How to Launch an NEMT Business in Delaware: A "Bambi Knows Best" State-by-State Series Part 3: Navigate Delaware’s Regulatory Landscape and Secure Insurance Starting an NEMT business in Delaware? By now we assume so, even though it’s not always good to do so, but if you’ve already to committed to making it this far in our series, you mean serious biz — and for that we’d like to say, that’s the Bambi spirit! But before you hit the road, you’ll need to master Delaware’s regulatory red tape, first. Don’t be scared, though. We’re here to help you hoof by hoof. Here’s your guide from Bambi Knows Best to help you navigate state rules, secure the right insurance and ensure your business is ready to go in the First State:
1 | Understand Delaware’s NEMT Regulations
To operate an NEMT business in Delaware, you must adhere to regulations set by the Delaware Public Service Commission (PSC) and the Delaware Division of Medicaid and Medical Assistance (DMMA) . These rules cover everything from driver qualifications to vehicle safety standards. Compliance is key to ensuring your business operates safely and smoothly across Delaware.
2 | Follow Federal NEMT Standards
In addition to in-state regulations, your NEMT business must comply with federal standards from the Centers for Medicare & Medicaid Services (CMS) , especially if you’re providing Medicaid-funded rides. These guidelines ensure that your operations meet national standards, keeping you aligned with both state and federal requirements.
3 | Secure the Right Insurance
Insurance is essential! So we suggest you work with providers who specialize in NEMT to obtain coverage that meets Delaware’s state and federal requirements. Key coverages that you’ll need include liability insurance, vehicle insurance and specialized protections for medical transport services. This step ensures that your business, team and those dear patient passengers are protected from any unforeseen events.
4 | Obtain Necessary Licenses and Permits
Make sure you acquire all required licenses and permits to operate legally in Delaware. The Delaware Public Service Commission handles transport permits, while local agencies can provide information on additional licenses specific to your NEMT operations. Covering all these Bambi bases will keep your business running smoothly without unnecessary regulatory roadblocks.
5 | Know Your Employer Responsibilities
As your business grows, it’s good to be aware of your responsibilities as an employer in Delaware. This includes workers' compensation, unemployment insurance and compliance with hiring regulations. The Delaware Department of Labor and the Delaware Division of Revenue are excellent resources to help you manage these obligations, ensuring your team is protected and you remain a completely compliant and kind-hearted employer.
By familiarizing yourself with Delaware’s regulatory landscape and securing the right insurance, you’ll be set for a successful NEMT business. Stay on top of compliance, and you’ll be on your way to serving communities across the First State with confidence.
Ready for your next step? Jump to Part 4 , where we’ll explore funding options for your NEMT business in Delaware. Or head back to our table of contents for more insights to guide your NEMT journey!
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