Free 47-question assessmentNEMT Startup Readiness CheckMark only the statements you can support with evidence. The score is a planning signal—not a guarantee, approval, or compliance determination.0%0 of 47 confirmedResearch before spendingMarket and service modelI have defined a realistic service area.I know whether I will start with ambulatory, wheelchair, stretcher, or mixed service.I have interviewed local facilities or referral sources about transportation gaps.I have identified hospitals, dialysis centers, skilled nursing, senior living, and behavioral-health facilities.I know which transportation brokers, health plans, or public programs operate in my market.I understand who will pay for each planned service.I have reviewed local competitors, their service levels, and likely coverage gaps.I can explain why a referral source should trust my company.Money and pricingI have an itemized startup budget.I have at least 90 days of working-capital assumptions.I know my expected payment delay for each payer type.I know my estimated fixed monthly overhead.I know my vehicle and driver cost per operating mile.I have calculated a minimum viable trip rate.I have tested base, downside, and upside trip-volume scenarios.I have separated owner pay from business profit.Entity, enrollment, and complianceI have selected the appropriate legal entity with professional guidance where needed.I have an EIN, business bank account, and bookkeeping plan.I have checked current state and local license requirements.I know whether an organizational NPI is needed for my payer path.I have checked current Medicaid or payer enrollment requirements.I have a list of required broker or managed-care applications.I understand driver screening, training, and credential requirements.I understand vehicle inspection, equipment, and accessibility requirements.I have a renewal calendar for credentials, policies, registrations, and inspections.Vehicle and insuranceI selected a vehicle based on verified demand rather than appearance.I have compared buying, leasing, converting, and starting with an existing eligible vehicle.I have budgeted for inspection, maintenance, tires, cleaning, and downtime.I have a backup-transportation or continuity plan.I have obtained commercial auto quotes that accurately describe passenger transportation.I have checked contract-specific insurance limits and endorsements.Every planned driver and vehicle can be listed correctly on the policy.I understand deductibles, exclusions, cancellation terms, and incident reporting.Operations and salesI have a dispatch and scheduling process.I have a complete trip-documentation standard.I have a billing, denial, appeal, and payment-tracking process.I have driver files, training records, and corrective-action procedures.I have preventive-maintenance and vehicle-inspection logs.I have incident, complaint, breakdown, and late-trip response procedures.I have a capability sheet and outreach email.I have a weekly facility and private-pay outreach target.I know which KPIs I will review every day and every week.I have tested a complete mock trip from intake through billing.I know who handles the operation when I am unavailable.I will not add volume until documentation and cash flow remain controlled.I have verified my major assumptions with current primary sources.I can name the next three actions required before spending more money.Turn gaps into a 90-day sequence.Use the detailed checklist to organize research, setup, operations, and outreach.Open the 90-Day Checklist
