How to Start an NEMT Business in New Hampshire: A "Bambi Knows Best" State-By-State Series Part 1: Research the New Hampshire NEMT Market Before diving into New Hampshire’s NEMT market, it’s vital to grasp the state’s healthcare and transportation framework. From the vibrant streets of Manchester to the peaceful shores of Lake Winnipesaukee, New Hampshire’s diverse geography and population density create a range of opportunities for NEMT services. Here’s how to find your niche in the Granite State’s NEMT landscape:
1 | Identify Existing NEMT Providers in New Hampshire
Get to know the competition and potential collaborators! New Hampshire’s Medicaid program oversees Medicaid-funded NEMT services, working with brokers to meet both federal and state standards. Major NEMT providers include:
Modivcare: A leading broker that coordinates transportation for Medicaid recipients.Local Providers: Numerous local companies offer specialized NEMT services, particularly in suburban and rural areas. Research county-specific providers to understand the competitive landscape.Uber Health: Available in select New Hampshire cities, providing HIPAA-compliant ride scheduling for medical appointments.Utilize local directories, state resources and online listings to identify other NEMT providers across the state, especially in healthcare hubs like Concord and Nashua.
2 | Assess the Demand for NEMT Services
New Hampshire’s aging population and comprehensive healthcare system create a steady demand for NEMT services. For current information, connect with the New Hampshire Department of Health and Human Services. Key areas and facilities to explore include:
Senior Care Facilities: New Hampshire has a strong network of nursing homes and assisted living facilities, particularly in cities like Manchester and Concord.Dialysis Clinics: Major providers operate several dialysis centers statewide, with frequent transportation needs for patients.Physical Therapy Centers: Numerous physical therapy clinics across New Hampshire present opportunities for patient transport services. Consult the New Hampshire Physical Therapy Association or local healthcare providers for more specifics.Hospitals: The state is home to respected hospitals generating high volumes of patient transport needs.Outpatient Clinics: Many outpatient centers, especially in urban areas, rely on NEMT services for patient transport. The New Hampshire Hospital Association can provide lists of these centers.3 | Decide on a Target Market
Tailor your NEMT services to meet the specific needs of New Hampshire residents. Focus on key demographics such as the elderly, individuals with disabilities, or those with chronic conditions requiring regular medical appointments. Identifying a target audience will refine your marketing efforts and ensure your services align with the state’s unique healthcare demands.
4 | Choose Specific NEMT Services
Consider which NEMT services best align with New Hampshire’s needs. Whether it’s transportation for routine medical visits, dialysis appointments, or mobility solutions for seniors, carving out a niche will help your business stand out. Urban environments may have different demands compared to the more rural areas of the state.
5 | Understand Medicaid Delivery Models in New Hampshire
New Hampshire operates under a Managed Care model, where Medicaid contracts with brokers to coordinate NEMT services. Understanding how Medicaid manages payments and service coordination is crucial for successfully running your NEMT business.
Key facts about New Hampshire’s NEMT system:
NEMT Model: State-managed brokerage with oversight from Medicaid.Operating Authority: Medicaid’s Managed Care model integrates NEMT services through contracts with approved brokers.NEMT Expense Classification: Considered a medical expense under Medicaid.Poverty Rate: Roughly 7.3% of the population lives below the poverty line.Urban Population: About 40% of New Hampshire residents live in urban areas.Estimated Annual NEMT Expense: $25 millionEstimated Annual NEMT Trips: 1 million6 | Getting Paid
In New Hampshire, payments for NEMT services are primarily managed through Medicaid and its contracted brokers. Here’s how to ensure you get compensated:
Medicaid Managed Care: NEMT providers are reimbursed through the state’s Medicaid system.Brokerage Contracts: Partner with brokers that manage trip coordination and payment processing.Be sure to follow Medicaid’s billing guidelines to avoid delays in payment. Building strong relationships with your brokerage partners will help keep the payment process smooth.
With this market overview, you should feel confident to take the next step. Stay tuned for Part 2, where we’ll cover how to develop a business plan tailored to New Hampshire’s NEMT needs, or jump ahead in the TOC to start your journey in the Granite State!
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