04/27/2026
Most NEMT providers don't have a demand problem. They have a systems problem.
Missed trips. Broker rejections nobody explained. Compliance gaps blocking growth. Paperwork delays slowing reimbursements.
I built ALT Legacy after working inside both a nonprofit NEMT brokerage and a Medicaid managed care organization, reviewing compliance, overseeing transportation access, and watching the same operational breakdowns repeat across providers.
I know what brokers flag. I know what health plans require. And I know the gaps most providers never fix because nobody on the inside told them what to look for.
If your NEMT business is running but something feels off, revenue isn't where it should be, broker relationships are inconsistent, operations feel reactive, that's what we fix.
ALT Legacy | NEMT Broker Readiness + Compliance Consulting https://altlegacy.com/services/
