How to Get Approved with Modivcare, MTM & Access2Care Faster

Getting approved with the three largest NEMT brokers in the United States — Modivcare, MTM (Medical Transportation Management), and Access2Care — is essential for any NEMT provider serious about building sustainable trip volume. These brokers manage the majority of Medicaid NEMT trips in most states, and enrollment with all three maximizes your available market.

Understanding the Big Three NEMT Brokers

Modivcare (formerly LogistiCare) is the largest NEMT broker in the country, managing transportation benefits in over 30 states. MTM operates in approximately 30 states and manages over 20 million trips annually. Access2Care is a growing broker with presence in multiple states, known for competitive rates and a streamlined provider portal.

General Application Requirements

While each broker has specific requirements, all three require similar foundational documentation. You will need active state transportation licenses and permits, commercial auto insurance meeting minimum requirements (typically $1M combined single limit), vehicle registration and inspection certificates for your entire fleet, driver documentation including licenses, background checks, and drug testing records, HIPAA compliance documentation and training certificates, proof of business registration, EIN, and tax standing, and W-9 forms.

Tips for Faster Approval with Modivcare

Modivcare uses a detailed online provider enrollment portal. Ensure all documents are uploaded in the correct format and file size. Their review process flags incomplete applications immediately, so double-check every field before submission. Having your insurance agent provide certificates exactly matching Modivcare's required format prevents the most common delay.

Tips for Faster Approval with MTM

MTM requires additional documentation around driver training and vehicle specifications. Pay particular attention to their vehicle age requirements and ADA compliance documentation for wheelchair-accessible vehicles. MTM also conducts vehicle inspections in many markets before granting approval.

Tips for Faster Approval with Access2Care

Access2Care has a relatively streamlined application process but is strict about insurance requirements. Ensure your policy includes all required endorsements and coverage types before applying.

Common Mistakes That Delay Approval

Submitting applications with mismatched business names across documents, providing insurance certificates that do not list the broker as additional insured (when required), missing driver documentation for even one driver, and failing to respond to information requests within the broker's timeline are the most common causes of delays.

Conclusion

Enrollment with Modivcare, MTM, and Access2Care unlocks the vast majority of available NEMT trips in most markets. Invest the time to prepare thorough, error-free applications, or work with a professional credentialing partner to fast-track the process and start generating revenue sooner.