California NEMT Guide (PDF)

Pearlzz NEMT Startup & Operations Guide

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

This California-specific guide is designed for beginners through two years in operation, offering step-by-step instructions, compliance requirements, and practical tools to help you build and scale your NEMT service.

✅ What’s Inside:

• Business registration requirements (Secretary of State, EIN, NPI)
• Medicaid enrollment steps and Medi-Cal Provider Enrollment details
• 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, inclement weather
• 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

📦 Includes the Pearlzz Startup Kit:

• State-specific NEMT Guide (PDF)
• Driver Onboarding Checklist (Word)
• Driver Physical Exam Form (Word)
• Background Check Authorization (Word)
• HIPAA & Confidentiality Agreement (Word)
• Accident Report Form (Word)
• Driver & Trip Logs (Excel)
• DHCS 50-1 TAR Form (PDF)