NEMT billing in Georgia

One statewide broker. DCH contracts with Verida, formerly Southeastrans, to coordinate and provide NEMT in all five regions, North, Atlanta, Central, East and Southwest, from April 1, 2026, the date Modivcare stopped serving the Central, Southwest and East regions. The broker is paid a monthly capitated rate per eligible member and recruits and contracts with the transportation providers.¹ Because DCH pays the broker a capitation rather than paying trips, the rates, modes and documentation on your submissions come from the Verida contract. The transition date matters for aging trips: a Central, Southwest or East region trip before April 1, 2026 belongs to the outgoing broker's process, and a trip on or after it belongs to Verida's.

Medicaid provider enrollment in Georgia runs through the GAMMIS web portal³. DCH uses Verida as the statewide Medicaid transportation broker for all five regions, and Verida, not DCH, recruits and contracts with the transportation providers and pays them¹.

Contract with the broker. Transportation providers who want Georgia Medicaid NEMT work contract with Verida rather than with DCH, and the broker, not the state, recruits and credentials its network. Each trip is then scheduled and authorized by the broker before it runs.² DCH's NEMT FAQ says that from April 1, 2026 transportation providers must contact Verida to provide NEMT services, and Verida, not DCH, sets the credentialing requirements its network providers must meet. The federal minimums under section 209 of the Consolidated Appropriations Act, 2021 apply to every NEMT provider and driver regardless of broker: no federal program exclusion, a valid driver's license, a process for state drug law violations, and a process to disclose driving history.

• The member's name and Medicaid identifier on every trip recordCMS states that at a minimum all states require providers to document the beneficiary's name and Medicaid identifier, the pickup and drop-off locations, the date and time the service was furnished, and the number of miles traveled with the beneficiary in the vehicle.
• Pickup and drop-off locations with the date and time the service was furnished
• Loaded miles only, meaning miles with the beneficiary in the vehicle; a no-show cannot be billed as a trip
• The broker's authorization for the trip, because every Georgia NEMT trip must be scheduled and authorized by the broker and Medicaid rules require a contract with the managing entity before any service is furnished
• The member's signature on the transport record where the broker requires it, plus management's own check that documented trips were furnishedTransportation brokers and companies typically add their own documentation requirements to the state minimum, so the Verida contract's trip evidence list governs what the biller checks before release.

No state code table applies to brokered trips on this page. DCH pays Verida a monthly capitated rate per eligible member, and the broker contracts with and pays the transportation providers, so the modes, codes and rates on your submissions come from the Verida contract and rate sheet rather than a DCH fee schedule.¹ Plain-language explanations of the transport codes and the origin and destination modifiers are on the NEMT billing codes page.

Set by your Verida contract. DCH's NEMT pages publish no provider filing window for brokered trips, so no state day count is quoted here.¹ The biller records the submission date and the remittance date for every trip against the contract deadline, so a trip nearing it is visible days before, not after.