How to Secure NEMT Vans for Your Business in 2025

So, you’re ready to start your NEMT (Non-Emergency Medical Transportation) business in 2025 — great choice! Jacksonville, Florida and other fast-growing cities across the country are seeing more demand than ever for safe, reliable transportation for seniors and patients. But before you can get your business rolling, you need one of the most important tools in the game: a NEMT-ready van. 🚐

Whether you’re launching a solo operation or planning a small fleet, choosing and securing the right vehicles will set the tone for your entire business. Your vans are your office, your customer experience, and your reputation — all on four wheels. Here’s how to do it right.

1. Understand What a NEMT Van Needs

Not just any van will do. NEMT vehicles must meet specific state and Medicaid requirements, especially if you plan to work with insurance-covered clients. In Jacksonville and the state of Florida, your van may need to include:

• ADA-compliant wheelchair access (like ramps or lifts)

• Secure tie-down systems for wheelchairs or stretchers

• Extra-wide doors and low step-in heights for easy entry

• Safety features like handrails, grab handles, and non-slip floors

• Proper insurance coverage and registration for commercial use

Keep in mind, you don’t need a huge van to get started. A wheelchair-accessible minivan can go a long way, especially if you’re serving ambulatory and wheelchair patients locally.

2. Decide Between New, Used, or Leasing

Each option has its pros and cons.

• Buying New: Great for reliability and long-term investment, but can be expensive. You’ll get a vehicle with warranty coverage and modern features.

• Buying Used: More affordable upfront, but make sure to thoroughly inspect it. Look for mileage, maintenance history, and signs of wear.

• Leasing: This can lower initial costs and help you upgrade as your business grows, but monthly payments and mileage limits are something to consider.

Pro tip: If you’re just starting out, a low-mileage used van with proper upfitting could be your best bang for your buck. 💸

3. Look for NEMT-Specific Dealers and Upfitters

You’ll save time and money working with dealers who specialize in medical transportation vehicles. These professionals understand your needs and often have vehicles that are already equipped with lifts, securements, and safety modifications.

Some NEMT van dealers also offer financing options — which is a huge help if you’re launching on a tight budget. Be sure to ask if they offer buyback programs, maintenance plans, or extended warranties.

4. Think About Branding and Comfort

Once you have your vehicle, don’t forget the finishing touches. Your van represents your business on the road, so adding a clean, professional wrap or logo makes a big impression. ✨ A clean, branded van says, “We care,” and patients — as well as facilities — will take notice.

Also, think about the comfort of your passengers. Air conditioning, a smooth ride, and clean interiors go a long way in building trust and getting repeat clients.

5. Don’t Forget the Paperwork

Before you start picking up patients, make sure your vehicle is:

• Insured for commercial/NEMT use

• Registered properly with the DMV

• Inspected (if required by Florida NEMT licensing)

• Added to your business’s policy and daily checklists

Being compliant keeps your business protected — and makes it easier to land contracts with brokers, facilities, and Medicaid providers.

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Starting your own NEMT business in 2025 is exciting, but it all starts with securing the right van. Think of it as the heart of your operation — it needs to be dependable, safe, and professional. 🚐💼

Looking for help getting started or need guidance on your first vehicle purchase? Reach out to JaxNEMT.com, your trusted local source for NEMT business tips, transportation resources, and real experience right here in Jacksonville, Florida. Let’s get your business rolling the right way!