TRANSPORTATION SERVICES PROVIDER IN NEVADA

Fatumata Kaba
Sep 4
4 min read

ENHANCING ACCESS TO CARE AND COMMUNITY THROUGH SAFE, RELIABLE TRANSPORTATION

Transportation Services in Nevada provide non-emergency medical and community access transportation for individuals with disabilities, chronic conditions, or mobility challenges. These services facilitate access to medical appointments, community programs, work, and social activities, promoting independence and integration. Transportation Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: Nevada Department of Health and Human Services (DHHS)

Role: Administers Medicaid waiver funding for Transportation Services and manages provider enrollment, service authorization, and reimbursement.

Agency: Aging and Disability Services Division (ADSD)

Role: Ensures quality standards, service delivery, and compliance for Transportation Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Transportation Services meet HCBS quality, person-centered planning, and participant protection standards.

2. TRANSPORTATION SERVICES OVERVIEW

Transportation Services ensure that individuals with disabilities can travel safely to medical appointments, social events, community programs, and work.

Approved providers may deliver:

Non-Emergency Medical Transportation (NEMT): Rides to medical appointments, therapies, and healthcare services.
Community Access Transportation: Travel to community centers, support groups, and social events.
Employment Transportation: Rides to and from work or vocational training.
Social and Recreational Transportation: Enabling participation in social activities and community engagement.
Specialized Transport: Vehicles equipped for wheelchairs, mobility aids, and accessible seating.
Door-to-Door Assistance: Helping passengers from their residence to the vehicle and destination.
Companion or Escort Services: Accompanying individuals who require personal support during travel.

All services are provided according to the Individualized Service Plan (ISP) to meet the specific transportation needs of the participant.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Transportation provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain necessary permits and licenses from the Nevada Transportation Authority (NTA).
Maintain general liability, professional liability, and vehicle insurance.
Develop policies for passenger safety, vehicle maintenance, and driver training.
Ensure drivers meet background checks, health screenings, and defensive driving training requirements.

4. NEVADA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Transportation Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, vehicle insurance certificates, driver qualifications, and policy manuals.

Program Readiness Review:

DHHS and ADSD evaluate provider readiness, including safety protocols, driver training, and vehicle maintenance procedures.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Transportation Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Nevada Transportation Authority (NTA) permit (if applicable)
Proof of vehicle and general liability insurance
Transportation Services Policy & Procedure Manual, including:
- Trip scheduling, passenger assistance, and route planning procedures
- Driver credentialing, background checks, and training records
- Safety protocols for transporting individuals with mobility aids
- Vehicle maintenance, inspection, and cleanliness standards
- HIPAA compliance, passenger rights, and grievance handling
- Documentation standards for trip logs, billing, and compliance tracking
- Emergency preparedness, accident reporting, and incident management

6. STAFFING REQUIREMENTS

Role: Transportation Program Director

Requirements: Bachelor’s degree in business administration, transportation management, or related field; supervisory experience preferred.

Role: Drivers/Transportation Aides

Requirements: Valid Nevada driver’s license with a clean driving record; defensive driving and passenger assistance training; CPR/First Aid certification; background clearance.

Role: Dispatch Coordinators

Requirements: Experience in logistics, scheduling, and customer support; background clearance.

All staff must complete:

Training in safe driving practices and passenger assistance
HIPAA compliance and client rights education
Ongoing professional development and defensive driving courses
Annual vehicle safety inspections and maintenance training
Customer service and accessibility training

7. MEDICAID WAIVER PROGRAMS

Transportation Services are available under the following Nevada Medicaid Waivers:

Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver

Services may include: