How to Start an NEMT Business in Colorado: A "Bambi Knows Best" State-By-State Series
Before hitting the forest trails (some of Bambi’s all time favs!) of Colorado’s NEMT market, it’s essential to understand the state’s healthcare landscape and transportation needs. From the bustling streets of Denver to the quaint mountain towns, Colorado’s diverse geography shapes the varying demand for NEMT services. Here’s how to get geared up with the Colorado NEMT scene:
1 | Identify Existing NEMT Providers in Colorado Get to know your fellow trailblazers! Colorado’s Medicaid system, Health First Colorado , is coordinated by TransDev Health Solutions as the primary broker. Other key players include these providers:
Modivcare MedRide Uber Health Be sure to also check local directories and state resources to find other NEMT providers in Colorado’s major cities and rural, mountainous areas.
2 | Assess the Demand for NEMT Services Colorado’s aging population — these aren’t just your average snowbirds; they’re the real deal. Picture actual snow-loving retirees who migrate to the mountains instead of away from them, and with that migration comes a growing demand for healthcare. As their needs rise, so does the demand for NEMT services, ensuring they stay connected to essential medical care year-round. Key facilities for bringing business to your business, consider the following (and be sure to check the most up-to-date via Colorado’s Department of Public Health :
Adult Day Care Centers : Over 60 licensed centers in Colorado, catering to seniors needing regular transportation.Dialysis Clinics : Over 200 clinics statewide, with large providers like DaVita and Fresenius.Physical Therapy Centers : Abundant across Colorado; check with local providers for specifics on locations and patient needs. You can consult the Colorado Physical Therapy Association or check with local healthcare providers for more specifics on PTCs.Hospitals : Colorado is home to nearly 100 hospitals, including major networks like UCHealth .Nursing Homes and Assisted Living : With a large senior population, the state has over 230 licensed nursing homes.3 | Decide on a Target Market Focus on specific demographics, such as seniors, individuals with chronic conditions or those requiring frequent medical appointments for check ups. Tailoring your services will help you meet the unique needs of Colorado’s communities and save even save you marketing spend when you niche down.
4 | Choose Specific NEMT Services Determine which services fit best — rides for medical appointments, specialized dialysis transport, or senior mobility solutions. By defining your niche, you can effectively navigate the market and maximize your return on investment.
5 | Understand Medicaid Delivery Models in Colorado Colorado’s Medicaid system operates with a mix of fee-for-service and managed care models. The state uses a brokerage system to streamline NEMT requests.
Key facts about Colorado’s NEMT system:
NEMT Model : Brokerage system managed by state-contracted brokers.Operating Authority : Health First Colorado (Medicaid) via the 1902(a)(70) State Plan AmendmentNEMT Expense Classification : Considered a medical expense under Medicaid.Poverty Rate : About 11% of residents live below the poverty line.Urban Population : Roughly 77% of the population lives in urban areas.Estimated NEMT annual expense: $9.3 MillionEstimated annual NEMT Trips: 642,804.6 | Getting Paid Payments for NEMT in Colorado are primarily handled through Medicaid. Here's how you’ll typically get compensated:
Medicaid Fee-for-Service : Direct reimbursement for eligible trips.Brokerage Contracts : Work with brokers who coordinate trips and handle payments.Be sure to follow Medicaid billing guidelines for smooth payment processing. Contact the Colorado Department of Health Care Policy & Financing or your brokerage partners for more details.
With this market overview, you’re ready to more than ready to mosey on forward. Stay tuned for Part 2 , where we’ll guide you through developing a business plan for Colorado’s NEMT market, or jump ahead in the TOC to get started on your NEMT journey in the Centennial State!
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