CTS: NEMT Broker Guide for Transportation Providers

Coordinated Transportation Solutions (CTS) is a not-for-profit NEMT broker that manages non-emergency medical transportation for state Medicaid programs, health plans, and the VA. For a CTS NEMT provider, that means access to recurring trip volume from Medicaid and Medicare Advantage members.

This guide covers CTS’s history, where it operates, how to apply, and what CTS requires before you can accept trips. Pairing a broker contract with the right NEMT software is what keeps that volume profitable.

Contents:

• About CTS
• Where CTS Operates
• How to Become a CTS NEMT Provider
• CTS Requirements for NEMT Providers
• Why Work with CTS?

About CTS

CTS was founded in 1997 by David White and is headquartered in Trumbull, Connecticut. It operates as a 501(c)(3) transportation management organization. Rather than running its own fleet, CTS coordinates rides through a contracted network of local transportation providers.

CTS earned URAC accreditation in 2022, and its Health Care Management accreditation currently runs through January 2028. In fiscal 2023, Medicaid NEMT accounted for $133.7 million of its $141.8 million in revenue, or about 94% of the business.

CTS has gone through several leadership changes recently. Miguel McInnis succeeded White as CEO in 2023, and Steven Feist joined as Vice President and Chief Operating Officer in June 2025. According to CTS’s October 2026 announcement, Raj Nagpal, who joined as CFO in 2025 and later served as interim CEO, became President and CEO on October 1, 2026. CTS now manages more than 2.5 million trips a year.

Where CTS Operates

In 2023, CTS named eight states in its service area: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. Its latest announcement describes a seven-state footprint, so confirm coverage for your counties before applying.

In Massachusetts, CTS has been active since 2006. It took over NEMT for Commonwealth Care Alliance on February 1, 2020, serving nearly 34,000 members in CCA’s Senior Care Options and One Care plans. In New Hampshire, CTS is the fee-for-service Medicaid broker and also handles NEMT for AmeriHealth Caritas New Hampshire.

Although CTS is based in Connecticut, HUSKY Health Medicaid trips there run through MTM. CTS’s Connecticut work centers on other programs, such as transportation for people living with ALS.

How to Become a CTS NEMT Provider

CTS recruits Medicaid transportation providers through an online request form. The process looks like this:

• Review CTS’s company, driver, and vehicle requirements (summarized below).
• Complete the “Become a CTS Transportation Provider” form with your company details, years in business, vehicle counts, and any brokers you already work with, such as MTM, Modivcare, MART, or GATRA.
• Confirm you carry commercial general liability, commercial auto, and workers’ compensation insurance, which CTS requires to contract.
• Wait for CTS to review your information and contact you about NEMT provider credentialing.
• Once contracted, complete CTS’s required provider training.

CTS does not publish an approval timeline, so follow up with headquarters if you haven’t heard back.

Apply here: ctstransit.com/transportation-providers
Provider phone: 203-736-8810 (Trumbull headquarters)
Provider portal: providers.ctstransit.com

CTS Requirements for NEMT Providers

CTS sets insurance minimums by state and contract, so confirm the numbers for your service area. Its published company, driver, and vehicle requirements include:

• A certificate of good standing or registration to do business in your state
• OIG/SAM exclusion checks for all employees
• General liability, automobile liability, and workers’ compensation insurance, plus an umbrella policy if required
• Routine DMV record and criminal background checks for drivers, with drug screening where required
• Driver training in defensive driving, passenger assistance, customer service, and sensitivity, plus first aid and CPR if mandated
• Vehicles that are licensed, inspected, insured, and maintained to DOT, DMV, and CTS standards
• Working safety equipment, required signage, and two-way communication between driver and dispatch
• Use of the CTS Driver app, built by Momentm Technologies, which tracks location for mileage and same-day trip assignments

Why Work with CTS?

CTS draws trips from a diversified payer mix: state Medicaid, Medicare Advantage and special needs plans, dual-eligible members, the VA, and other programs. That spread helps steady your volume when one contract changes.

Its fiscal 2023 annual report counted 372 network providers, 346,063 covered lives, and nearly 2.3 million trips performed. CTS also keeps health plan relationships for years. Its first Commonwealth Care Alliance contract ran from 2012 to 2018, and the plan brought CTS back in 2020.

As a URAC-accredited nonprofit, CTS puts weight on compliance, so providers with clean credentialing files fit well.

Comparing brokers in the Northeast? See our guide to Medical Answering Services, or browse our guide to NEMT brokers operating in the US.

RouteGenie NEMT software is integrated with CTS, allowing providers to seamlessly import trips, automate dispatching, manage billing, and maintain compliance, all from one platform. Learn more about RouteGenie’s broker integrations.