Latest Posts

Start NEMT in ND: Market Overview
July 12, 2025

Start NEMT in ND: Market Overview

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

Part 1: Research the North Dakota NEMT Market

In this North Dakota edition of Bambi Knows Best we’ll be helping you build your non-emergency medical transportation (NEMT) dream job in the Peace Garden State! With its vast prairies, close-knit towns and open rual spaces, North Dakota has a big heart and a big need for dependable NEMT services. Whether you’re planning routes through Bismarck or heading out to rural healthcare centers, let’s dig into how to find your footing (or hoofing!)  in North Dakota’s unique market.

1 | Identify Existing NEMT Providers in North Dakota

Start by getting to know who’s already serving the community. North Dakota’s Medicaid program manages NEMT services, working closely with brokers to meet federal and state guidelines. Key players include:

  • Modivcare – One of the major brokers coordinating NEMT for Medicaid clients in the state.
  • Local Transport Providers – Many local companies offer services in both rural and urban areas.
  • Uber Health: Available in select cities across the state, offering HIPAA-compliant ride scheduling for these non-medical emergency kinds of visits.

We highly recommend that you check out online directories and connect with local NEMT resources to learn more about competitors and available services, especially around regional health hubs like Fargo and Grand Forks.

2 | Assess the Demand for NEMT Services

North Dakota’s healthcare needs are growing, particularly for seniors and those in rural areas. For the latest data, we suggest that you check with the North Dakota Department of Human Services. Some key areas to consider include:

  • Senior Centers and Assisted Living – Facilities, especially in places like Minot and Fargo, with consistent NEMT needs.
  • Dialysis Centers – Regular transport is essential for patients who need frequent treatments.
  • Therapy Clinics and Hospitals – A network of clinics, hospitals and therapy centers generates steady transport demand.
  • Outpatient Facilities – Often need reliable NEMT services for patients who require assistance getting to and from appointments.

3 | Choose a Target Market

It pays and ultimately saves to have a niche. So with that we say to dial in on a specific target audience to save on your market budget. Seniors, individuals with disabilities, and those with chronic health conditions often rely on NEMT services. Understanding who you’re serving helps you market effectively and cater to the state’s healthcare demands.

4 | Determine Specific NEMT Services

Consider what types of NEMT services you’ll offer. From rural routes to city transport, North Dakota’s landscape offers plenty of opportunities to provide much-needed rides for regular check-ups, therapy sessions and more. Keep in mind that rural communities may need extra flexibility and scheduling to account for distance.

5 | Understand Medicaid Delivery Models in North Dakota

North Dakota uses a fee-for-service model, where Medicaid reimburses providers directly for NEMT services, keeping you in control of scheduling and payment. Here’s a quick breakdown:

  • NEMT Model: Medicaid fee-for-service structure.
  • Operating Authority: Medicaid manages and reimburses NEMT services.
  • Expense Classification: Medicaid classifies NEMT as a medical expense.
  • Population Considerations: North Dakota has about 770,000 residents, with a significant rural population needing reliable transport options.
  • Estimated Annual NEMT Expenditure: Approximately $15 million.

6 | Getting Paid

Medicaid directly reimburses NEMT providers through its fee-for-service system. Staying familiar with Medicaid billing guidelines will help prevent any payment delays, so be sure to build a solid relationship with Medicaid representatives.

With this overview, you’re well on your way to a solid start in North Dakota! Stay tuned for Part 2, where we’ll dive into creating a business plan to meet the Peace Garden State’s unique needs, or skip ahead in our TOC to learn more.

How to Start an NEMT Business in North Dakota
July 12, 2025

How to Start an NEMT Business in North Dakota

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

Well hello, folks! Welcome to the North Dakota edition of our robust-as-a-Bambi’s-hoof, Bambi Knows Best series, your guide to launching a non-emergency medical transportation (NEMT) business in the wide-open plains of what’s also known as the peaceful, Peace Garden State! North Dakota, with its friendly small-town feel and rolling prairies, is also seeing a growing need for NEMT services due to its aging population and rural sprawl.

North Dakota is home to about 780,000 residents, spread across vibrant cities and vast countryside. With the healthcare centers sometimes miles apart and winter weather that can be downright as frosty as that famous snowman, there's a real need for reliable transportation, especially for senior citizens and those with limited mobility. Your NEMT business could be just what the doctor ordered (and will continue to order once you’re up and running).

To operate an NEMT business here, you’ll need to follow state-specific guidelines and register with the North Dakota Department of Human Services (DHS). From ADA-compliant vehicles to proper licensing and insurance, it’s imperative to ensure you’re meeting the Peace Garden State’s requirements to deliver safe, dependable service.

This guide will lead you through essential steps — from conducting market research and creating a business plan to building a fleet and integrating technology that keeps your operation frolicking along smoothly. With Bambi by your side, think of this as your roadmap to the NEMT terrain in North Dakota.

Ready to get started? Then let’s dive right on into the thick of that forest!:

Ready to step into the NEMT world in North Dakota? Let’s start building your Bambi-branded, heart-centered business with some Peace Garden flair!

Start NEMT in NM: Embrace Technology
July 12, 2025

Start NEMT in NM: Embrace Technology

How to Start an NEMT Business in New Mexico: A "Bambi Knows Best" State-by-State Series

Part 7: Harnessing Technology for Success

You’re almost through this thorough handy (or, rather, hoofy guide!), and we’re here to give you a big cheer to end on success! Now that you’ve nailed the basics of starting your NEMT business in New Mexico, it’s time to dive into the tech that’ll elevate your operations from solid to super-dooper. Here’s how smart tech and software can take your NEMT service across New Mexico to the next level.

Unleash the Power of NEMT Software

At Bambi, our aiNEMT software is built to streamline your routing and dispatching operations to, ultimately, boost patient care. Whether you’re arranging rides through Albuquerque or cruising out to rural areas near Gallup, our software has you covered. It’s like Bambi having a trusty Thumper that’s always by your Bambi side. With features like Run Bambi Run, the platform handles everything from scheduling and dispatching to care coordination and real-time GPS tracking, keeping your operation as smooth as the Rio Grande. With Bambi’s all-in-one solution, you can focus on connecting with passengers and building a solid reputation in your community — all while letting the software handle the day-to-day operations and grind.

Get Started with Bambi

Curious about how our aiNEMT software can transform your New Mexico NEMT business? Don't be shy, reach out for a demo or tailored advice that suits your specific needs. Embrace the tech that’ll help you navigate New Mexico’s unique landscapes and set your business up for success.

Here’s to delivering top-tier NEMT services across the beautiful state of New Mexico! You better Bambi believe that you’ve got this!

How to Build Your NEMT Dream Team in New Mexico
July 12, 2025

How to Build Your NEMT Dream Team in New Mexico

How to Start an NEMT Business in New Mexico: A "Bambi Knows Best" State-by-State Series

Part 6: Build and Train Your Fantastic NEMT Team in New Mexico

Finding, building and cultivating a standout NEMT team in New Mexico is like gathering the right batch of homegrown chiles — you need the right mix of folks who feel at home here. They definitely need to know their way around the state, from Albuquerque’s widespread city blocks to the quiet stretches near Roswell. Here’s how we suggest to recruit, train and keep your crew Bambi ready to roll across the Land of Enchantment:

1 | Finding Your Dream Team

Seek out team members with a good feel and a Bambi kind of intuition for New Mexico’s roads and communities. Hiring drivers and staff with local knowledge is a bonus since they’ll be familiar with everything from the high desert trails to Santa Fe’s winding streets. We suggest using platforms like Indeed and LinkedIn, and connect with local colleges and workforce programs through the New Mexico Department of Workforce Solutions to find skilled, eager talent. Job fairs in bigger, more populated towns like Las Cruces or Santa Fe are also a great way to connect with potential team members who are ready to go the extra mile.

2 | Training for Success, Southwest Style

Once you’ve got your crew, it’s time to train them up. New Mexico has its share of unique driving conditions, from summer monsoons to high desert winds, so be sure your drivers are well-prepared. Train your team on safe driving techniques and friendly customer service to make every trip smooth and welcoming. Staff should be equipped to assist passengers with mobility needs, medical equipment and offer a comforting word for those long drives from Ruidoso to Albuquerque or a check-up in Taos. ADA compliance and cultural sensitivity training will go a long way to ensure every rider feels valued.

3 | Fostering a Positive, Team-Oriented Culture

Create a welcoming work environment to keep your crew excited to show up each day. Encourage teamwork and celebrate wins, whether through team-building events, recognizing outstanding staff, or adding some New Mexico-inspired perks like local treats or sports gear. Keep communication open with regular one-on-one check-ins to make sure everyone feels comfortable and supported. All in all, a positive workplace vibe means happy employees, which leads to happy passengers — a win-win for your NEMT service. That’s how we roll and win at Bambi at least!

By building a well-trained, motivated team, your NEMT business in New Mexico will be set for success across the state. So what do you think — are you keen and ready to take the next hoof or step? Check out Part 7 for tips on using tech tools to elevate your NEMT operations in the Land of Enchantment, or return to our series table of contents for more insights.

Build Your NEMT Fleet in NM: Key Essentials
July 12, 2025

Build Your NEMT Fleet in NM: Key Essentials

How to Start an NEMT Business in New Mexico: A "Bambi Knows Best" State-by-State Series

Part 5: Build Your NEMT Fleet in New Mexico

Starting your NEMT business in New Mexico means building a fleet that can handle everything from Santa Fe’s winding streets to the wide-open stretches of sandy desert highways. Your vehicles should be as rugged and reliable as an old desert road. Here’s how to get your NEMT fleet up to speed and snuff in the sunny state of New Mexico:

1 | Select the Right Rides

Your fleet should be ready for all kinds of NEMT trips, from city to canyon. Make sure your vehicles are ADA-compliant to serve your patient passengers with wheelchairs. As we all know, New Mexico’s heat calls for reliable air conditioning, so check that cooling systems are up to the task. To keep costs down, consider fuel-efficient or hybrid vehicles, and remember, a greener fleet appeals to not only eco-conscious riders, but Bambi’s other mother, Planet Earth. 

2 | Equip for Comfort and Safety

Safety is top priority, so outfit each vehicle with wheelchair lifts, secure seatbelt systems and first-aid kits. Comfort counts too, especially on long drives across stretches of desert. Stock up on things like water bottles, healthy snacks and perhaps a touch of fun entertainment to help make trips to not the most fun appointments just that much more enjoyable. Whether it’s a long route to get a patient passenger to their rehab appointment from Albuquerque to Las Cruces or a doctor’s appointment around the corner in Taos, these little extras go a long way. Also, it’s good to be Bambi sure to team up with local suppliers for gear and maintenance to support your fellow small businesses in New Mexico. This helps keep all your businesses sustainable and supportive of one another. 

3 | Stick to a Regular Maintenance Routine

Keeping your fleet in top shape is crucial, especially in New Mexico’s dry, dusty climate. Set a strict maintenance schedule with regular inspections and timely repairs to avoid breakdowns. A well-maintained fleet keeps passengers safe and helps your business stand out as a reliable NEMT provider.

By building a fleet tailored to New Mexico’s unique terrain and needs, you’ll be set to deliver exceptional service throughout the state. Ready for the next step? Check out Part 6 for tips on hiring and training a top-notch team for your NEMT business. Or head back to our series table of contents for more insights on succeeding in this southwestern state of New Mexico.

How to Launch an NEMT Business in New Mexico: Funding
July 12, 2025

How to Launch an NEMT Business in New Mexico: Funding

How to Launch an NEMT Business in New Mexico: A "Bambi Knows Best" State-by-State Series

Part 4: Secure Funding in New Mexico

Finding the right funding for your NEMT business in New Mexico is crucial. Whether you’re eyeing federal loans or local grants, many resources can help you turn your business aspirations into reality! This Bambi Knows Best guide is here to help you navigate the financial landscape in the Land of Enchantment and launch your venture with confidence.

1 | Explore Small Business Loans
The US Small Business Administration (SBA) is an excellent resource for New Mexico entrepreneurs. Programs such as the 7(a) and 504 loans can assist with startup costs and operational expenses. Many local banks and credit unions also offer loan options designed specifically for small businesses. Furthermore, the New Mexico Small Business Development Center (NMSBDC) provides vital assistance in exploring financing options and offers guidance on the application process.

2 | Utilize State Programs
New Mexico supports small businesses through a range of state programs aimed at helping you get started. The New Mexico Finance Authority (NMFA) offers financial solutions, including low-interest loans for new businesses providing essential services like NEMT. Also, be sure to check out programs offered by the New Mexico Economic Development Department (EDD) for potential tax incentives and grants that can help alleviate financial pressures as you launch your venture.

3 | Pursue Grants and Targeted Funding
Grants can be a fantastic funding source for small business owners. In New Mexico, you can explore federal grants available on Grants.gov, along with state-specific grants offered through organizations like the New Mexico Charitable Foundation and NMFA. If your NEMT business will focus on serving rural or underserved populations, additional funding opportunities may be available through targeted federal or state initiatives. While competition for grants can be intense, pursuing these options is certainly worthwhile!

4 | Leverage Networking and Community Resources
Your network can be an invaluable asset in securing funding. Connect with local chambers of commerce and attend entrepreneurship events to meet individuals who may provide funding, mentorship or business partnerships. Participating in gatherings hosted by the New Mexico Chamber of Commerce or local networking events can help you build relationships that lead to essential financial support for your startup.

By exploring these funding avenues and staying alert for new opportunities, you'll be well-prepared to launch your NEMT business and serve communities throughout New Mexico. Maintain that positive Bambi spirit, and you’ll be on the path to success in no time!

Ready for the next step? In Part 5, we’ll dive into building a fleet for your NEMT business in New Mexico. Or check out our table of contents for more insights from the Bambi Knows Best series!

Launch NEMT in NM: Guide to Regulations
July 12, 2025

Launch NEMT in NM: Guide to Regulations

How to Launch an NEMT Business in New Mexico: A "Bambi Knows Best" State-by-State Series

Part 3: Navigate New Mexico's Regulatory Landscape and Secure Insurance

Now it’s time to dive into the nitty gritty — that regulatory red tape — understanding state regulations and ensuring your business is ready to thrive in the Land of Enchantment, where the landscape is as diverse as its culture.

Before you leap into action, make sure you’re aware of New Mexico's rules. Here’s your Bambi-approved guide to navigating the state’s regulations, securing the right insurance and getting your business off to a safe and secure start on the road:

1 | Understand New Mexico’s NEMT Regulations
In New Mexico, NEMT services must comply with guidelines established by the New Mexico Human Services Department (HSD) and the Department of Transportation (DOT). These agencies oversee vehicle inspections, driver qualifications, and patient safety measures. Keeping in line with these standards ensures your operations run smoothly and remain compliant.

2 | Follow Federal NEMT Guidelines
Beyond state mandates, your NEMT business needs to adhere to the guidelines set by the Centers for Medicare & Medicaid Services (CMS) if you plan to offer Medicaid-funded transportation. These federal regulations ensure that your services are safe, reliable, and accessible for those in need, whether you're cruising through Albuquerque or navigating the high deserts.

3 | Secure the Right Insurance
Proper insurance coverage is essential in the NEMT sector. You’ll require vehicle insurance, liability coverage, and specialized medical transport insurance to meet state and federal requirements. Partnering with insurance providers familiar with the unique needs of NEMT businesses will ensure you’re adequately protected. And with New Mexico’s varied weather, it’s wise to be prepared for any surprises!

4 | Obtain Necessary Licenses and Permits
To legally operate your NEMT business, you’ll need the appropriate licenses and permits. The New Mexico Human Services Department is your primary contact for transport permits, while local city or county offices may have additional requirements based on your service area. Staying organized with your paperwork is key to smooth operations.

5 | Know Your Employer Responsibilities
As you expand your NEMT team, it’s crucial to understand your employer obligations in New Mexico. This includes workers’ compensation, unemployment insurance, and compliance with state hiring regulations. The New Mexico Department of Workforce Solutions is a valuable resource to help you navigate these responsibilities and ensure you treat your employees fairly.

By familiarizing yourself with New Mexico's regulatory landscape and securing the right insurance, you’re setting your NEMT business up for success. Stay proactive about compliance, and soon you'll be providing safe, reliable transportation to communities across the Land of Enchantment.

In Part 4, we’ll explore funding options for your NEMT business in New Mexico. Or if you want to delve into other sections of our guide, check out our table of contents for more helpful insights to kickstart your NEMT venture!

How to Start an NEMT Business in New Mexico: Business Plan
July 12, 2025

How to Start an NEMT Business in New Mexico: Business Plan

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

Part 2: Develop a Business Plan and Get Registered in New Mexico

So you’ve already dove straight into the deep and lush, New Mexico NEMT landscape and spotted your unique opportunity? Fantastic! Now it’s time to build a robust business foundation. Let’s explore the essential steps for securing funding, establishing operations and navigating New Mexico’s regulations.

First off, consider utilizing resources like the New Mexico Small Business Development Center (NMSBDC), the New Mexico Secretary of State, and the New Mexico Economic Development Department. These organizations provide vital insights, training, and support for launching your NEMT venture. They’ll guide you in selecting the ideal business structure, registering your entity, obtaining necessary permits, and navigating tax responsibilities.

Local chambers of commerce are also valuable allies, offering networking chances, mentorship, and essential tools for business owners. Here’s how to get your NEMT business dancing in the Land of Enchantment:

1 | Choose a Business Structure
Selecting the appropriate business structure is crucial as it establishes the legal and financial framework for your venture. In New Mexico, you can opt for a Sole Proprietorship, Partnership, Limited Liability Company (LLC) or Corporation (C-Corp or S-Corp). Each choice has its implications for liability, taxes, and operational flexibility. Consulting a local attorney or accountant is a smart move to find the best fit for your goals.

2 | Register Your Business Name and Entity
After deciding on a business structure, it’s time to choose a catchy name for your operation. You’ll need to register this name with the New Mexico Secretary of State, making your business official and ensuring compliance with state laws. Check the state’s online business database to confirm your desired name isn’t already taken.

3 | Get an Employer Identification Number (EIN)
If you plan to hire employees or manage your finances effectively, obtaining an Employer Identification Number (EIN) from the IRS is a must. This number is vital for tax purposes, payroll, and other financial transactions related to your business.

4 | Register for State Taxes
Visit the New Mexico Taxation and Revenue Department to learn about and register for applicable state taxes. Depending on your operations, you may need to address other state-specific taxes. Staying compliant now helps you avoid any tax headaches later on.

5 | Secure Licenses and Permits
Your business may require specific licenses and permits based on your services and location. Check with the New Mexico Human Services Department and local agencies to ensure you have all the necessary credentials to operate your NEMT service legally in the state.

Eager for more? In Part 3, we’ll dive into New Mexico’s regulations and insurance requirements to keep your business thriving. Move on to the next section or check our complete table of contents for more details on launching your NEMT venture in New Mexico!

Start NEMT in NM: Market Overview
July 12, 2025

Start NEMT in NM: Market Overview

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

Part 1: Research the New Mexico NEMT Market

Welcome to the New Mexico edition of Bambi Knows Best, where we’re all about helping you embark on your non-emergency medical transportation (NEMT) adventure in the Land of Enchantment! With its stunning deserts, vibrant cultures and welcoming communities, New Mexico is a fantastic place to launch your NEMT services. As you gear up to serve a diverse population that spans urban centers like Albuquerque and Santa Fe to the picturesque landscapes of the state’s rural areas, let’s uncover how to find your niche in this dynamic market.

1 | Identify Existing NEMT Providers in New Mexico
Get familiar with the players in the game! New Mexico’s Medicaid program oversees NEMT services, collaborating with brokers to meet federal and state guidelines. Key providers in the area include:

  • Modivcare: A major broker coordinating transport for Medicaid clients.
  • SafeRide Health: SafeRide focuses on creating a connected network of transportation providers to ensure members receive timely and reliable transportation to healthcare appointments. They utilize real-time ride tracking and data analytics to enhance the member experience, supporting individuals in accessing necessary medical care throughout New Mexico.
  • Uber Health: Available in select cities, offering HIPAA-compliant ride scheduling for medical visits.

Dive into local directories and online resources to spot other NEMT providers across the state, particularly in health hubs like Las Cruces and Taos.

2 | Assess the Demand for NEMT Services
New Mexico’s diverse population and growing healthcare needs create a solid demand for NEMT services. For the latest info, reach out to the New Mexico Human Services Department. Key areas to explore include:

  • Adult Day Cares & Senior Living Centers: A network of nursing homes and assisted living facilities, especially in cities like Albuquerque and Santa Fe.
  • Dialysis Clinics: Numerous centers across the state with consistent transportation needs for patients.
  • Physical Therapy Facilities: Countless clinics in New Mexico present opportunities for patient transport. Connect with local healthcare providers for specifics.
  • Hospitals: Well-respected hospitals generating high volumes of transport needs.
  • Outpatient Clinics: Many rely on NEMT services for patient transport, especially in urban areas.

3 | Decide on a Target Market
Customize your NEMT services to address the unique needs of New Mexico residents. Focus on demographics like seniors, individuals with disabilities, or those with chronic conditions requiring regular medical visits. Pinpointing a target audience sharpens your marketing strategies and aligns your services with the state’s healthcare demands.

4 | Choose Specific NEMT Services
Think about which NEMT offerings fit best with New Mexico’s needs. Whether it’s rides for routine check-ups, dialysis appointments or mobility solutions for seniors, carving out a niche will help make your business shine. Urban areas may have different demands compared to the more rural parts of the state.

5 | Understand Medicaid Delivery Models in New Mexico
New Mexico uses a Managed Care model, where Medicaid partners with brokers to provide NEMT services. Understanding how Medicaid manages payments and coordination is key to running a successful NEMT business.

Key Facts about New Mexico’s NEMT System:

  • NEMT Model: State-managed brokerage under Medicaid oversight.
  • Operating Authority: Medicaid’s Managed Care model integrates NEMT services via broker contracts.
  • NEMT Expense Classification: Classified as a medical expense under Medicaid.
  • Poverty Rate: About 18.6% of the population lives below the poverty line.
  • Urban Population: Approximately 70% of New Mexico residents are urban dwellers.
  • Estimated Annual NEMT Expense: Roughly $40 million.
  • Estimated Annual NEMT Trips: About 1.5 million.

6 | Getting Paid
Payments for NEMT services in New Mexico are mainly managed through Medicaid and its contracted brokers. Here’s how to ensure you get your payment:

  • Medicaid Managed Care: NEMT providers receive reimbursement through the state’s Medicaid system.
  • Brokerage Contracts: Collaborate with brokers to handle trip coordination and payment processing.

Stay on top of Medicaid’s billing guidelines to avoid payment delays, and build solid relationships with your brokerage partners to keep things running smoothly.

With this market overview, you're set to take the next leap! Stay tuned for Part 2, where we’ll explore crafting a business plan tailored to New Mexico’s NEMT needs, or skip ahead in the TOC to kick off your journey in New Mexico.