What is the typical fee to start an NEMT business in Virginia?

For DMV authority, expect a possible $50 application filing fee (per OA150‑I), a $25,000 bond (annual premium varies by surety), and an annual $3 per vehicle operating authority fee, plus normal vehicle registration/plate costs. DMV OA150‑I ; DMV OA Navigator ; DMV – OA Renewal .

How long does it take to get my Virginia NEMT operating authority?

Time varies with application completeness and DMV workload; plan for several weeks . DMV does not publish a guaranteed processing timeframe. DMV – NEMT Carrier .

What happens if I don't renew or maintain my authority on time?

DMV may deny, suspend, or revoke authority for non‑compliance (e.g., failure to maintain insurance/bond). Operations without required authority are prohibited. Va. Code § 46.2‑2133 ; § 46.2‑2099.44 .

Are there any training requirements for drivers in Virginia NEMT services?

DMV operating authority focuses on carrier fitness, insurance, bond, vehicles, and tariffs. Specific driver training/certifications may be required by your Medicaid broker/MCO contracts and by your own safety policies, but are not prescribed by DMV for NEMT carriers. Check your Modivcare/MCO credentialing materials. DMAS – NEMT .

Is Medicaid enrollment mandatory for all NEMT providers?

No. Medicaid enrollment is only required if you plan to transport Medicaid members and bill Medicaid; otherwise, DMV authority alone covers private‑pay/insurance NEMT work. DMAS – NEMT .

NEMT License Virginia

Licensing Requirements

Non-Emergency Medical Transportation (NEMT) License Requirements in Virginia — Full checklist of Virginia requirements, fees, and steps.
Non-Emergency Medical Transportation (NEMT) License in Alabama
Non-Emergency Medical Transportation (NEMT) License in Arkansas
Non-Emergency Medical Transportation (NEMT) License in Florida
Non-Emergency Medical Transportation (NEMT) Licensing — All States — State-by-state non-emergency medical transportation (nemt) licensing overview.

Related Licensing Guides

Private Investigator License Requirements in Virginia (2026 Guide) — A complete guide to private investigator licensing in Virginia: the Virginia Private Investigator Registration (DCJS 04), Virginia Departmen
Non-Emergency Medical Transportation (NEMT) License Requirements in Georgia (2026 Guide) — A complete guide to non-emergency medical transportation (nemt) licensing in Georgia: the Georgia NEMT Provider License, Georgia Department
Non-Emergency Medical Transportation (NEMT) License Requirements in Texas (2026 Guide) — A complete guide to non-emergency medical transportation (nemt) licensing in Texas: the Texas NEMT Provider License, Texas Department of Hea
Non-Emergency Medical Transportation (NEMT) License Requirements in New York (2026 Guide) — A complete guide to non-emergency medical transportation (nemt) licensing in New York: the New York NEMT Provider License, New York Departme