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A dialysis rider on a Monday, Wednesday, Friday schedule needs 156 round trips a year. A standing order books all of them at once. Here's who sets one up, how long brokers let it run, and what dispatch has to watch so none of those trips slip.

Most NEMT software switches come down to a few weeks of setup and one go-live day. What makes them smooth is the order you do things in. This guide covers that order, from your first data export to the 30-day review.

A methadone patient may ride to the clinic before dawn, seven days a week. Someone else gets moved while on a psychiatric hold. Both are behavioral health transportation. One you can run this week. The other you grow into once you hold the right licenses.

A House bill would require electronic verification on every Medicaid NEMT trip, CMS and 37 states pledge to measure Medicaid on outcomes, Iowa proposes coverage for its low-income adults, Michigan audits its program, and Minnesota moves mileage rates with fuel.

A trip comes in that your fleet can't cover. Turn it down, call a subcontractor, or reshuffle the schedule. All three cost something. Uber Health, dispatched from inside RouteGenie, is the fourth option.

America's obesity rate stopped climbing a decade ago, but that average is misleading. Age-adjusted severe obesity rose from 7.7% to 9.7% of adults over the same period, and that's the group bariatric transportation exists for.

MediDrive is the statewide NEMT broker for Health First Colorado, the state's Medicaid program. This guide covers how to become a MediDrive transportation provider, what credentialing requires, and the dates Colorado providers need to plan around.

Colorado spent the summer cutting what it pays for non-emergency medical transportation, and in September the results showed up in service. Two providers reduced or ended operations in a single county, a state committee voted unanimously to raise the lowest-paying codes, and the same month brought federal rural health dollars into NEMT fleets in two other states.

Gasoline went up, came back down, and went up again in 2026, from $2.78 to $4.50 a gallon. A budget can absorb a high price it planned for, not a moving one. Here's what the swings cost per trip and the three levers you still control.

August came down to one question: access, and who is actually positioned to deliver it. Maine's Supreme Judicial Court settled a decade-long, roughly $750 million statewide broker fight, North Dakota opened federal dollars for wheelchair-equipped vans, and the first purpose-built robotaxi cleared federal review without any way to carry a passenger who stays in their wheelchair. Here is what happened in August and what it means for transportation providers.

Ohio wrote GPS trip verification into Medicaid law, California's $2 billion Medi-Cal fix landed with CMS for a decision, and a new study put hard numbers on the transportation access gap. Here is what moved in July 2026 and what it means for transportation providers.

Broker contracts changed hands in at least four states, Medicaid fraud enforcement went from a Minnesota problem to a 50-state mandate in under 90 days, and two states wrote electronic trip verification into law. Here is what actually happened in medical transportation between January and June 2026, organized by theme, with our own 2026 predictions scored honestly.