NEMT Providers

The data below provides Fee for Service (FFS) paid amounts for State fiscal year 13 for non-emergency medical transportation services including FFS paid amounts for members enrolled in a TRBHA.

NEMT Update and Implementation Plan

For information regarding AHCCCS Registered Non-Emergency Medical Transportation Providers, please use the following link:

NEMT Billing Instructions & Exhibits for FFS:

NEMT Billing Instructions & Exhibits for IHS:

  • Chapter 11: Transportation Services [PDF]
    • Exhibit 11-1, Transportation Prior Authorization Request Form [PDF]
    • Exhibit 11-2, Non-emergency Medical Transport Daily Trip Report Instructions [PDF]

NEMT Provider & Process Changes:

  • At this time AHCCCS is currently in the process of consultation with the Tribes to pursue the development of an ‘RFP’ for a Transportation Broker and as such AHCCCS is not expanding the Non-Emergency network at this time. AHCCCS will continue to post updated developments to the website regarding Non-emergency Transportation Providers.
  • Revised Provider Profile for NEMT Provider Type Effective April 1, 2014 [PDF].

Non-Emergency Medical Transportation Provider Training

  • Providers registering with AHCCCS as a non-emergency medical transportation provider (provider type 28) completing Provider Participation Agreement’s on or after 7/1/13 must complete the online training module and submit the training certificate in order for their applications to be processed.
  • Launch the training

AHCCCS Provider Registration

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