Arkansas NEMT Guide (PDF)

Pearlzz NEMT Startup & Operations Guide

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

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

✅ What’s Inside:

• Business registration requirements (Secretary of State, EIN, NPI)
• Medicaid enrollment steps and broker/fiscal agent contacts
• 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