Start a Dialysis-Only Recurring Transport Service

1. 1

   License and insure for NEMT

   Get the non-emergency medical transport permit your state and locality require, commercial auto and liability insurance, and drivers trained and vetted for patient transport, including wheelchair handling if you carry non-ambulatory patients. This is the standard NEMT licensing floor. Complete it before approaching clinics that will ask for insurance certificates.

2. 2

   Enroll with Medicaid, brokers, or set private pay

   Dialysis transport is funded through Medicaid NEMT benefits, managed-care and broker networks, Medicare Advantage supplemental benefits, and private pay. Enroll where your patients' coverage sits, and understand each broker's rates and rules. The payer mix determines your economics, so know it before you commit to a clinic's volume.

3. 3

   Build standing relationships with dialysis centers

   Dialysis clinics run patients on fixed weekly schedules and need reliable transport partners because a missed ride means a missed treatment. Meet clinic social workers and administrators who arrange patient transport and become their dependable option. A single clinic can hand you many patients, each riding three times a week.

4. 4

   Master the standing-schedule operation

   The niche's superpower is predictability: the same patients, the same days, the same times, indefinitely. Build tight routing so one vehicle serves multiple patients per shift, and treat on-time reliability as sacred because these rides are medical necessities. High utilization on standing schedules is what pushes margins to the top of the NEMT range.

5. 5

   Document medical necessity for clean billing

   Recurring non-emergency transport often requires documented medical necessity and physician certification for the claims to pay. Set up the paperwork with the clinic so every standing ride is billable. On a recurring, high-volume model, small documentation gaps multiply into large denied revenue.

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