How to Start an NEMT Business in Connecticut: A "Bambi Knows Best" State-By-State Series

Part 1: Research the Connecticut NEMT Market

‍Before cruising into Connecticut’s NEMT market, it’s important to get a clear picture of the state’s healthcare and transportation dynamics. From the vibrant cities like Hartford and Bridgeport to the quieter corners of Litchfield County, Connecticut’s varied geography influences the demand for NEMT services. Here’s how to get familiar with the Connecticut NEMT scene:

1 | Identify Existing NEMT Providers in Connecticut
Know your New England neighbors (and competitors)! The Connecticut Department of Social Services (DSS) oversees Medicaid-funded NEMT services, coordinating rides with brokers to meet both state and federal standards. Key providers include:

• Veyo (an MTM company): Connecticut’s largest NEMT broker, managing rides for Medicaid recipients throughout the state.
• M7: provides NEMT services to patients and medical establishments across Connecticut.
• Uber Health: Provides HIPAA-compliant rides in select Connecticut cities, bridging the gap between healthcare and mobility.
• Local Transportation Providers: Smaller, regional companies often cater to specific areas, particularly in rural or less densely populated regions. We recommend checking county directories and online listings to find NEMT providers, especially in major hubs like New Haven and Stamford.

2 | Assess the Demand for NEMT Services
Connecticut’s aging population and healthcare structure create a strong need for NEMT services. To get a pulse on the local market, connect with the Connecticut Department of Social Services and healthcare providers. Key areas to explore include:

• Adult Day Care Centers: Connecticut has over 50 licensed centers that serve seniors who require reliable transportation.
• Dialysis Clinics: The state has around 90 dialysis centers, operated by providers like DaVita and Fresenius.
• Physical Therapy Centers: These are spread throughout the state and offer opportunities for patient transport services. Contact the Connecticut Physical Therapy Association or local healthcare providers for specifics.
• Hospitals: Connecticut hosts over 30 hospitals, including major networks like Hartford Healthcare and Yale New Haven Health.
• Nursing Homes and Assisted Living Facilities: With an older population, Connecticut has over 200 licensed nursing homes.
• Outpatient Care Centers: Often requiring reliable transport, these centers are an integral part of the healthcare system. We recommend contacting the hospitals above as they often work in partnership with these OCCs.

3 | Decide on a Target Market
Focus on specific groups like seniors, people with chronic conditions or those needing frequent medical appointments. By tailoring your services, you’ll stand out, optimize your marketing budget and meet Connecticut’s unique needs.

4 | Choose Specific NEMT Services
Decide which services best fit Connecticut’s needs—whether it’s rides to medical appointments, specialized dialysis transport, or senior mobility solutions. Finding your niche will help you stay competitive and maximize your ROI in marketing.

5 | Understand Medicaid Delivery Models in Connecticut
Connecticut’s Medicaid program follows a managed care model, with NEMT services coordinated by brokers like Veyo. The goal is to streamline the process and control costs.

Key facts about Connecticut’s NEMT system:

• NEMT Model: Statewide broker-managed, with Veyo as the main contractor.
• Operating Authority: Federal Section 1115 Demonstration Waiver. Managed under the State Medicaid Plan via the Department of Social Services.
• NEMT Expense Classification: Considered a medical expense under Medicaid.
• Poverty Rate: About 11% of residents live below the poverty line.
• Urban Population: Over 85% of the population lives in urban areas, but the state’s rural regions still require NEMT services.
• Estimated Annual NEMT expense: $57.8 Million
• Estimated Annual NEMT trips: 3,600,000

6 | Getting Paid
NEMT payments in Connecticut are mainly handled through Medicaid. Here's how compensation typically works:

• Medicaid Fee-for-Service: Direct reimbursement for eligible trips.
• Brokerage Contracts: Work with brokers like Veyo, who coordinate trips and handle payments.

Ensure you’re up to speed on Medicaid billing guidelines to ensure timely payments. For more information, connect with the Connecticut Department of Social Services or your brokerage partners.

With this market overview, you’re ready to move forward. Stay tuned for Part 2, where we’ll guide you through building a business plan tailored to Connecticut’s NEMT needs, or jump ahead in the TOC to start your journey in CT. Can you tell we love a good acronym?

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