Transportation remains a significant barrier to accessing healthcare, and brokers play a critical role in closing that gap. They connect patients who need transportation to medical appointments with the providers who deliver those services.

Beyond coordinating trips, brokers manage key functions such as verifying eligibility, overseeing provider networks and quality standards, processing payments, and reporting on performance.

Today, brokers facilitate the majority of Medicaid-funded transportation trips in the United States, and their role continues to expand as healthcare shifts toward more coordinated, outcomes-driven models.

Here are five of the major non-emergency medical transportation (NEMT) brokers continuing to shape the industry in 2026.

 

1. Modivcare — Largest NEMT Broker in the U.S.

Modivcare (formerly LogistiCare) remains the largest NEMT broker in the United States, working with more than 6,500 transportation providers nationwide. Founded in 1997, the company pioneered the large-scale managed transportation brokerage model through early statewide Medicaid partnerships.

Today, Modivcare operates beyond transportation, offering services such as in-home personal care and remote patient monitoring. This broader positioning reflects a shift toward supporting social determinants of health (SDOH), where transportation is one part of a more integrated care strategy.

What makes them different
Modivcare operates at scale. Their model is built around managing high trip volumes across multiple states while maintaining standardized network performance. For transportation providers, this often means consistent trip demand, but also stricter expectations around reliability, compliance, and reporting.

Service areas and coverage
Modivcare provides NEMT services across a large portion of the U.S., including major markets such as California, Texas, Florida,and Pennsylvania, along with coverage in more than 30 additional states.

How to join Modivcare’s network
Transportation providers must complete a credentialing and onboarding process, which includes submitting business documentation, insurance verification, and meeting state-specific requirements. Learn more HERE.

Best for scaling: Modivcare — large national footprint and high trip volume make it a strong fit for providers looking to grow across multiple markets.

 

2. MTM, Inc. — National NEMT Broker with Broad Program Reach

MTM (Medical Transportation Management) is one of the largest privately held NEMT brokers in the United States, scheduling more than 25 million trips annually for over 13 million members. Founded in 1995, MTM manages transportation benefits across Medicaid, Medicare Advantage, Managed Care Organizations (MCOs), and state and local government programs.

In recent years, MTM has expanded its footprint through strategic acquisitions, including Access2Care and Veyo, significantly increasing its national reach and tech stack. The company has also expanded toward more integrated care coordination as MTM Health.  They now offer supportive services aligned with home- and community-based care and broader social determinants of health (SDOH), reflecting a shift 

What makes them different
MTM stands out for the breadth of its payer relationships and program types. Their model spans Medicaid, Medicare Advantage, and government contracts, giving providers access to a wider mix of trip types and funding sources than many regional brokers.

Service areas and coverage
MTM operates nationwide, with coverage across all 50 states, Washington, D.C., and Puerto Rico, supporting both urban and rural populations.

How to join MTM’s network
Providers must complete an application and credentialing process, including submitting business documentation, insurance verification, and operational details. Requirements vary by contract and region.  Learn more HERE.

Best for diversified income: MTM, Inc. — broad payer relationships and nationwide contracts make it a strong fit for providers looking to diversify across programs and markets.

 

3. Transdev Health Solutions — Transit-Integrated NEMT Provider

Transdev Health Solutions is part of Transdev NA, one of the largest private transit operators in the region and a subsidiary of the France-based Transdev Group. Operating across 40+ states with tens of thousands of vehicles and employees, Transdev brings deep experience in managing large-scale mobility systems, including public transit, paratransit, and shuttle services. 

Through its health division, Transdev provides NEMT brokerage and coordination services for Medicaid and Medicare populations. Their model covers the full transportation lifecycle, including trip scheduling, eligibility verification, provider network management, and customer support.

What makes them different
Transdev stands out for its integration with public transit and paratransit systems. Unlike traditional NEMT brokers, their background in operating fixed-route and demand-response transit allows them to design transportation programs that incorporate multiple modes of mobility. For providers, this often means working within more structured, system-driven environments tied to public sector contracts.

Service areas and coverage
Transdev Health Solutions operates in select markets based on state and county contracts. Confirmed programs include regions in Colorado, Oregon, Hawaii, and Illinois, with services typically tied to specific health plans or public agency partnerships.

How to join Transdev’s NEMT network
Credentialing varies by program and region. Providers generally need to complete a credentialing request form and license agreement, complete software training, submit driver and vehicle information, and pass a vehicle inspection. Learn more below:

• OHP (HI) Network
• HealthFirst Colorado (CO)
• NETSPAP (IL)
• AlohaCare (HI)
• County Care (IL)
• Oregon Health Authority (OR)

Best for public transit integration: Transdev Health Solutions — strong fit for providers operating in or alongside paratransit and government-run transportation systems.

 

4. SafeRide Health — Tech-Enabled NEMT and Benefit Coordinator

SafeRide Health is a technology-forward NEMT broker that connects Medicaid and Medicare Advantage members with transportation and other access-to-care services. The company emphasizes member experience and program flexibility. Its platform uses performance-based algorithms to route higher volumes of trips to providers with strong track records in safety and on-time performance.

Additionally SafeRide focuses heavily on health plan integration, positioning transportation as part of broader care coordination and benefit management. Their platform supports both fully managed and self-managed transportation programs, giving health plans the flexibility to maintain control over benefit design or outsource network management, technology, and member experience.

What makes them different
Beyond its tech platform, SafeRide supports transportation across both medical and non-medical needs.

This includes trips for medical appointments, pharmacy and grocery visits, as well as community, social, and wellness activities that fall outside of traditional clinical care.

In addition, SafeRide offers reimbursement programs for alternative access to care, which members can access through the MySafeRide app, including:

• Reimbursements for meals and overnight stays related to care
• Digital and physical reimbursement programs for members—or friends and family—using personal vehicles for medical appointments

Service areas and coverage
SafeRide operates across most U.S. states, supporting national and regional health plans with both urban and rural coverage.  

How to join SafeRide’s NEMT network
The onboarding process includes credentialing, platform integration, and performance alignment. Providers work with a network manager and must meet ongoing service and quality benchmarks. There is also an option to scale further through SafeRide’s Tier 1 Provider Program for top performers. Learn more HERE.

Best for high-performing providers: SafeRide Health — ideal for fleets that can meet performance benchmarks and access more opportunities through a tiered network structure.

 

5. American Logistics — Structured, Performance-Driven NEMT Network

American Logistics is a technology-driven NEMT broker that connects transportation providers to healthcare organizations through its RideCafe platform. The company coordinates transportation across Medicaid, Medicare, commercial health plans, and ADA paratransit programs, with a focus on reliability, standardization, and performance management.

They were among the first major brokers to incorporate rideshare options into their network, creating a tiered model that matches trip types with the most appropriate provider.

What makes them different
American Logistics has a strong transportation-centric heritage, with deep roots in ADA paratransit. This background drives a high level of focus on provider operations, compliance, and performance.

They work closely with transportation providers to ensure fleets are equipped to meet regulatory requirements—particularly those tied to ADA and FTA standards—while maintaining consistent service quality across their network.

Their RideCafe platform also supports a fully automated payment model. Once a trip is completed and GPS-verified, payment is triggered automatically, eliminating the need for manual invoicing and reducing administrative burden for providers.

Service areas and coverage
American Logistics supports a nationwide network, covering all 50 states through a combination of local and national transportation providers.

How to join American Logistics’ network
Providers must meet baseline requirements, including commercial auto insurance, general liability, and workers’ compensation coverage. The onboarding process includes background checks, vehicle inspections, training, and platform integration through RideCafe. Learn more HERE.

Best for streamlined payments: American Logistics — automated, no-invoice payment model improves cash flow and reduces administrative overhead.

 

About Move AI

Move AI is rideshare-grade orchestration for NEMT. It gives brokers and transportation providers the freedom to grow by handling the nuances of every trip with built-in speed, precision, automation, and compliance.