How to Start an NEMT Business in Virginia: A "Bambi Knows Best" State-By-State Series Part 2: Build Your Business Plan and Register in Virginia
1 | Select the Right Business Structure
Expert Tip: Consult with a local Virginia attorney or accountant to determine which structure is best for your goals and business size.
2 | Register Your Business Name
3 | Obtain Your EIN
4 | Understand Virginia’s Tax Obligations
Sales Tax: Depending on your specific services, sales tax may apply. Payroll Tax: If you hire employees, you must pay payroll tax. Unemployment Insurance Tax: This is required for employers in Virginia. Check the Virginia Department of Taxation for a complete list of tax obligations. 5 | Secure Licenses and Permits
Register as a Medicaid transportation provider through the Virginia Department of Medical Assistance Services (DMAS). Depending on where you’re operating, you may need additional local permits or licenses, which can be checked through the Virginia Department of Professional and Occupational Regulation (DPOR). If your NEMT service will integrate with public transportation options, contact the Virginia Department of Rail and Public Transportation (DRPT) for any necessary coordination. Once your business plan is in a pretty place and you’re pacing along well, having completed these key steps, you’ll be on track to serve Virginia’s residents, from urban centers like Richmond and Virginia Beach to rural towns that rely on Medicaid-funded NEMT services. In the meantime, keep an eye out for Part 3 , where we’ll explore insurance, compliance and more tips for getting your NEMT business rolling in Virginia!
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