Top Questions People Ask About Non-Emergency Medical Transportation (With Clear Answers)

If you’ve ever struggled to get to a doctor’s appointment because of a disability, lack of a vehicle, or unreliable public transportation, Non-Emergency Medical Transportation (NEMT) could be a vital lifeline. Designed to help eligible individuals get to and from healthcare appointments safely, NEMT is offered through government health programs and supported by many managed care plans.

Here are the most frequently asked questions about NEMT—answered clearly, so you can take the next steps with confidence.

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TLDR: Quick Answers About NEMT

• NEMT is covered by Medi-Cal and Medicaid for eligible patients.
• Rides are available for non-urgent medical needs such as doctor visits, physical therapy, or pharmacy trips.
• Eligibility usually requires no other means of transportation and a medical condition that limits travel.
• A doctor’s referral or authorization may be needed to schedule a ride.
• Scheduling must be done in advance, usually 48–72 hours ahead.
  

What Is Non-Emergency Medical Transportation (NEMT)?

NEMT refers to transportation services for medical appointments that are not life-threatening or urgent. It’s commonly used for:

• Routine checkups
• Dialysis or chemotherapy
• Behavioral health visits
• Post-surgical follow-ups
• Physical therapy and lab tests
  

NEMT helps individuals who cannot drive, use public transit, or travel alone due to medical conditions, age, or disability.

Who Qualifies for NEMT?

Eligibility depends on your health plan and specific needs. You may qualify if:

• You are enrolled in Medi-Cal, Medicaid, or a managed care plan that includes NEMT
• You have a medical condition that prevents independent travel
• You have no other safe transportation options
• A doctor or provider confirms your need for NEMT
  

Some states also require patients to complete an authorization form such as a Physician Certification Statement.

How Is NEMT Different from Emergency Medical Services?

NEMT is not for emergencies. Emergency transportation, like calling 911 or using an ambulance, is for life-threatening situations. NEMT is used for scheduled appointments and ongoing care, not acute medical episodes.

What Types of Transportation Are Provided?

NEMT can include:

• Ambulatory vans
• Wheelchair-accessible vehicles
• Stretcher vans (in limited cases)
• Ride-share partnerships (Uber Health, Lyft Concierge)
  

The vehicle type depends on your medical needs and mobility level.

How Do I Schedule a Non-Emergency Medical Ride?

The process typically involves:

1. Contacting your Medi-Cal or Medicaid plan (use the number on your member ID card)
2. Requesting a ride at least 48–72 hours in advance
3. Providing appointment details (time, date, address, provider’s info)
4. Getting a referral or prior authorization if required by your plan
   

Some plans offer online booking portals or apps.

Is There a Cost for NEMT?

If you are eligible through Medi-Cal or Medicaid, NEMT services are usually free of charge. Always verify with your specific plan, especially if you are enrolled in a Medicare Advantage plan or a dual plan (Medicare + Medi-Cal).

What If I Miss My Ride?

Most plans have a no-show policy. You should:

• Cancel or reschedule at least 24 hours in advance if you can’t make the appointment
• Contact your transportation provider or health plan directly to report issues
• Frequent no-shows could affect your eligibility for future rides
  

Can I Bring Someone With Me?

In many cases, yes. You may be allowed to bring:

• A family caregiver or guardian
• A personal care assistant
• A translator or behavioral support aide, if medically necessary
  

Ask your transportation broker or plan when scheduling the ride.

What If I Live in a Rural Area?

NEMT is still available, but scheduling may require more notice. Ride availability can depend on:

• Proximity to providers
• Driver availability in your ZIP code
• Local vendor contracts (some counties use third-party transport services)
  

Key Takeaways

• Non-Emergency Medical Transportation ensures eligible patients get to medical appointments safely.
• Services are free for most Medi-Cal and Medicaid members.
• You’ll likely need prior authorization from your provider or health plan.
• Rides must be scheduled in advance—usually at least 48 hours ahead.
• Options include vans, wheelchair-accessible vehicles, and contracted ride services.
  

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