Answer:
First you have to secure a loan for vehicles obviously and it wont hurt you to have an attorney or knowledge of Medi-cal guidelines if you plan on applying for a contract. If you get approved then you have to learn how to bill, fill out TARs and NEMT forms. It is a very tricky process but only if you choose to take medi cal riders. I actually work for a transportation company so what I am telling you is accurate. If you dont want to take medi cal than you can always market to SDRC to gain a contract to take individuals with disabilities to day programs. If you plan on transporting throughout SD county then you will have to have a business license in each city. You must also have sufficient knowledge of quick books or other billing system. This is a very competitive field and if you are going to offer wheelchair and ambulatory services make sure your ambulatory services match the cab companies because otherwise people will just take a cab. You can also market to active seniors and care facilities. You can make a lot of money in this field if you know how to do it. Great people skills are a must and a website is a plus. This is a very involved process but it can be done with patience and a lot of hard work.