Rehab

The facility said yes, then nothing. Who actually books rides at a nursing home or rehab, what to bring and ask, and how to pass the first-trip test.

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U.S. tile map of 2026 Medicaid NEMT broker changes: states that changed by state or county decision, through a health plan, or with a change still pending
Article

NEMT Broker Changes in 2026: Who Runs Your State Now

The 2026 Medicaid NEMT broker switches, state by state and plan by plan, with dates and sources, plus what's still pending and how to keep your trips.

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Podcast card: How to Turn Your NEMT Drivers into Your Sales Force, with Marqus Johnson of Wheelchair and Stretcher Transportation of Tampa
Podcast

How to Turn Your NEMT Drivers Into Your Sales Force

NEMT coach Marqus Johnson on hiring drivers for soft skills, paying commissions on the facility business they generate, and giving top drivers a region to run.

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Live session card: The 20,000 Dollar NEMT Trip — planning and pricing long-distance NEMT trips
Podcast

The $20,000 NEMT Trip — How to Do Long Distance

Jeanine of SailorGirl Transport on multi-day, cross-state senior moves: vehicles, crews, regulations, pricing, and referral sources for long-distance NEMT.

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Podcast card: Building a Scalable NEMT Business from Day 1, with Ray and Mac of The Doctor Ride and One NEMT
Podcast

Building a Scalable NEMT Business from Day 1

Ray and Mac came into NEMT from real estate with tight systems and a private-pay focus. Two vehicles and 45 five-star reviews later, here's how they did it.

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Medical transportation booking management graphic with streamlined bookings and real-time trip updates
Article

The Trip You Haven't Booked Yet

The messiest part of NEMT dispatch deserves its own feature: how Duet's Reservations helps dispatchers handle interruptions and price shoppers.

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98 percent of clients Google you before they call — mock search results for NEMT providers on a laptop
Article

98% of private-pay customers Google you before they call

Learn how NEMT operators can grow private-pay bookings with better websites, Google visibility, reviews, and local SEO.

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Podcast card: Why Most NEMT Companies Struggle to Scale, with That NEMT Girl
Podcast

Why Most NEMT Companies Struggle to Scale (And How Duet Fixes It)

Why most NEMT companies struggle to scale, and how better dispatch, operations, and backend systems reduce chaos and support long-term growth.

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Podcast card: How to Lower Your NEMT Insurance Premium, with insurance broker John Kecskes
Podcast

How to Lower NEMT Insurance Premiums

Commercial broker John Kecskes on cutting NEMT insurance costs: underwriting factors, claims management, telematics discounts, and renewal-timing strategy.

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Podcast card: Secrets of Sustainable NEMT Growth, with Capital Area Transport Service CEO Eugene Gindin
Podcast

Secrets of Sustainable NEMT Growth

Capital Area Transport Service's Eugene Gindin on hiring, trip sourcing, and government contracts — and why 90% of NEMT owners fail (and how to avoid it).

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Title card for a NEMT cold calling script: ask who sets up transfers on the first call, ask for that person by name on the second, then ask for a meeting
Article

NEMT Cold Calling Script for Facilities: What to Say

A NEMT cold calling script for nursing homes and hospitals: who to ask for, what to say first, the fax move, the second call and the usual objections.

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Podcast card: How to Price NEMT Trips, with NEMT consultant Rachel Scholler
Podcast

How to PRICE NEMT trips to maximize revenue

Podcast from Duet: How to PRICE NEMT trips to maximize revenue.

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Podcast card: The Easiest Way to Cash Out on Stretcher Trips, with Broda's Ed Bandas
Podcast

The EASIEST way to Cash In on Stretcher Trips

Broda's Ed Bandas on the Traversa chair — switch between wheelchair and stretcher modes to unlock dual-service trips in any state.

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Podcast card: How to Triple Private Pay Trips, with Essio Digital founder Lana Becker
Podcast

How to triple private pay trips with a killer digital presence

ESSIO Digital's Lana Becker on growing online NEMT bookings through web design, SEO, and Google Ads — the playbook that drove 350% revenue growth.

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Podcast card: How the Biggest EV Fleet Saves Money, with LEAP Institute CEO Rey Leon
Podcast

How the largest EV fleet in NEMT saves money with electric vehicles

LEAP Institute's Rey Leon on running the largest electric-vehicle fleet in NEMT — operational benefits, cost savings, and what scales (and what doesn't).

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Podcast card: How to Cut NEMT Expenses by 10 Percent, with CarIQ's Khalid El Awady
Podcast

Fuel cards: cut NEMT expenses by 10%+

CarIQ Pay's Khalid El-Awady on using fuel cards to cut NEMT operating costs 10%+ through discounts, spend analytics, and fraud prevention.

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Podcast card: From 0 to 5 Vans in One Year, with Gentle Turns owner Paul Muench
Podcast

From 0 to 5 vans in one year

Gentle Turns owner Paul Muench on launching an NEMT service from scratch and scaling to 5 vans in 12 months — pricing, marketing, and lessons learned.

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Webinar card: How to Succeed in Private Pay, with Harry Chambers
Podcast

How to succeed in private pay: an NEMT discussion

Webinar with digital marketing expert Harry Chambers on assessing the private-pay market, attracting clients, and retaining them through smart digital marketing.

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Podcast card: How to Pick the Best NEMT Vehicles, with 42 North president Michael Shank
Podcast

How to pick the best NEMT vehicles

Choosing and financing NEMT vehicles with industry vet Michael Shank: full-size vs minivan, new vs used, rear vs side entry, and lease/loan tradeoffs.

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TTA Driving Value webinar card: Succeed in NEMT Services, March 14, 2025
Podcast

Succeed in NEMT services

The Transportation Alliance webinar with Duet cofounders on five key actions to launch or scale a successful NEMT operation across multiple states.

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Riders seated inside a medical transport shuttle
Article

Do You Dispatch Or Schedule?

Real-time dispatching beats static scheduling for NEMT profitability. How dynamic optimization cuts idling, lifts vehicle utilization, and grows margins.

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Busy city street filled with vans and delivery vehicles
Article

Reporting And Billing Are Vital To Your Cash Flow Management

Why billing and reporting are vital to NEMT cash flow. Cover costs, balance high-margin trips, and accelerate invoice-to-payment with the right software.

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NEMT driver behind the wheel of a transport vehicle
Article

Driver Management Made Easy

Schedule shifts, track clock-in/out by GPS, manage appointments, and automate payroll reports — how Duet makes NEMT driver management effortless.

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