Who Runs Medicaid NEMT in Your State? The 2026 Broker Map
Brokers, non-broker states, regional models and managed-care carve-ins — the contracting landscape every operator has to navigate, in one reference.
The first question for any NEMT operator — starting up, expanding, or watching a contract change hands — is the same: who controls the trips where I operate? The answer differs by state, changes more often than most operators realize, and determines everything downstream: credentialing, rates, insurance requirements, payment terms.
Here is the landscape as of September 2026. Verify your state before acting on it — transitions are announced in provider memos with short windows, which is much of why this publication exists.
The four models
| Model | How it works | States (as of Sep 2026) |
|---|---|---|
| Statewide broker | One broker (or a small set) holds the state contract; operators join the broker's network and take trips at broker rates | The most common model — the majority of states, dominated by Modivcare and MTM Health; Florida runs both under Statewide Medicaid Managed Care |
| Regional brokers | The state splits into regions, each contracted to a broker — sometimes different brokers per region | Nine states: Arkansas, Georgia, Kentucky, Maine, Massachusetts, South Carolina, Vermont, Washington, West Virginia |
| No broker | Operators enroll directly with the state Medicaid agency and bill fee-for-service | Seven states: Alabama, Alaska, Maryland, Montana, North Dakota, South Dakota, Wyoming |
| Managed-care carve-in | Transportation is the managed-care plan's responsibility; operators contract with each plan (or its transportation subcontractor) | California is the flagship example — no statewide broker at all; see our Medi-Cal guide |
Who the brokers are now
Modivcare (formerly LogistiCare) remains the largest broker in the country — through a Chapter 11 restructuring filed in August 2025 and exited in December 2025, operating throughout. MTM Health is the largest privately held broker and, after acquiring Veyo (2022) and Access2Care (2024), reaches all 50 states, D.C. and Puerto Rico; the Veyo brand still fronts operations in ten states including Arizona, Texas, Florida, Ohio and Wisconsin. Verida has moved from regional player to statewide operator — most visibly in Georgia, where it took all five regions effective April 1, 2026. Our consolidation analysis covers what this concentration means for operators.
In motion right now
- Colorado is converting to a statewide broker model: provider contracting opened September 1, 2026, ahead of MediDrive taking over January 1, 2027. Details and deadlines.
- Maryland — long a non-broker state — has issued a solicitation for a statewide NEMT contractor, a signal the non-broker column may shrink again.
- Louisiana sunsets its ARPA-era supplemental NEMT program September 30. What changes.
Sources: state Medicaid agency program pages; broker announcements; FTA/CCAM NEMT resources; CCAM-TAC state-by-state NEMT profiles.