Compliance is what protects your contracts and your claims. This guide covers the areas most NEMT providers are checked on, and how to keep records ready for an audit.
Ride Assist teamUpdated September 20269 min read
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Compliance is what protects your contracts and your claims. This guide covers the areas most NEMT providers are checked on, and how to keep records ready for an audit.
Ride Assist teamUpdated September 20269 min read
Vehicles usually need regular safety inspections, working lifts or ramps, securement systems for each wheelchair position, first aid kits, fire extinguishers, and clean interiors. Keep inspection records and maintenance logs for every vehicle.
Riders with disabilities must get equal service. That means accessible vehicles when needed, trained drivers, and assistance that matches the level of service in the rider’s authorization, such as curb-to-curb or door-to-door.
Trip records contain health information. Limit who can see rider details, use secure systems instead of personal texts, and train staff on what they can and can’t share.
Most denied claims and failed audits come down to missing trip details. Every trip should record pickup and drop-off times, mileage, the vehicle and driver, the level of service, and the rider’s signature.
Requirements differ by state and payer. Always check your state Medicaid provider manual and broker contracts for the rules that apply to you.
Most payers require a valid license, clean driving record, background check, drug screening, and training in CPR, first aid, passenger assistance, and wheelchair securement.
Driver and vehicle files, insurance certificates, and trip records with times, mileage, level of service, and rider signatures.