Provider Resources
Florida Medicaid NEMT Billing: Trip Records, Rates, and Common Denials
Getting paid for a Medicaid NEMT trip in Florida is not the same as billing an ambulance run. This is the trip-record workflow that keeps cash flowing.
Florida Medicaid NEMT is almost entirely capitated to managed-care plans, which delegate transportation to brokers. That means most providers do not submit CMS-1500 claims — they submit trip records through the broker's portal. Getting paid on time is a process problem, not a coding problem.
HCPCS codes you should recognize
- A0080 — Non-emergency transportation, per mile, vehicle provided by volunteer
- A0090 — Non-emergency transportation, per mile, vehicle provided by individual
- A0100 — Non-emergency transportation; taxi
- A0110 — Non-emergency transportation; bus, intra- or inter-state carrier
- A0120 — Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
- A0130 — Non-emergency transportation: wheelchair van
- A0140 — Non-emergency transportation and air travel (private or commercial), intra- or inter-state
- T2001–T2005 — NEMT waiting time, extra attendant, mileage, ancillary charges
Trip record vs claim
The broker's portal or EDI feed is where the money comes from. Each trip record must include: patient Medicaid ID, trip ID from the broker, pickup and drop-off timestamps with GPS, loaded miles, vehicle type, driver ID, attendant if any, and a signature or e-signature at the destination. Submit within the broker's window — usually 30 or 45 days from date of service.
Top denial reasons in Florida
- Missing signature or e-signature at destination
- GPS breadcrumbs missing or don't match the address on file
- Trip billed for a wheelchair van but no wheelchair on the authorization
- Loaded miles exceed shortest reasonable route with no exception note
- Trip submitted after the timely-filing window
- Duplicate trip ID within the same day
Rates in 2026
Rates vary by broker and county. Typical Florida ranges in 2026: ambulatory base $12-$20 with per-loaded-mile at $1.60-$2.20; wheelchair base $28-$45 with per-loaded-mile at $2.40-$3.20; stretcher base $75-$140 with per-loaded-mile at $4.00-$6.00. Long-distance (>50 miles one way) usually pays a supplemental long-distance rate — always ask.
AR discipline
Reconcile every submitted trip against the broker's remittance within 14 days. Set up denial buckets by reason code and rework them weekly — the vast majority of My Florida NEMT denials are curable with a signature capture, GPS proof, or a corrected authorization number.
Bill Medicaid faster with our dispatch stack
The My Florida NEMT platform captures signatures, GPS, and trip records automatically — export ready for every major broker.
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