Local county or tribal agency nonemergency medical transportation (NEMT) service is transportation provided for eligible Minnesota Health Care Programs (MHCP) recipients by local county and tribal agencies to allow the recipients access to receive covered medical services or to attend MHCP service-related appeal hearings. Eligible fee-for-service (FFS) recipients do not need to be certified for state-administered NEMT services to receive local agency NEMT transport services.
The local county or tribal agency must inform the recipients of their transportation options and requirements to correctly access those services. Information to recipients must include but is not be limited to the following:
Minnesota Nonemergency Transportation (MNET) coordinates local agency NEMT for some counties through a host county contract. Hennepin County is the host county for the contract for local agency NEMT coordination in these counties: Anoka, Benton, Chisago, Dakota, Hennepin, Isanti, Mille Lacs (added April 1, 2017), Ramsey, Sherburne, Stearns, Washington and Wright. Contact for these counties continues to be Medical Transportation Management’s Minnesota Nonemergency Transportation (MTM-MNET). FFS recipients who live in these counties must contact MTM MNET at 866-467-1724 for local agency NEMT services.
For all other counties, contact the local county or tribal agency for NEMT transport processes and procedures.
Note: Although assisted transport (Mode 4) is listed as a state-administered NEMT service, the local county or tribal agency is responsible for arranging the ride with a qualified provider, reimbursing the provider for the transport, and billing MHCP for reimbursement paid to the transportation provider. If a transportation provider is providing services within the counties contracted with MNET, they must be enrolled as a transportation provider with MNET before they can receive reimbursement for services they provide.
Local agency NEMT transport services are sometimes referred to as “common carrier.” This includes the following:
Local agency NEMT transportation services provided by the NEMT provider include the following:
Ancillary Access Services
Local county and tribal agencies administer reimbursement of related travel expenses when necessary to allow recipients to obtain a covered health service.
Ancillary access services available include:
Refer to the Access Services Ancillary to Transportation page for more information.
The county or tribal agency uses transportation providers or private automobile to provide transportation services to FFS recipients. Contact the local county or tribal agency for their transportation service enrollment or contracting information and requirements.
Examples of local agency NEMT providers include the following:
County and Tribal Agencies
Effective July 1, 2016, all NEMT providers must comply with the operating standards for vehicles and drivers according to Minnesota Statutes 174.29 and 174.30. NEMT providers that are not certified by the Minnesota Department of Transportation (MnDOT) by July 1, 2016, must request a variance from these operating standards. Publicly operated transit systems, volunteers, and not-for-hire vehicles are exempt from the requirement.
Provider Type Home Page Links
Fee-for-service MHCP recipients enrolled in the following programs are eligible to receive transportation services:
For recipients enrolled in a managed care organization (MCO), or transportation services provided through a waiver program, refer to Eligible Recipients in the Nonemergency Medical Transportation (NEMT) Services (Overview) section.
MinnesotaCare members enrolled in a managed care plan with dates of service on and after January 1, 2017, will only receive or be reimbursed for personal mileage (mode 1), unassisted transport—air fare only (mode 3), and out-of-state transport and ancillary services (lodging, meals, parking or tolls) through the local county or tribal agencies. All other NEMT transports are accessed through the health plan.
Exception: From January 1 through April 30, 2017, MinnesotaCare enrollees in Medica will continue to receive modes 1, 2 and 3 through the local county or tribal agency. Protected transport (mode 6) for Medica enrollees will also be delivered FFS through the process established for protected transport.
Recipients must contact MNET or their local county or tribal agency for policies and procedures for scheduling or obtaining local agency NEMT-related ancillary services or reimbursements.
Refer to Covered Services in the Nonemergency Medical Transportation (NEMT) Services (Overview) section for general service coverage requirements.
Refer to Multiple Riders in the Transportation Overview section for information on transporting multiple MHCP recipients at the same time from a single pick-up (origination) location.
Also see One-time Transport Assessments and Upgrades in the Transportation Overview section.
Local agency NEMT is a covered service when nonemergency transportation services are provided for the following:
Electroconvulsive Therapy, Dialysis and Outpatient Procedures with Sedation
Recipients who receive electroconvulsive therapy (ECT), dialysis, or outpatient procedures with sedation are eligible for local agency NEMT to and from the service. Recipients may require state-administered NEMT transport for the return trip. Refer to the State-Administered NEMT Transportation Services section for Authorization Requirements. Refer to Transportation Upgrade in the State-Administered NEMT Transportation Services section for covered services.
Personal Mileage Reimbursement
Personal mileage is the least costly method of transport and is reimbursed by the local county or tribal agency. Recipients who have a vehicle must use personal mileage and are not eligible for other modes of transport.
Personal mileage reimbursement cannot be denied based on a minimal distance driven to obtain the MHCP covered medical service. The mileage to and from the eligible service by the most direct route is reimbursable. The local agency may hold personal mileage reimbursement until a reasonable amount has been accrued before generating a payment. The local county or tribal agency may deny personal mileage that exceeds the 30 or 60 mile limits when not authorized, coordinated or delivered according to local agency policies and procedures.
Refer to the following exceptions from the use of the personal mileage requirement:
Personal mileage reimbursement requirements include, but may not be limited to the following:
MHCP covers corporate or business foster care provider mileage reimbursement when:
Local agency-recognized volunteer drivers must meet both of the following:
Refer the volunteer driver or volunteer driver organization to the Minnesota Department of Revenue’s website and their Volunteer Mileage Reimbursement page for information related to volunteer driver reimbursement, possible tax implications and requirements for issuing Form 1099.
For reimbursement of parking, meals and lodging, refer to the Access Services Ancillary to Transportation page.
Refer to Noncovered Services in the Nonemergency Medical Transportation (NEMT) Services (Overview) section.
Transport provided by a PCA, HHA, corporate foster care, county social worker or case worker, etc., is not reimbursable if transportation is reimbursed by other program funds.
Transport of an Emergency Medical Assistance (EMA) recipient for the purpose of obtaining routine or preventative medical care or services is not covered.
Refer to Authorization for general authorization requirements. Refer to the Authorization section in the Nonemergency Medical Transportation (NEMT) Services (Overview) for more specific information. Local county or tribal agencies may require authorization for the transportation services they provide or reimburse.
Refer to the Nonemergency Medical Transportation (NEMT) Services (Overview) section for out-of-state medical services.
Refer to Billing in the Nonemergency Medical Transportation (NEMT) Services (Overview) section for billing policy information. Refer to the MN–ITS User Guide for specific billing instructions.
Local agency administered NEMT providers do not bill MHCP for service reimbursements. Contact the local county or tribal agency for reimbursement processes.
County or Tribal Agencies
Local county and tribal agencies may reimburse the recipient or the provider directly for costs incurred. Reimbursement is the lesser of the recipient’s or provider’s submitted charge and the MHCP calculated allowable. The calculated allowable is the maximum amount MHCP will reimburse the local agency.
Personal Mileage Reimbursement Rate
Personal mileage is reimbursed as follows:
IRS Business Mileage Deduction Rate
Reimbursement is paid at the IRS business mileage deduction rate in effect on the date of transport. The IRS rate is paid only to the following:
See the Minnesota Department of Revenue’s website and their Volunteer Mileage Reimbursement information page for additional information on volunteer driver reimbursement, possible tax implications and issuing of Form 1099.
For the NEMT billing process, refer to the Procedure Codes, Modifiers and Payment Rates web page.
For the ancillary access services billing process, refer to the Ancillary Access Service Procedure Codes, Modifiers and Payment Rates web page.
Laws of Minnesota 2014, chapter 312, article 24, section 28 NEMT provider requirement
Laws of Minnesota 2014, chapter 312, article 24, section 45 Waiver Applications for Nonemergency Medical Transportation Service Providers
Minnesota Statutes 174 (Department of Transportation)
Minnesota Statutes 174.29-174.30 (Coordination of Special Transportation Service)
Minnesota Statutes 256B.0625, subd.17(Transportation costs)
Minnesota Statutes 256B.0625, subd.17a (Payment for ambulance services)
Minnesota Statutes 256B.0625, subd.18 (Bus or taxicab transportation)
Minnesota Statutes 256B.0625, subd.18a (Access to medical services)
Minnesota Rules 8840.5925 (Vehicle Equipment)
Minnesota Rules 9505.0315 (Medical Transportation)
Minnesota Rules 9505.0445 (Payment Rates)