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    NEMT INSURANCE/Texas

    Texas NEMT Insurance

    Specialized non-emergency medical transportation coverage for Texas operators contracted with Texas operates a regional Medical Transportation Program (MTP) — managed by MTM in some regions and by health plans directly in STAR+PLUS service areas.

    Get a Texas NEMT QuoteCall 888-254-0089

    The Texas NEMT Market

    Texas has the largest NEMT market in the Sun Belt. Between Medicaid managed care plans, MTM regional contracts, and the booming senior population in Houston, Dallas-Fort Worth, San Antonio, and Austin, demand for wheelchair, stretcher, and ambulatory transport is enormous. Texas operators face unique requirements including Texas Department of Licensing and Regulation (TDLR) considerations and HHSC contracting standards.

    Market Snapshot: Texas Medicaid covers over 5.4 million people. The MTP delivers more than 6 million one-way trips per year. Houston and DFW each generate 1M+ NEMT trips annually.

    Texas NEMT Insurance Requirements

    Texas Medicaid (HHSC) and STAR/STAR+PLUS managed care programs

    Bodily Injury

    $30,000 per person / $60,000 per accident (Texas state minimum for personal lines)

    Property Damage

    $25,000 minimum

    Combined Single Limit

    $500,000 CSL minimum required by HHSC for MTP contracts; $1,000,000 required by most managed care plans

    Important: MTM, Modivcare, and managed care plans (Superior, Amerigroup, Molina, UnitedHealthcare) typically require $1,000,000 commercial auto, $1,000,000 general liability, abuse and molestation coverage, and workers compensation.

    Texas NEMT Brokers & Managed Care Plans

    We write coverage for operators contracting with the largest brokers and Medicaid managed care plans in Texas:

    MTM Inc.

    Manages MTP regions including parts of Houston and East Texas

    Modivcare

    Major broker for STAR+PLUS plans

    Superior HealthPlan (Centene)

    Largest STAR+PLUS plan in Texas

    Amerigroup (Anthem)

    STAR and STAR+PLUS contracts statewide

    Molina Healthcare of Texas

    Multiple service areas

    UnitedHealthcare Community Plan of Texas

    STAR Kids and STAR+PLUS

    Cook Children's Health Plan

    STAR Kids in Tarrant Service Area

    Texas Driver Requirements

    • Valid Texas driver's license; CDL with passenger endorsement for vehicles 16+ passengers
    • DPS criminal history check, no felonies in past 7 years
    • MVR check annually, no DUI/DWI in past 5 years
    • Drug screening pre-hire and random per FMCSA where applicable
    • First Aid, CPR, bloodborne pathogens training
    • PASS or equivalent passenger assistance training
    • HIPAA training for handling protected health information

    Texas Vehicle Requirements

    • Texas Medicaid contracts require vehicles less than 10 years old at start of contract
    • Annual TX state safety inspection
    • Wheelchair lifts must meet ADA standards with annual load testing
    • GPS tracking required by MTM and Modivcare
    • First aid kit, fire extinguisher, biohazard cleanup kit
    • Visible signage with company name (some plans require)

    Texas NEMT Insurance Cost Ranges

    Single Vehicle
    $3,200 – $5,500 per year for one wheelchair van in Houston/DFW
    Small Fleet (5 vehicles)
    $13,500 – $26,500 per year for a 5-vehicle fleet
    Mid Fleet (15 vehicles)
    $40,000 – $82,000 per year for a 15-vehicle mixed fleet

    What Affects Your Texas NEMT Insurance Cost?

    Houston/DFW metro vs. rural Texas
    Major metros run 30–45% higher than rural counties
    Hail and severe weather exposure
    Comprehensive premiums 20–30% higher in North/Central TX
    Vehicle type mix
    Stretcher vans run 40–60% more than ambulatory sedans
    Number of contracts (MTM, Modivcare, direct)
    Multi-broker operations need higher aggregate limits
    Loss runs
    Clean 5-year loss runs save 15–25%; recent at-fault claims add 25–40%

    Top Texas NEMT Markets

    Our team writes NEMT insurance across Texas. Here are the markets where we see the highest demand:

    Houston NEMT Insurance →
    Largest single NEMT market in Texas; Texas Medical Center drives demand
    Dallas NEMT Insurance →
    DFW metroplex; Superior and Amerigroup dominate
    San Antonio NEMT Insurance →
    Large senior and Medicaid managed care base
    Austin NEMT Insurance →
    Growing senior corridor along I-35
    Fort Worth NEMT Insurance →
    Cook Children's STAR Kids; TXMTP
    El Paso
    Border region with unique cross-cultural transport needs
    Corpus Christi
    Coastal market, hurricane considerations

    Common Texas NEMT Claims

    Knowing what claims happen most often in Texas helps you prevent losses and choose the right coverage:

    • 1.Hail damage to entire fleets in single storm events
    • 2.Hurricane and tropical storm flood damage on Gulf Coast
    • 3.Rear-end collisions on Houston I-610 and I-45 corridors
    • 4.Wheelchair tip-overs during sudden stops
    • 5.Driver injury claims from passenger transfers

    Texas NEMT Insurance FAQ

    What does HHSC require for NEMT insurance in Texas?

    Texas HHSC requires a minimum of $500,000 combined single limit for MTP contracts. However, most managed care plans (Superior, Amerigroup, Molina, UnitedHealthcare) require $1,000,000 CSL plus $1,000,000 general liability and proof of workers compensation.

    Is hail coverage important for Texas NEMT operators?

    Critically. North and Central Texas (Dallas, Fort Worth, Austin, San Antonio) sit in the most active hail belt in the US. A single storm can damage an entire fleet. Comprehensive coverage with low deductibles is strongly recommended.

    Do Texas NEMT companies need abuse and molestation coverage?

    Most managed care plans now require $500,000 to $1,000,000 in abuse and molestation coverage, especially for transporting minors, behavioral health patients, or memory care residents.

    How long does it take to get insured to start a Texas NEMT business?

    Most carriers can issue policies and certificates within 24–72 hours of receiving a complete application. New ventures should expect 7–14 days for full HHSC and broker enrollment.

    Why InsureLimos for Texas NEMT Insurance

    Specialized Texas markets including Houston, DFW, San Antonio, and Austin

    Carriers familiar with HHSC, Superior, Amerigroup, and MTM contract requirements

    Hail and hurricane-resistant comprehensive coverage options

    New venture programs available for first-time NEMT operators

    NEMT Insurance in Other States

    California NEMT InsuranceNevada NEMT InsuranceArizona NEMT InsuranceIllinois NEMT InsuranceOhio NEMT InsuranceMichigan NEMT InsuranceFlorida NEMT InsuranceNEMT Insurance Overview

    NEMT Insurance by State

    State-specific NEMT insurance programs with the limits and filings required by Medicaid Managed Care Plans and broker networks.

    Ready to Insure Your Texas NEMT Operation?

    Get a free quote in under 24 hours. We work with carriers who understand Texas Medicaid contracting, broker requirements, and the unique risks of medical transportation.

    Get a Free QuoteCall 888-254-0089