Programs & services

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Transportation services (nonemergency)

Program background

In 1989 Washington State established a brokerage model to provide nonemergency medical transportation (NEMT) services to individuals eligible for medical assistance under the Medicaid State Plan who need access to medical care or services, and have no other means of transportation. It has since grown to become one of the most cost effective NEMT programs in the nation.

Program facts

  • Contracts with six brokers who subcontract with 170+ transportation providers statewide
  • 30,000+ clients are served per month
  • 13,000+ trips are provided each day with approximately 3.5 million trips done annually
  • Total programs costs are approximately $75 million


Since 2011 the NEMT program has focused on the goals of the 2018 realignment plan for the HCA:

  • Improving customer service experience.
  • Improving customer outcomes.
  • Reducing cost.

Within this framework, the NEMT program strives for the following:

  • Ensure that eligible Apple Health (Medicaid) clients have access to covered medical services
  • Ensure broker compliance with program rules through performance based contracts
  • Provide accurate program utilization data to facilitate data driven decisions


Brokers as HIPAA business associates

Contracted brokers

Regional broker map

Sample contract

Transportation broker by county                      

NEMT 101