If you're in the NEMT industry — or considering getting into it — one of the smartest things you can do is learn from people who are actually building and operating real businesses. There are many free resources  available across the industry that help answer day-to-day questions, introduce industry language, and give insight into how other providers operate. These resources are valuable. They help people learn, explore the space, and understand the basics of how NEMT works.

If you’re asking “How do I get NEMT operational consulting?” , you’re already ahead of most people entering the industry. Non-emergency medical transportation is not a plug-and-play business. It’s a regulated, compliance-driven industry that requires structure, planning, and operational systems. Most providers don’t struggle because they lack motivation — they struggle because they lack guidance, industry-specific knowledge, and a clear operational roadmap. Operational consul

One of the biggest early decisions in starting or scaling a non-emergency medical transportation (NEMT) business is vehicle selection. New vs used. Minivan vs transit van. Wheelchair vs stretcher capable. Ramp vs lift. These choices impact insurance, operations, maintenance, compliance, service capability, and long-term profitability. There isn’t a single right answer—and that’s where many providers go wrong. Vehicle decisions are often made based on budget alone instead of b

Insurance is one of the most misunderstood and underestimated parts of starting and scaling a non-emergency medical transportation (NEMT) business. It’s also one of the most critical. Without proper coverage, a provider is exposed to financial, legal, and operational risks that can shut a business down before it ever stabilizes. NEMT insurance is not the same as standard commercial auto insurance. It’s a specialized space that requires carriers and brokers who understand medi

Starting a non-emergency medical transportation (NEMT) business can be a strong opportunity, but it’s not a simple “buy a van and start driving” operation. NEMT is a regulated industry that involves compliance, licensing, insurance, training, operational planning, and long-term infrastructure. There are many different paths to starting an NEMT company. Some providers start with private pay, some focus on facility contracts, some pursue broker relationships early, and others b

Running a non-emergency medical transportation business requires more than just managing trips and drivers. Behind the scenes, payroll plays a major role in stability, compliance, and long-term growth. From different pay structures and overtime rules to mileage reimbursements, contractor classifications, and tax filings, payroll in the NEMT industry comes with real operational complexity. As consultants working directly with NEMT startups and established providers, we consist