Montana NEMT Provider Guide
Montana regulates NEMT via Montana Medicaid with some of the nation's most advanced EVV and data integrity requirements.
The State & Broker Landscape
Montana administers NEMT directly (no third-party broker). Providers enroll with Montana Healthcare Programs and bill the state or county Medicaid agency directly on a Fee-For-Service basis.
Active brokers listed by Elite Med Financials for Montana: Mountain-Pacific Quality Health.
Credentialing requirements differ across brokers. Verify which broker covers which population (FFS vs. MCO, geographic zone) before submitting your Letter of Intent.
Primary Brokers in Montana
Mountain-Pacific Quality Health
State-contracted broker (no MediRoutes partner page available).
Provider Requirements & Credentials
Business Credentials
- State Secretary of State business registration and IRS EIN
- Local business license and commercial bank account
- Minimum insurance: General liability ($100,000) and automobile liability ($25,000 per person / $50,000 per accident / $25,000 property damage). Brokers often require higher commercial limits.
Driver Credentials
- Drivers typically must be 21+ (25+ for many brokers) and hold a valid state-issued Chauffeur / Class D or CDL license.
- Pass criminal background check, motor vehicle record (MVR) review, and drug screen.
- CPR / First Aid and defensive driving certifications as required by broker.
Vehicle Credentials
- Pass broker-mandated safety inspections.
- Wheelchair and stretcher vehicles must be ADA-compliant with proper securements.
- Most brokers prohibit pickup trucks and two-door sports cars.
The Enrollment Process
- Name Verification: Verify your business name with the Montana Medicaid / Health Standards NEMT Program Desk.
- Submit Letter of Intent: Send a Letter of Intent or Request for Qualifications to each of the state's primary brokers.
- Medicaid Portal Enrollment: Register your business at the Official Montana Medicaid Provider Portal.
- Credentialing: Submit driver backgrounds, insurance certificates, and vehicle lists to your brokers.
- Inspection & Training: Pass fleet inspections and complete broker-mandated compliance training (HIPAA, ADA, defensive driving).
Financials: Rate Sheets & Billing Submissions
Montana uses a Base Fee + Loaded Mileage framework — providers bill a per-trip base rate plus a per-mile rate for loaded miles only. Rates negotiated with brokers cannot drop below state Medicaid minimums. The table below reflects typical 2025 reimbursement ranges compiled by Elite Med Financials.
Rate Sheet — Typical Reimbursement Ranges
| Service Level | Per Trip (Base) | Per Loaded Mile |
|---|---|---|
| Ambulatory | ~$28 | $1.50-$6.00 |
| Wheelchair | ~$55 | — |
| Stretcher | — | — |
Billing Submissions
Drivers log exact pickup/drop-off times, GPS-captured mileage, and electronic signatures on every leg. Claims submit through the broker's portal — typically within the state's timely-filing window shown in Quick Facts. Clean claims pay in 7-14 business days via bi-weekly direct deposit on most broker platforms.
Diversified Revenue Opportunities
- Correctional: Check Montana DOC for 'Administrative Medical Transfer' bids.
- VA: Contact local VA Medical Center Mobility Manager.
- Mental Health: Fast-growing segment at 10.11% CAGR.