Compliance & Credentialing · Texas Medicaid
NEMT Credentialing & Enrollment in Texas
Texas enrollment done in the right order: PEMS enrollment with HHSC, MTP vehicle and driver certification, then credentialing with each MCO's broker — Modivcare, MTM, SafeRide Health, or Access2Care. We prepare the files, file them in sequence, and follow up every week until you have a decision and can take trips.
Quick Answer
To become a Medicaid NEMT provider in Texas, you enroll as a transportation provider through PEMS — the Provider Enrollment and Management System — with HHSC, and TMHP processes the application. You then complete Medical Transportation Program (MTP) vehicle and driver certification for fee-for-service trips, and because most Texas Medicaid enrollees are in managed care — STAR, STAR+PLUS, and STAR Kids — you also credential separately with each plan's broker, such as Modivcare, MTM, SafeRide Health, or Access2Care. SS Support Network is an independent enrollment and credentialing service provider that prepares your PEMS packet, assembles the MTP files, and files each broker application in order, then follows up until you have a decision. It is not affiliated with any Medicaid broker, TMHP, or HHSC, and all enrollment and approval decisions are made solely by the state and each broker.
Every type of Texas enrollment, one team
SS Support Network is an independent billing, credentialing, and support service provider - not affiliated with, endorsed by, sponsored by, or partnered with Modivcare, MTM, SafeRide Health, Access2Care, TMHP, HHSC, any Medicaid broker, or any state Medicaid agency. All broker names and trademarks belong to their respective owners. Enrollment and approval decisions are made solely by the state and each broker. We help transportation providers prepare and submit their own applications.
The short answer
How do you become a Medicaid NEMT provider in Texas?
Texas enrollment is not one application — it is a stack. First you enroll as a Medicaid transportation provider in PEMS, the Provider Enrollment and Management System, with HHSC, and TMHP processes it. Then you complete Medical Transportation Program (MTP) vehicle and driver certification for fee-for-service trips. Then, because most Texas Medicaid enrollees are in managed care — STAR, STAR+PLUS, STAR Kids — where NEMT is carved into the MCO, you credential separately with each plan's broker: Modivcare, MTM, SafeRide Health, or Access2Care (now MTM-owned). Miss a layer and you end up enrolled in the state system but shut out of the managed-care trips that carry the volume. This page walks through PEMS, MTP certification, per-broker credentialing, and the revalidation that keeps you active — and shows where we take the paperwork off your plate. For a single broker's step-by-step credentialing, we link down to that broker's page.
Track 1
PEMS provider enrollment with HHSC
This is the foundation. You enroll as a Medicaid transportation provider through PEMS, the state's Provider Enrollment and Management System, with HHSC; TMHP processes the application. The packet needs your business entity records, NPI or API, ownership and disclosure information, and the standard licensing and insurance documents, all entered to match what the state expects. PEMS is also where errors compound quietly — a mismatched name, a missing disclosure, a document that does not match the entity record — and a rejected or returned enrollment restarts the clock. We assemble the PEMS packet, enter it cleanly, and manage the application through processing so it clears the first time instead of bouncing back for correction.
Track 2
What does Texas MTP vehicle & driver certification require?
For fee-for-service trips under the Medical Transportation Program, your vehicles and drivers have to be certified. Each vehicle generally needs current Texas registration, a passing inspection, and correct insurance, and each driver needs a valid Texas license for the vehicle class, a clean driving record, a background check, and the required training, with wheelchair vehicles meeting securement and accessibility standards. Exact current MTP requirements are set by HHSC — we confirm them rather than assume. This is also where an operating fleet gets caught later: a certification or a background check quietly expires and the driver or vehicle can no longer run trips. We assemble each file to standard and put every expiration date on a tracking calendar so a lapse never surprises you on a Monday morning.
Track 3
Which broker do you credential with in Texas?
Managed care is where the volume is, and each plan runs its own broker. To carry STAR, STAR+PLUS, and STAR Kids trips you credential with the brokers those plans use — Modivcare, MTM, SafeRide Health, or Access2Care (now MTM-owned) — each with its own application, its own document format, and its own network standards. Assignments move, too: SafeRide Health became the UnitedHealthcare Community Plan of Texas vendor effective January 1, 2026. We map which broker serves each plan in your service area, credential you with the ones that actually carry your riders, and keep each broker file matched to your PEMS and MTP records — so the fleet the state shows is the fleet every broker shows as approved. For one broker's exact portal steps, go to that broker's credentialing page below.
Track 4
How do you stay active as a Texas NEMT provider?
Enrollment is not a one-time form. PEMS enrollment is revalidated on a cycle, insurance certificates renew annually, driver background checks and screenings run on a schedule, MTP certifications expire, and each broker re-verifies providers on its own calendar. The providers who lose trips rarely fail the first application — they miss a revalidation nobody was watching, and a lapsed PEMS record can freeze both fee-for-service and managed-care trips at once. We run your revalidation as a calendar, not a fire drill: PEMS revalidation prepared before the deadline, MTP and broker renewals updated where each one belongs, and a clean record across HHSC, TMHP, and every broker so you keep accepting trips without an accidental deactivation.
Enrolled, then paid
Credentialing gets you the trips — billing gets you the money
PEMS and broker credentialing get you approved to run Texas Medicaid trips; billing turns those trips into revenue, and dispatch keeps the fleet moving. If you are running trips and the revenue is not keeping up, the fix is usually in the claims and the 95-day filing window. We do all three, so the handoff between assigned and paid never drops. For a single broker's credentialing mechanics, go straight to that broker's page.
How it works
Three steps to a Texas enrollment decision
- 1
Free enrollment review
We confirm your Texas service area, map the PEMS, MTP, and broker sequence, and send the exact document checklist for the company, your drivers, and your vehicles. Written plan within 1 business day.
- 2
We prepare & submit
We enter your PEMS enrollment, assemble the MTP vehicle and driver files, and file each broker application in the right order, correcting insurance wording before it goes.
- 3
Follow-up to a decision
Same-week responses to any deficiency and weekly status checks so your file never sits. When you're enrolled, we set you up to accept trips and put revalidation on a calendar.
Common questions
Texas NEMT enrollment, answered straight
Texas enrollment runs through PEMS — the Provider Enrollment and Management System — with HHSC, and TMHP processes the application. You enroll as a Medicaid transportation provider in PEMS, complete the Medical Transportation Program (MTP) vehicle and driver certification, and then credential separately with each MCO broker whose plans you want to run. PEMS gets you into the state program; the broker credentialing gets you the managed-care trips. We handle PEMS enrollment, the MTP certification, and each broker application in order so the sequence never stalls you.
Not on its own for managed care. PEMS enrollment with HHSC, plus MTP vehicle and driver certification, covers you for the fee-for-service Medical Transportation Program. But most Texas Medicaid enrollees are in managed care — STAR, STAR+PLUS, STAR Kids — where NEMT is carved into the MCO and each plan uses its own broker. To run those trips you also credential with the relevant broker: Modivcare, MTM, SafeRide Health, or Access2Care (now MTM-owned). We map which brokers serve the plans in your service area, then credential you with each so you are not enrolled in the state system but locked out of the trips.
It depends on the MCO, and assignments move with the contract. Each managed-care plan contracts its own NEMT broker, so the right broker for you depends on which plans your riders are in and where you operate. Assignments also change: SafeRide Health became the UnitedHealthcare Community Plan of Texas vendor effective January 1, 2026, which shifted those members onto SafeRide. We confirm the current broker for each plan in your area — always verify with the plan directly — and credential you with the ones that actually carry your volume.
MTP certification covers the vehicles and drivers running fee-for-service trips. In general each vehicle needs current Texas registration, a passing inspection, and correct insurance, and each driver needs a valid Texas license for the vehicle class, a clean driving record, a background check, and required training, with wheelchair vehicles meeting securement and accessibility standards. Exact current requirements are set by HHSC and MTP, so we confirm them and assemble each file to standard rather than guessing — then keep every expiration on a calendar so nobody is deactivated mid-route.
Not to NEMT. Texas operates state EVV through TMHP, but it covers personal care and home health services — not non-emergency medical transportation. For NEMT, trip verification is handled through your broker's GPS and trip-verification tools, not a state EVV mandate. EVV is not federally mandated for NEMT. We will not sell you a state-mandated EVV setup you do not need; we keep your PEMS, MTP, and broker records clean, which is what actually keeps you active.
No. SS Support Network is an independent credentialing and enrollment service provider - not affiliated with, endorsed by, sponsored by, or partnered with Modivcare, MTM, SafeRide Health, Access2Care, TMHP, HHSC, any Medicaid broker, or any state Medicaid agency. All broker names and trademarks belong to their respective owners. Enrollment and approval decisions are made solely by the state and each broker. We help transportation providers prepare and submit their own applications.
Not sure which broker serves your plans? Call +1 (657) 777-0006 — 24/7.
Official references: TMHP Medical Transportation Program · Texas HHS. Verify current requirements with your state Medicaid program and broker.
Related
Enrollment is step one — these keep you rolling
Free enrollment review
Find out exactly what your Texas file needs
Tell us your service area and fleet. Within 1 business day: the PEMS, MTP, and broker sequence mapped for you, the document checklist for company, drivers, and vehicles, and a flat quote — no sales pressure. Independent remote support cuts back-office cost 35-70% vs a fully-loaded in-house team.
Prefer to talk now? Call +1 (657) 777-0006 or WhatsApp us — 24/7.



