NEMT Providers

NEMT Update and Implementation Plan:

• Non-Emergency Medical Transportation Update - April 2014

NEMT Registered Providers:

• This links to a complete list of registered NEMT Providers. The list is categorized by providers who have been issued a Tribal Business License by each Tribe. Please note: A provider could be listed multiple times if they were issued a Tribal Business License from more than one tribe. This list will be updated monthly and will include the most recent post date.
• Tribal Business License list

NEMT Billing Instructions & Exhibits for FFS:

• Chapter 14: Transportation Services
  • Exhibit 14-1, Daily Trip Report (PDF)
  • Exhibit 14-1, Daily Trip Report (Excel File)
  • Exhibit 14-2, Non-emergency Medical Transport Daily Trip Report Instructions

NEMT Billing Instructions & Exhibits for IHS:

• Chapter 11: Transportation Services
  • Exhibit 11-1, Daily Trip Report (PDF)
  • Exhibit 11-1, Daily Trip Report (Excel File)
  • Exhibit 11-2, Non-emergency Medical Transport Daily Trip Report Instructions

NEMT Provider & Process Changes:

• At this time AHCCCS is currently in the process of consultation with the Tribes to pursue the development of an ‘RFP’ for a Transportation Broker and as such AHCCCS is not expanding the Non-Emergency network at this time. AHCCCS will continue to post updated developments to the website regarding Non-emergency Transportation Providers.
• Revised Provider Profile for NEMT Provider Type Effective April 1, 2014.

Non-Emergency Medical Transportation Provider Training:

• Providers registering with AHCCCS as a non-emergency medical transportation provider (provider type 28) completing Provider Participation Agreement’s on or after 7/1/13 must complete the online training module and submit the training certificate in order for their applications to be processed.
• Launch the training

AHCCCS Provider Registration:

• For more information about registering as a provider with AHCCCS, please visit the AHCCCS Provider Registration page.