NEMT Brokers in Texas: Who Actually Handles Medicaid Transportation and How It Is Changing

Anyone searching for NEMT brokers in Texas will find a structure that is more layered than a single statewide name. Texas Medicaid transportation runs through the Medical Transportation Program, overseen by the Health and Human Services Commission, but which broker you actually work with depends on which managed care plan your riders are enrolled in, and that assignment can and does change. This is a current look at the top NEMT brokers in Texas, how the underlying program is structured, and a real broker transition happening as of this writing that is worth knowing about before you build a business plan around one assumption.

How the Texas Medical Transportation Program is actually structured

The Medical Transportation Program, or MTP, arranges non emergency medical transportation for Texas Medicaid recipients along with the Children with Special Health Care Needs Services Program and Transportation for Indigent Cancer Patients. The Texas Medicaid and Healthcare Partnership, TMHP, enrolls certain MTP providers and processes their claims under contract with HHSC. For Medicaid managed care specifically, meaning the STAR, STAR Kids, and STAR Plus programs most Texas Medicaid recipients are actually enrolled in, transportation is typically carved into the managed care organization's benefits, and each MCO contracts its own regional transportation broker to actually deliver the service. This is the reason a single list of NEMT brokers in Texas is more useful as a snapshot of who is currently contracted where than as a fixed roster, since these relationships shift.

The top NEMT brokers in Texas right now

Modivcare has one of the largest broker footprints in Texas and has historically managed transportation for a number of major managed care plans in the state. MTM, Medical Transportation Management, is also a major presence, expanded further by its acquisition of Access2Care, and manages transportation for plans including Community Health Choice, Molina Healthcare, and Texas Children's Health Plan. SafeRide Health has grown its Texas presence significantly as well, managing transportation for Superior HealthPlan, whose STAR Plus membership spans major metro regions including Bexar, Dallas, Hidalgo, and Nueces counties, along with UnitedHealthcare Community Plan.

A broker change worth knowing about

This is the detail that makes a static list of NEMT brokers in Texas risky to rely on without checking the date. Blue Cross and Blue Shield of Texas announced that MTM Health will become its non emergency medical transportation provider effective October 1, 2026, a transition away from its previous vendor. According to the announcement, recurring trips and trips already scheduled to take place after that date will be fulfilled by MTM Health directly, with no action required from members. If you are researching a list of NEMT brokers in Texas and see a plan mapped to a different vendor than the one above, it is worth checking whether you are looking at information from before or after this transition, and confirming directly with the plan rather than assuming either the old or new assignment.

Why this matters more in Texas than in a single broker state

Because Texas splits Medicaid managed care transportation across multiple MCOs and their individually contracted brokers rather than routing everything through one statewide vendor, an NEMT operation targeting Texas Medicaid trip volume realistically needs relationships with more than one broker to reach the full market. A provider that only builds a relationship with Modivcare, for example, is not automatically positioned to pick up STAR Plus trips routed through SafeRide Health or Community Health Choice trips routed through MTM. Given that broker assignments can shift, as the BCBSTX to MTM Health transition shows, treating this as a landscape to monitor rather than a fixed map is the more realistic approach for a Texas operator.

Enrolling as a Texas Medicaid transportation provider

Separate from any individual broker relationship, providers working under the state administered side of MTP enroll through TMHP's Provider Enrollment and Management System, commonly referred to as PEMS, which is also used to reenroll and revalidate existing providers. Beyond that state level enrollment, getting credentialed with each individual broker you plan to work with, whether that is Modivcare, MTM, or SafeRide Health, is a separate process with its own timeline, and realistic total timelines from business registration through active broker credentialing commonly run sixty to ninety days or more, so it is worth starting broker outreach well before you expect to be moving trips.

What to actually verify before you build around this list

Because broker contracts in Texas can and do change, as the recent BCBSTX transition demonstrates, the most reliable approach for any operator building a business plan around NEMT brokers in Texas is to confirm current assignments directly with each managed care plan rather than relying solely on any single published list, including this one. Checking a plan's own provider or member communications, which is exactly how the BCBSTX change became public, is the most current source available.

Frequently asked questions

What are the top NEMT brokers in Texas? Modivcare, MTM, and SafeRide Health currently hold the largest broker relationships across Texas Medicaid managed care plans, each contracted separately by different managed care organizations rather than through one statewide broker.

Is there one statewide NEMT broker for Texas Medicaid? No. The Medical Transportation Program is overseen by the Health and Human Services Commission and administered through TMHP for certain state level services, but Medicaid managed care transportation is typically carved into each managed care organization's benefits, with each MCO contracting its own broker.

Which broker handles Blue Cross Blue Shield of Texas Medicaid transportation? MTM Health became the non emergency medical transportation provider for Blue Cross and Blue Shield of Texas Medicaid members effective October 1, 2026, replacing the plan's previous transportation vendor.

How do I become a broker approved NEMT provider in Texas? State level enrollment happens through TMHP's PEMS system. Separately, you need to get credentialed directly with each broker, such as Modivcare, MTM, or SafeRide Health, whose managed care plans you want to serve, since broker credentialing is its own process outside of state enrollment.

Why does the list of NEMT brokers in Texas keep changing? Because Texas Medicaid managed care plans each contract their own transportation broker independently rather than using one fixed statewide vendor, those contracts can be renegotiated or switched, as seen with the 2026 transition of Blue Cross Blue Shield of Texas from its previous broker to MTM Health.

An operation working with multiple Texas brokers needs software that actually integrates with each one directly rather than treating broker connections as an afterthought. RoutingBox's broker integrations include MTM and Modivcare by name. If you want to see how that works for your Texas trip volume, you can schedule a demo at routingbox.com.