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To become a Medicaid transportation provider, you need to follow these key steps:
  1. Meet basic requirements:
  • Obtain necessary business permits and licenses1
  • Secure appropriate insurance coverage, including general liability, vehicle insurance, and worker's compensation1
  • Ensure you have valid driver's licenses for all drivers2
  1. Complete NEMT (Non-Emergency Medical Transportation) business requirements:
  • Set up your NEMT business operations
  • Acquire suitable vehicles for transportation
  • Implement NEMT software for efficient scheduling, routing, and billing1
  1. Apply to your state's Medicaid program:
  • Each state has different regulations, so research your specific state's requirements1
  • Submit a medical transportation provider application to your state's Department of Health or relevant agency1
  • Undergo any required background checks3
  1. Enroll as a Medicaid provider:
  • Complete the enrollment process through your state's Medicaid system
  • Provide all required documentation, which may include proof of insurance, vehicle registrations, and driver certifications34
  1. Contract with transportation brokers:
  • Many states use brokers to distribute Medicaid transportation trips
  • Identify and contract with the appropriate brokers in your area15
  1. Complete required training:
  • Once approved, receive training on program eligibility and billing/invoicing procedures3
  1. Comply with ongoing requirements:
  • Maintain all necessary licenses, insurance, and certifications
  • Adhere to Medicaid regulations and standards for transportation services
It's important to note that requirements can vary significantly by state. Some states may have additional steps, such as obtaining a surety bond or undergoing site visits, especially for certain provider types considered higher risk5. Always check with your state's Medicaid office for the most up-to-date and specific requirements.




Author: The Travae Willis Channel



Key insights

  • Life should be about sharing the skills and experiences we acquire with others, making the world a better place.
  • Every state has different rules and regulations for Medicaid transportation, so it's important to check behind yourself and not assume it's the same everywhere.
  • ️ Medicaid requires thorough investigation and compliance with regulations to prevent fraud, abuse, and waste.
  • Medicaid lowballs clients and doesn't pay them the money they should get paid.
  • Being greedy with Medicaid is not worth it, it's better to charge a decent amount, make money, and grow your business while being careful and mindful of the rules.
  • Understand the transportation system and the value of your services before engaging with third parties to avoid being taken advantage of.
  • The speaker expresses pride and support for those who take a leap of faith to start their own business in the transportation field.
  • 🧠 I'm still in another process. I've been in this game for about seven years. Now. So it's a learning process every day.

Timestamped Summary

  • 00:00 Share your skills and experiences, stay humble, and live your life to the fullest.
  • 02:35 Medicaid transportation services not provided due to focus on private pay clients and existing contracts, with emphasis on checking state-specific requirements.
  • 05:12 Medicaid transportation requires a fee and thorough investigation for compliance, with approval or disapproval sent in two weeks.
  • 06:56 Medicaid transportation providers are transitioning to working with brokers like Procare, potentially resulting in lower payment, and there are specific regulations for charging Medicaid recipients in North Carolina.
  • 09:58 Be cautious about overcharging Medicaid or Medicare as they have the power to prosecute and hold liable those who defraud them.
  • 12:00 Be cautious of brokers offering Medicaid transportation, set fair rates considering business costs and market average, and be wary of being taken advantage of when signing with different companies.
  • 15:00 Provide great Medicaid transportation services, stay consistent, and make an impact in the community; the speaker offers support and guidance, encourages individuals in the transportation business, and advises to take what works for you and leave the rest.
  • 18:33 Always learning and sharing new things about Medicaid transportation, thankful and appreciative of the support.

Video Full Text

  • 00:00 Hey youtubers how you doing good morning. It is a wonderful day. It is on thursday um and I am having a great morning. It is a beautiful day on the outside even though it's cloudy but today is a beautiful day and today is going to be a great day um. I hope you guys have a wonderful productive day be encouraged on today. Know that today is a new day for you to go out there for your new adventures and a new day to be successful. Even the more than where you were yesterday. I am very excited. I'm very thankful. I'm very appreciative of all the feedback and the love that I get on social media um the love. I get on youtube and I just uh you know. I'm humbled because you guys look at me as you know someone to go to for good advice and like. I stated before and I'm gonna continue to tell you to this to the day. I leave this earth. I don't know everything. I'm not claiming to be something that I'm not. I'm just being able to be in position to help you guys to be a willing vessel to be an instrument uh a vital tool um and just share experiences. That's what life is all about um. You know life should be about whatever skill set you learn whatever tool you acquire in your life take that tool take that skill set and share it with somebody else um. If we can all manage to do that the world will be a much better place um so like. I say I just stay low and humble and uh just be here for you guys. I enjoy every segment that I do I enjoy being able to be in communication with you all and to just share different life experiences um as you guys know. I'm not just a motivator when it comes down to the non-emergency medical transportation field um just a motivator in life in general um. So not only am I going to give you guys advice for the non-emergency medical transportation field. It's going to be life advanced uh life. Um advice as well for is how you may feel about doing certain things. Whatever is you know you may feel have fear in your life about going to the next level wherever it's you know you're not interested in doing your own business with your working job. You know have the courage to go to the next level with your job family life um spiritual life whatever the case may be do what's best for you love your life live your life. You only got one life to live with that being said um.
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  • 02:35 I'm coming to you this morning about a segment uh basically about medicaid because I know in a lot of my videos. I don't talk a lot about medicaid do. I have knowledge about medicaid. I do but I don't my company does not do medicaid and not saying that we would never not do medicaid. But at this moment we don't do medicaid. We've never done medicaid. I do have experiences with medicaid um. But we don't do medicaid because when we came to the time to do medicaid our private pay base blew up and then the contract base that we had agreements. It was um to the point where they were building medicaid for us now I've helped. Some people get medicaid started and one thing about it. You have to realize is. It's not much really that I could do for you with medicaid for his advice if you're in another state. There's some things that I may just don't know because the state rigs for a lot of the things are different in other states. Virginia is different from north carolina north carolina may be different from south. Carolina. Nebraska may be different from new jersey so every state has its different um rules and regulations. What I want to say is. I can tell you what north carolina does for his medicaid um but for is taking that advice and going to another state and applying it. It may be similar but at the same time you want to check behind yourself. You know what what I say on this video because I can tell you about north carolina but as I mentioned another state is different um so and I'm not the type of person where I'm gonna say tell you. One thing would say hey this is what you need to do for new jersey. This is how new jersey does it no. This is not what new jersey does because I don't live in new jersey and I don't have all the regulations for new jersey or you know rhode island or massachusetts or any of those other states um boys with medicaid um as you know um every state. Every city has at least a transportation provider that does medicaid um with north carolina with our medicaid system. You have to go through a series of steps and the first step you do with north. Carolina is you have to apply um to do medicaid and that's basically putting in your uh your application through a um nc tracks once you put your application in through nc tracks.
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  • 05:12 You have to pay like a well to process it. You have to pay. I believe. It's a 600 some dollar fee to process it. Now the prices went up a lot more than what it used to be whenever. I was um you know starting out in the business used to be a whole lot cheaper. But now it's a lot more expensive and I do have friends in the nemt business that do medicaid um but not. I don't do medicaid. Uh what happens is my uncle had asked me to help him do medicaid to help him get started and I helped him two years ago. I just told him the basics and things like that so he put the application in he paid the fee um so medicaid. Nc tracks assigned a third-party investigator uh to come in the house or the place of business to do like a um investigation and what that does is they're making. Sure you got your blood-borne pathogens making sure um all your. Uh. You have your employee files up to date. I get insurance you know cpr training. The thing is when you're if you want to do medicaid you have to have your file set up making sure you know um have a policy procedure manual in place uh no basically common sense. A lot of the stuff that medicaid is asking is common sense. They want to make sure it's not going to be any fraud abuse and waste going on making sure you don't know how to build them and everything like that. Once they do the third-party investigation they leave your um your home. Uh then they what they do is. They will send you like a letter in two weeks to let you know if you approve or disapprove um. You know they can improve you for some reasons. Uh you know if some things are not in place but you can like. I said you can redo it again.
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  • 06:56 Uh once you do that then it used to be with uh with wake county and raleigh um you do a proposal um with the county and then you take that medicaid number that you have and you build medicaid system for the recipients that you transport now as I noticed and I've noticed this in the last couple years. Things are starting to try to transition over to what they call brokers a lot of the brokers like procare and places. Like that they are soaking up. A lot of the counties are are utilizing them to do all their medicaid. You got to be careful there because in the event if you were a um provider and you were building the county itself. You would get paid a whole lot more because it would be a contract based of you versus you and them you say. I had a contract with wake county. It would be me rdu medical transport con in contract with wake county. Now. It's changed because the brokers are the third party so what's happening is. It's going to be you in contract with procare or whoever the broker is now. I do know from personal experiences dealing with uh clients that have did medicaid that I have assisted with they lowball them. They don't pay them the money that they should get paid as if they were doing. This trips between them and the county or the organization another thing is. I had an uncle that took out that dead medicaid um and what he was trying to do was start the transportation business up and build the medicaid recipient directly to them. We found out that there was a clause to that because you can't necessarily just sign up for medicaid um and then let's just say mr billy down the street needed to get the dialysis you know x amount of times a week. We found out that you have to have a pre-authorization to uh charge the recipient in north carolina. That's what I was told. That's what I've learned. I'm basically off of dealing with my uncle as being a client and another uh individual being a client in my um mentoring firm so like I stated just check behind yourself um. This is the experiences that I have learned so I'll still do your homework. Uh still call the county um because a lot of them are trying to shift away and maybe still some counties that do um contract with medical transportation providers. But a lot of them are trying to get away from that and go strictly to brokers because they want to leave all the um. The headache and the stress on the brokers versus them dealing with all the headache so like. I stated uh that's what I found out um still do your research on it just to clarify that what I'm saying is correct um but that little information that I do know uh.
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  • 09:58 I wanted to share with you another thing though I'm gonna tell you guys. I want to share this with you. If you do become a medic. A medicaid provider or medicare please be very careful. Please don't get to the point where you guys get greedy and um starting to overcharge them if the county does allow you to build them. That's simply. The fact of there is two people. I do not like to deal with when it comes to business. That is the irs and medicaid. Medicaid has the same power pretty much as a law enforcement organization if you defraud medicaid if you charge them more than what you are they are allocating for you to charge. They can hold you liable for that and they can prosecute you um trust me. I do know for rough hands off of somebody else that a friend of mine that got caught up in that system um you know they were in this game of transportation way before I came along and uh they you know they started building medicaid um. They're more or less in the asheville area um not can't call no names without respect but they were in the asheville kentucky area um asheville tennessee area and they were charging more than allowed for that and they got in trouble for it so just be careful with medicaid because being greedy is not worth it um just charge them. A decent amount make your money and you know grow your business. Medicaid is a good tool to utilize to grow your business as well. Um. Your business can't become a multi-million dollar business dealing with medicaid but as I mentioned over and over again be careful be careful and also just a word of wisdom word advice. If you do decide to deal with the brokers the third party people dylan they have that medicaid contract do not let them lowball.
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  • 12:00 You you put them in the position to where they need you you don't need them. Um don't be thirsty when it comes down to wanting a lot of trips because a lot of times um not calling out any broker but a lot of times they'll present this fancy-looking meal on the plate. So we can give you x amount of trips but they're only going to be paying you 40 for a wheelchair trip or 15 for an ambulatory trip. When knowing that you're worth a lot more than what they are offering you on the table and that's the thing about these brokers you know they're good but you got to be careful because a lot of them are presenting to you um false hopes and when I say false hopes is. They're telling you that you can make all this kind of money doing this and doing that but at the end of the day you're really not making any money you know you're doing all these trips you're running across town. Gas prices are high but you're not really making any money because of the fact of they're not giving you any money lowballing the whole objective for them is to keep money in their pockets um so you really need to know the system before you um engage with the third parties because looking coming in the game. The the transportation game them offering you this and offering you that and putting numbers on the table saying you can do all these trips a day. It sounds good but at the end of the day is the money going to line up with um you paying your bills and paying your drivers um me with my company. Even with my private pay. I try to make it affordable for everybody but at the same time being able to be able to pay our bills with our company. Pair drivers gas fuel tear-ups and all that type of stuff uh try to make it fair because at the end of the day uh you know people or hurting to get to the doctor. Not saying I can give away a trip for five dollars but at the same time you just gotta really price it out. Right you know what your scheme of your business is gonna. Be you know how what it's going to need for you to survive and what it's going to need for you to take to run your day-by-day operations. You may be in another part of the region that I am and cost of living may be a little bit higher. I don't expect you to live in atlanta and charging cheap rates. You know are compromising rates just to be able to get the business. Everybody's situation is different so that's what I'm saying north carolina you can get away with some things or is charging um a little less. But when it comes down to other states there's possibly no way you can do what we do here in north carolina if that's the case um so just be mindful of that and like. I said just play with your numbers um and look at the market average. The industry average and all that type of stuff and go from there um. That's the only thing I can tell you um just be careful and um use wisdom and be use some discernment when you're signing on with different companies because you don't want to be taken advantage of and at the end of the day they're making out like a fat cat.
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  • 15:00 But that's all I got to say um. I hope you guys are having a fantastic day hope you guys become over achievers. I um play some blessings over your life um and uh wishing much success to all of you guys and I want you guys to succeed and do very well to the point where you thrive leave. A legacy for your children your loved one um you know and you know something guys let me tell you. This there's nothing that is not a greater feeling than riding down a road and seeing one of your vans going down the road transporting somebody to the doctor. There's not a greater feeling to being recommended by someone for your services because you did a great job that's a great feeling right there to know that you're making an impact in the community and you've seen your rolling billboard going down the street or somebody thinks enough of you to call you and say hey um. We got a recommendation from you from blah blah. Blah blah blah say um can you do this. It's a great feeling um. You guys are going to be to that point where if you stay consistent stay rooted and grounded and you don't give up you're going to find your name going to higher heights and deeper levels. It's going to go so far to the point where you're going to have that smile on your face. When you realize that all the good hard work paint is paying off. The late nights are paying off the money that you spent out your personal accounts paying off um the sacrifices you made on the weekends. To make this business. A success is paying off um so like. I said I'm proud of you guys you're probably saying why are you proud of us. You don't know us anybody that takes the leap of faith to go out on their own in their own transportation field. I am proud of you um one thing. I can always say about me. I never had a hate in my bones when it comes down to someone else thriving and doing what's right if anything. I'm gonna leave this with you and log off if nobody is ever in your corner if you do not have a cheerleader in your life. If there's nobody that believes in you you can always find confidence in me that I will believe in you. I will always sow into you. I don't care if you call me 15 times a day or text me 15 times a day. You will have a cheerleader on your squad because there's nothing greater than um someone taking a leap of faith to go on their own and do their own thing. Another thing too is um. I don't know you you don't know me. So. There's the confidence is there. The um confidentiality is there um. I'm never going to share um personal information until it has manifested and it's done um so keep that in your back of your mental process. But I'm going to encourage you. I'm going to push you to greater greater places um. I'm going to continue to do these videos. I'm just. I'm just happy. I'm happy about these videos. It's not all about trying to get as much subscribers um. It's just all about being a mouthpiece and sharing the knowledge and the wisdom with you guys so that you guys can take it back to your um place of residency and where you plan on originating your dreams at and utilizing it. You may not agree with everything that. I say but it's okay to agree to disagree because a lot of the stuff. I may say might not be beneficial to you. But you can take little nuggets and stuff and take it back and run with it. That's all. I can say at the end of the day.
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  • 18:33 I'm still human. I still learn. I'm still in another process. I've been in this game for about seven years. Now. So it's a learning. It's a learning process every day. I learn something new every single day and then whenever I learn something. I'm going to come back and share it with you um. So I hope you guys have a wonderful day um. I'm thankful for you all. I'm very appreciative. I'm very humble thank you for all you do and thank you for believing in me. This is trey willis. I'm out have a wonderful day guys.
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