Maryland NEMT Guide

📄 Maryland NEMT Guide Description

Pearlzz NEMT Startup & Operations Guide

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

This Maryland-specific guide is tailored for those in their first two years of operation, offering step-by-step startup instructions, compliance requirements, and practical business tools.

✅ What’s Inside:

• Business Setup – how to register with Maryland Business Express, obtain an EIN, and apply for an NPI.
• Medicaid Enrollment – provider registration through Maryland Medicaid.
• Vehicle & Insurance Requirements – ADA-compliant vehicles, commercial auto, liability, and workers’ comp.
• Driver Requirements – background checks, drug tests, CPR/First Aid, HIPAA training, and physical exam.
• Billing Guidance – Medicaid reimbursement process, trip logs, and required documentation.
• Sample Policies – accident protocol, HIPAA compliance, and driver conduct.
• Marketing Basics – approaching dialysis centers, senior homes, and hospitals.
• Financial Tips – cost-per-mile breakdown, fuel savings, and Medicaid payment timelines.

🌐 Special Notes (Maryland)

Unlike most states, Maryland’s NEMT is managed by Local Health Departments (LHDs), not a single statewide broker.

• Each of the 23 counties plus Baltimore City operates its own NEMT system.
• Providers must coordinate directly with the LHD serving their county.
• A complete Excel directory of all 24 jurisdictions (with phone numbers & links) is included in your startup kit for quick reference.

👉 This guide ensures you have the compliance foundation, operational checklists, and broker contacts to succeed in serving your community while building a sustainable business.