What NEMT Expenses are Tax Deductible

NEMT expenses are tax deductible


General Business Deductible Expenses

Starting a business is daunting. It’s a huge expense in terms of both money and time, and at the end of the day, it’s always a risk. In fact, a 2019 survey found that more than 50% of small businesses fail in the first year. This staggering stat shouldn’t deter you—it should motivate you. Once you start digging into why these businesses have failed, you’ll find that a majority simply weren’t prepared properly. If you can equip your business with the tools to succeed and understand why businesses in your industry have failed before, you’ll be in a good place to succeed. Something that many small businesses don’t realize is that a significant amount of their expenses are actually tax deductible. Here are some expense deductions that are worth taking advantage of if you qualify:

Office Supplies

If you don’t run your business out of your home, you have to purchase office supplies for your company to run smoothly. Some of the most expensive equipment includes computers for each employee, along with any phones, printers, and other electronic assets your business might need to function. These things can all be tax deductible, in addition to office furniture and signage.


If you rent an office space, any utilities you pay at the building, including water, electric, trash, and phone bills are tax deductible. It’s important, however, to note that with the emergence of more businesses operating remotely, your own personal home’s water and electricity would not become tax deductible. 


If you run a NEMT business, vehicle insurance is top-of-mind, but it’s not the only insurance your business requires, and it’s not the only kind that’s tax deductible, either. Most businesses purchase some of or all of the following types of insurance: health insurance, business continuation insurance, property insurance, liability coverage, malpractice insurance, and workers’ compensation costs. All of these insurance costs can be deducted in part or in full. 


If you rent a building or office space to run your business, you can deduct that cost from your taxes. If you run your business from home, you may be entitled to deductions, but you’ll have to take an eligibility test to confirm. 

NEMT Specific Deductible Expenses

specific deductible expenses

NEMT rules and regulations vary from state to state, so it’s important to ask your state Medicaid agency if they know of any additional deductions. In the meantime, NEMT providers across the nation can benefit from these tax deductions at their business: 

Vehicle Maintenance

Vehicle maintenance can be anything from oil changes and inspections to new tires and internal issues. These things may or may not be tax deductible, but they’re worth keeping track of in case they are. It’s important to keep receipts for any vehicle maintenance you receive to prove later on that you paid the exact amount you’d like to receive off your taxes. 

Vehicle Mileage

The easiest way to track your miles so that you can deduct them from your taxes is by multiplying the IRS standard mileage rate, which is currently $0.56 per mile, by the number of miles driven to get the total amount you can deduct. If you’re using non-emergency medical transportation software, it’s easy to track every mile driven right within the system. 

Parking and Toll Fees

In some cases, drivers will have to pay for parking while they wait for a patient to complete their appointment. This could be considered tax deductible as a medical expense, since it might make sense for the driver to stay versus leaving and coming back post appointment. Additionally, if a driver has to take toll roads to get to a passenger’s home or appointment, these might be tax deductible, as long as they weren’t already paid for by insurance or the client. 

Build a Business You’re Proud of With RouteGenie

Whether you’re striving to develop a small, local NEMT business or one that spans across multiple states, you need medical transportation software on your side. Don’t continue limiting yourself by operating manually. Sign for your free demo and make the switch to modern NEMT software. 

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About the author

Emmy Kolbe
Emmy Kolbe

Emmy Kolbe is a copywriter at RouteGenie, where she spends her days writing about non-emergency medical transportation software. She creates content for both emerging and existing transportation companies. She has a bachelor’s degree in journalism and mass communication from St. Bonaventure University.  The author assumes no responsibility or liability for any errors or omissions in the content of this site. The information contained in this site is provided on an "as is" basis with no guarantees of completeness, accuracy, usefulness or timeliness.