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NEMT broker

Modivcare billing for NEMT providers

Provider portalModivcare Transportation Provider portal2

Modivcare billing runs through the Transportation Provider portal and WellRyde, the web-based dispatch platform Modivcare offers its providers at no or reduced cost.

Modivcare contracts with state Medicaid agencies and managed care plans and assigns their trips to independent transportation providers; Virginia DMAS uses it as the fee-for-service NEMT broker. Its Mississippi manual sets a 60-day invoice window and pays twice a month. A dedicated Remitwright biller matches each completed trip to its submission, reads the trip log before release, posts what Modivcare pays against your rate sheet, and disputes mileage one trip at a time. Compare NEMT brokers by state.

Independent: Remitwright is not affiliated with or endorsed by Modivcare. The name is used to describe the broker we submit trips to on your behalf.

Last reviewed by the Remitwright billing team. Editorial policy

The Modivcare provider portal

Each fact here is footnoted to a published source (the broker, the company that now runs its programs, a health plan or a state program), listed at the foot of the page. Last verified October 21, 2026.

The Transportation Provider portal at transportationco.logisticare.com, which Modivcare's join page links for existing providers, and WellRyde, the web-based dispatch platform Modivcare offers at no or reduced cost, with its own login at portal.app.wellryde.com. WellRyde optimizes routes, auto-assigns trips, simplifies billing and shows rides in real time.2

Open Modivcare Transportation Provider portal

Programs and states5

  • Virginia. DMAS contracts with Modivcare as the broker for fee-for-service NEMT, and its provider enrollment sheet lists Modivcare as the transportation broker for the Aetna, Sentara, Humana and UnitedHealthcare managed care plans.
  • Mississippi. Modivcare publishes a Mississippi Medicaid Transportation Provider Manual, dated February 2024, for the transportation companies it contracts with there.
  • Montana. DPHHS contracted with Modivcare for NEMT broker services under Montana Healthcare Programs, and Montana's October 2026 Claim Jumper says Modivcare oversees and administers all NEMT Medicaid billing from October 1, 2026 and has taken over provider enrollment from the state's contractor, Conduent.
  • Other programs. Modivcare works under contracts with state Medicaid agencies and managed care organizations, which its manual calls Clients; your contract names the programs you serve.

Submitting trips and claims to Modivcare

Electronic only. Modivcare's Mississippi manual says it does not accept paper claims: trip claims go in through the provider's pre-approved transportation management software or Modivcare's secure web-billing portal, and Modivcare checks each one against its records of trips assigned and performed. Only trips assigned with a valid job number are paid, and corrected claims go to Modivcare by email for manual processing.4

Documentation Modivcare expects4

  • A trip log completed in full for every trip: Modivcare denies payment on trip claims with incomplete trip log information.
  • A valid job number from Modivcare on every trip; trips it did not assign are not paid.
  • Cancellations reported through the online portal no later than the day after the cancelled trip, and never on the billing log.
  • Vehicles registered with Modivcare and inspected before service, then at least semi-annually or annually by client rule; a vehicle that misses or fails its re-inspection within 10 days is redlined, and trips run in it are not paid.
  • Driver and attendant records approved by Modivcare's Compliance and Credentialing Department before service and every year after.

Filing window and payment cycle

Filing window
60 days from the date of service for an invoice with completed trip logs, under Modivcare's Mississippi manual. Later invoices are cut by ten percent, and invoices more than 120 days after the date of service are disallowed.4
Payment cycle
Twice a month, by check or electronic transfer, within 30 days of receiving a properly submitted, uncontested invoice, under Modivcare's Mississippi manual.4

Your own Modivcare contract can set different terms, and where it does, the biller works to the contract.

Credentialing with Modivcare: what to prepare

Modivcare takes new transportation providers through the Join Our Network form on its website, then credentials drivers, attendants and vehicles before any of them carries a member. Its Mississippi manual sends driver and attendant records to the Compliance and Credentialing Department before service and every year after, and offers an independent credentialing company at negotiated rates, with the cost deducted from your invoice if you use it.2

  1. 01

    Fill in the Join Our Network form on Modivcare's transportation provider page.

  2. 02

    Build each driver file with a PASS wheelchair certificate, First Aid and CPR, a defensive driving certificate, a drug screen, a motor vehicle report and a background check.

  3. 03

    Build each vehicle file with current registration, a state inspection where one is required, and vehicle insurance.

  4. 04

    Carry the insurance Modivcare lists, commercial general liability, sexual abuse and molestation coverage, auto liability, and workers' compensation if you have employees.

  5. 05

    Register every vehicle with Modivcare and pass its initial inspection before the first trip.

  6. 06

    Complete the driver education the manual lists, much of which Modivcare's PASS program covers, and send renewed insurance, license and certification records as they update.

Remitwright's NEMT credentialing support covers the Medicaid enrollment and broker credentialing paperwork, done remotely. Modivcare decides who joins its network.

Common rejections and how to fix them

Common causes, drawn from the broker rules and program documents listed in the sources.

  • Mileage paid below what the vehicle drove

    The fixModivcare's manual says it pays on the shortest mapped distance from pickup to drop-off, rounded to the nearest whole mile, and asks providers to raise a material mileage error before running the trip. The biller sets each paid trip beside that measure and your WellRyde record, and takes real errors to Modivcare with the job numbers listed until the broker answers in writing.

  • Trip log incomplete

    The fixThe manual is direct: claims with incomplete trip log information are denied. Before release, the biller reads each log against the fields your contract requires. A trip missing one is held, and dispatch hears about it with the driver's name and the date of service, not a general reminder.

  • Trip claimed without a Modivcare job number

    The fixOnly trips Modivcare assigned with a valid job number are paid. A trip taken on a phone call has nothing to bill against, so the biller asks dispatch to get it assigned first, or to record why it ran without one, before anything is submitted.

  • Level of service billed is not the level on the reservation

    The fixModivcare's manual says the trip must run at the class of service on the reservation: ambulatory, wheelchair, stretcher or non-emergency ambulance. When a driver arrives to find the member needs something else, dispatch asks Modivcare to amend the reservation before the trip runs.

  • Claim returned for missing information and left too long

    The fixA returned claim resubmitted more than 30 days after its return is cut by ten percent, and one left past 60 days is denied in full. The biller dates every returned claim, fixes the missing field, and emails the correction to Modivcare for manual processing, as the manual directs.

  • Invoice sent after the 60-day line

    The fixUnder the Mississippi manual an invoice later than 60 days from the date of service loses ten percent, and one later than 120 days is disallowed. The biller's aging list shows each unsubmitted trip with the days left before the 60-day line, and your own contract's terms take over where they differ.

  • Trip run in a redlined vehicle or by a driver Modivcare has not approved

    The fixModivcare pays nothing for trips by non-compliant drivers or vehicles, including a vehicle redlined after a missed re-inspection. The biller keeps every inspection date and driver approval on one list, sends operations what falls due next, and checks that list before trips are released.

How we bill Modivcare for you

  1. 01

    Completed trips are matched against what has been submitted to Modivcare, and any trip that ran without a submission goes on the biller's open list.

  2. 02

    Each trip is checked for the documentation Modivcare expects before it is submitted; a gap goes back to dispatch with the driver and the date.

  3. 03

    Trips are submitted through Modivcare's method and inside its window, and rejections are worked and resubmitted.

  4. 04

    Payments are posted against your rate sheet, trip by trip, and short payments and mileage differences are disputed through Modivcare's process.

  5. 05

    Modivcare gets its own line on your report: trips completed, submitted, paid, disputed and still open.

If you are weighing a third-party biller against billing from dispatch, outsourced NEMT billing, explained sets the two side by side.

Worked example · hypothetical

A month of Modivcare trips against the 60-day line

A wheelchair van company finishes a month with 240 Modivcare trips, each with a job number. 228 have complete trip logs and go in at month end. 12 are missing a drop-off time; dispatch fills 11 from the driver's record and they go in two weeks later, still inside 60 days of their dates of service. The last one cannot be completed and is raised with Modivcare with its job number attached. 228 plus 11 plus 1 accounts for all 240, and no invoice reaches the ten percent reduction.

Questions about billing Modivcare

Do we have to use WellRyde to work with Modivcare?

Not under the Mississippi manual, which accepts trip claims through a provider's pre-approved transportation management software or Modivcare's secure web-billing portal and no paper claims. WellRyde is the dispatch platform Modivcare offers its providers at no or reduced cost. Whether your contract allows another route is a question for Modivcare; if you dispatch elsewhere, the biller reconciles the two so a trip in one has a record in the other.

How do I get credentialed with Modivcare?

Start with the Join Our Network form on Modivcare's site. Modivcare then asks for driver files, from a PASS wheelchair certificate to a background check, vehicle registration, inspection and insurance, and general liability, sexual abuse and molestation, auto and workers' compensation coverage, and it inspects each vehicle before it carries a member. Remitwright's NEMT credentialing support prepares that file remotely; Modivcare decides who joins its network.

How quickly does Modivcare pay?

Modivcare's Mississippi manual says it pays properly submitted, uncontested invoices twice a month by check or electronic transfer, within 30 days of receiving them, or more often where a state or client requires it. Other contracts can set different terms. The biller dates every submission and every remittance, so your report shows the interval Modivcare is taking on yours.

What is the filing window for Modivcare trips?

The Mississippi manual asks for invoices with completed trip logs within 60 days of the date of service. Later invoices are cut by ten percent and those more than 120 days out are disallowed; where Medicare pays first, the clock starts on the date Medicare denies the claim. Your own contract may differ, and where it does, the biller works to it.

What documentation does Modivcare need for a trip?

A valid job number and a trip log completed in full, since Modivcare denies claims with incomplete trip logs, and cancellations reported through the online portal by the day after the trip. Behind those sit the driver and vehicle records Modivcare approves before service. The biller holds your contract's list and reads each trip against it before release.

Can you bill Modivcare and the state Medicaid program for the same trip?

No. A trip Modivcare assigned is Modivcare's to pay at the rate in your contract, and a second claim to the state for the same trip is a duplicate. Medicaid is always the payer of last resort, so where a member's other coverage pays first, the biller follows that order; where a state pays some trips directly, the assignment decides which payer a trip belongs to.

What do you need to start billing Modivcare for us?

Five things, in this order: a signed BAA, a WellRyde or portal user for the biller, a user in your own dispatch system if it is separate, your Modivcare contract with its rate sheet, and your trip volume by month. If you already have a list of unpaid or short-paid Modivcare trips, send it with the rest.

Next step

Get a second look at your Modivcare billing.

A billing specialist reads what you send and replies in writing with where the trips are going unpaid.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

Name the brokers you run and roughly how many trips each month.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works