The Pearlzz Hawaii NEMT Guide PDF

Pearlzz NEMT Startup & Operations Guide

Pearlzz equips entrepreneurs and operators with the resources and knowledge to launch and grow successful Non-Emergency Medical Transportation (NEMT) businesses.

This Hawaii-specific guide provides step-by-step instructions, compliance requirements, and practical tools tailored for beginners through two years in operation.

✅ What’s Inside:

• Business registration requirements (Hawaii Business Express, EIN, NPI)
• Medicaid enrollment steps through Hawai’i Med-QUEST Division (MQD)
• Vehicle and insurance requirements (ADA, commercial auto, liability)
• Driver requirements: background check, HIPAA training, CPR/First Aid, physical exam
• Sample policies: accident protocol, HIPAA compliance, driver conduct
• Training tools: onboarding checklist, passenger securement, tropical climate driving
• Billing guidance: Medicaid codes, trip logs, payment timelines
• Marketing basics: approaching dialysis centers, senior homes, hospitals
• Financial tips: cost-per-mile breakdown, fuel savings strategies

🌐 Special Notes (Hawaii):

This edition includes a special section on inter-island NEMT:

• Medicaid beneficiaries often require air or ferry transport for medical appointments not available on their home island.
• Providers coordinate with ModivCare and, when needed, with air/ferry vendors for inter-island servic