Pearlzz Rhode Island NEMT Guide (PDF)

This guide equips entrepreneurs and providers with everything needed to start and grow a compliant NEMT business in Rhode Island. Inside, you’ll find step-by-step instructions for business registration, Medicaid enrollment, vehicle and driver requirements, and billing guidance.

The Rhode Island NEMT system is managed by MTM, and this guide includes direct links to enrollment, the MTM provider portal, and support contacts. A Special Section explains prior authorization timeframes, recurring trip rules, and out-of-area requirements.

Bundled with the guide is a complete Startup Kit featuring driver onboarding checklists, HIPAA forms, accident reports, trip logs, and best practices to avoid denials—ensuring your business is prepared from day one.