Book excerpt: When a non-emergency medical transportation vehicle came up for sale in 2005, Armel Possi bought it for his car dealership. But something strange happened: Buyers were willing to pay much more than what Possi spent on the vehicle. Suddenly, he found himself interested in the non-emergency medical transportation business. With some research, he discovered that non-emergency medical transportation vehicles can transport patients with the same ailments, physical limitations or disabilities as emergency vehicles—the only difference is that when NEMT vehicles transport someone, there is no perceived emergency at the time of transport. In this guidebook to building your own NEMT business, you’ll learn where to find vehicles, how to find Medicaid clients, and how to run the business before spending any money. You’ll also find out how to anticipate what to expect on a typical business day; deal with drivers, clients, and the businesses you contract with, and get acquainted with government agency staff. Unravel the mysteries of the NEMT business, and reap the financial rewards that come along with providing a valuable service for your community.