New operators lose months in the wrong order: vans bought before the insurance is quotable, broker applications sent before the Medicaid enrollment exists. Tick off what is done and see what is left, in the order it usually has to happen.
NEMT Launch Readiness Checker
Tick off what is done. See how ready you are to run your first broker trip and what is still in the way.
Still to do, in the usual order
State rules decide the details. Find yours in the state-by-state guides.
Get set up on Bambi before your first tripPrint or save as PDFA self-check, not legal advice. Requirements differ by state, broker contract and Medicaid program. Confirm yours with your state guide and your broker.
FAQ
What takes the longest when starting an NEMT business?
Medicaid provider enrollment and broker credentialing. Both can take weeks to months, so start them before you buy vehicles.
Do I need an NPI?
Most state Medicaid programs and brokers require one for enrollment and billing. It is free and quick to get from NPPES.
When do I need software?
Before the first broker trip. Brokers send trips, expect status updates and want documented, verifiable trip records from day one.
Estimates for planning only. Bambi does not provide financial, legal or insurance advice.






