TRANSPORTATION SERVICES PROVIDER IN MISSOURI

PROVIDING RELIABLE, SAFE, AND ACCESSIBLE TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES OR MOBILITY CHALLENGES

Transportation Services in Missouri ensure that individuals with disabilities, chronic health conditions, or mobility challenges have access to essential services, healthcare, and community involvement. These services are designed to promote independence and improve quality of life. Transportation Services are available under Missouri’s Home and Community-Based Services (HCBS) Waivers.

1. GOVERNING AGENCIES

• Agency: Missouri Department of Health and Senior Services (DHSS)

  • Role: Administers Medicaid and HCBS Waiver programs, including transportation services

• Agency: Missouri Department of Social Services (DSS)

  • Role: Oversees Medicaid provider enrollment and service authorization

• Agency: Missouri Department of Transportation (MoDOT)

  • Role: Regulates passenger transportation providers and safety standards

• Agency: Centers for Medicare & Medicaid Services (CMS)

  • Role: Provides federal oversight and ensures waiver compliance

2. TRANSPORTATION SERVICE OVERVIEW

Transportation Services focus on providing safe and reliable mobility for individuals who require assistance getting to medical appointments, community events, or other essential destinations. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Non-emergency medical transportation (NEMT)

• Community-based transportation for social and recreational activities

• Wheelchair-accessible and ADA-compliant vehicles

• Driver assistance and escort services

• Trip scheduling, route planning, and coordination

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Missouri Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Enroll as a Medicaid provider with the Missouri Department of Social Services

• Obtain a Passenger Transportation License from the Missouri Department of Transportation (MoDOT)

• Maintain liability insurance and vehicle safety documentation

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Missouri Department of Social Services to understand transportation service provider requirements

Step 2: Application Submission

• Submit business registration, transportation license, liability insurance, and service descriptions

Step 3: Compliance Verification

• Ensure that the Passenger Transportation License meets state and federal safety standards

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to deliver services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration

• IRS EIN Letter

• NPI confirmation

• Passenger Transportation License

• Vehicle insurance certificate

• Policy & procedure manual including:

  • Driver training and safety protocols

  • Vehicle maintenance and inspection logs

  • Client intake and transportation need assessments

  • Scheduling and trip coordination procedures

  • Emergency response and incident reporting protocols

6. STAFFING REQUIREMENTS

Role: Transportation Program Manager

• Requirements: Experience in logistics, transportation coordination, or community mobility planning

Role: Driver / Transportation Aide

• Requirements:

  • Valid driver’s license with passenger endorsement

  • CPR/First Aid certification

  • Background check and clean driving record

Training Requirements:

• Defensive driving and vehicle safety practices

• Client mobility assistance and ADA compliance

• Emergency procedures and first aid

• Documentation and client interaction protocols

7. MEDICAID WAIVER SERVICES

Transportation Services in Missouri are available through:

• Aged and Disabled Waiver (ADW)

• Independent Living Waiver

• Medically Fragile Adult Waiver

Approved providers may deliver:

• Non-emergency medical transportation (NEMT) to healthcare facilities

• Community mobility services for social and recreational needs

• Accessible vehicle services with driver assistance

8. TIMELINE TO LAUNCH

Phase: Business Formation

• Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

• Timeline: 60–90 days

Phase: Staff Hiring and Training

• Timeline: 30–45 days

Phase: Vehicle Inspection and Safety Compliance

• Timeline: 2–4 weeks

9. CONTACT INFORMATION

Missouri Department of Health and Senior Services (DHSS)

• Website: https://health.mo.gov

Missouri Department of Social Services (DSS)

• Website: https://mydss.mo.gov

Missouri Department of Transportation (MoDOT)

• Website: https://www.modot.org

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MISSOURI TRANSPORTATION SERVICES PROVIDER

We support agencies and entrepreneurs in launching compliant Transportation Services across Missouri under the HCBS Waiver models.

Scope of Work:

• Business registration and licensing assistance

• Medicaid provider enrollment

• Policy & procedure manual for transportation operations

• Templates for trip logs, vehicle maintenance records, and safety protocols

• Website, domain, and email setup

• Staff credentialing and driver training documentation

• Client intake packet and transportation assessment forms

• Vehicle safety tracking and compliance logs

• Referral networking with healthcare providers and community organizations

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.