NEMT Billing for Access2Care Providers

Access2Care, LLC has been brokering rides since 1998. By the time MTM agreed to buy it from Global Medical Response in August 2024, it was the third-largest NEMT broker in the country, handling roughly 8.6 million trip requests for 5.5 million covered lives across 29 states and the District of Columbia. It owns no vehicles. Every one of those rides is run by a contracted transportation provider, and every one of them turns into a claim. Access2Care's own provider payment material says about 95% of those claims auto-adjudicate, and that 99% of the auto-adjudicated ones pay in under 21 days. Read that number honestly and it tells you exactly where your money is. The routine claim largely takes care of itself. What eats a fleet's margin is the slice that never entered the automated path at all, plus whatever gets lost while the brand moves into MTM Health.

There is no single national Access2Care rulebook, and hunting for one wastes weeks. Requirements land in the transportation provider manual for the specific plan and state you serve. Aetna Better Health of Kansas publishes an Access2Care provider manual for KanCare; Molina and Health Net publish their own instructions for their own members. Documentation that makes a claim clean in one state can be irrelevant in the next, and the one that matters in yours may be a Physician Certification Statement. Health Net, for instance, requires a completed PCS before it will authorize a higher mode such as a wheelchair van for its dual-eligible members, so that form is claim support, not just intake paperwork. Advance-notice expectations shape the record too: routine and standing rides commonly ask for 72 hours, while a same-day hospital discharge is taken without notice and then has to survive review afterward. Discharge trips are where the file gets thin, because nobody was planning them that morning. We collect the supporting record while the trip is fresh instead of reconstructing it after a denial.

Matching payments to rides is where the current Access2Care book gets genuinely awkward, and sloppiness has nothing to do with it. MTM closed its purchase of Access2Care on October 8, 2024 and is retiring the brand into MTM Health one health plan at a time. Texas Medicaid members lost the Access2Care app in May 2026. Blue Cross and Blue Shield of Texas moves its Medicaid transportation to MTM Health on October 1, 2026, New Mexico follows on November 1, and HealthSpring shifted its Medicare Advantage members across in March. During a cutover you can have a trip authorized under one brand, cleared in one system, and remitted under another, and a whole week of rides can drop into that seam without anyone noticing until the deposit looks light. Access2Care states that it complies with state prompt-payment regulations, which means your payment clock is written in your state's statute, not in the contract, and it is worth knowing the number. We match every remittance line to a trip record, surface short-pays and silent non-payments, and audit cutover weeks twice.