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Nexo Access

Where you operate

One region. Three authorities.

DC, Maryland and Virginia do not work the same way, and assuming they do is the most expensive mistake a new provider makes. Here is each one, with the date we last checked it, and the authority to contact when you need them rather than us.

The Virginia authority path depends on who will pay for the trips.

What governs here

Virginia DMV publishes a dedicated OA-151 path for carriers operating only as Medicaid NEMT providers. A company that will also take private-pay, private-insurance, or other work starts with the DMV operating-authority navigator instead.

Northern Virginia is the complication. Part of it sits inside WMATC territory, so an authority that is perfectly good in Richmond can be the wrong authority for a trip in Arlington.

What Virginia requires

Only what the authority publishes. Where nothing is published we say so and name who to ask, because a confident guess is worth less than a true blank.

  • 01
    Published requirementVerified August 26, 2026

    Operating authority

    For Medicaid-only NEMT, Virginia DMV publishes form OA-151. Mixed or private operations follow a different DMV authority path; choose based on the work you intend to run.

  • 02
    Published requirementVerified August 26, 2026

    WMATC overlap

    Northern Virginia falls inside the WMATC district. Confirm with WMATC whether your intended service area requires their authority as well.

  • 03
    Published requirementVerified August 26, 2026

    Vehicle marking

    Virginia requires business name and phone in permanently affixed lettering at least three inches high on both sides. Separately, our own standard specifies permanent vinyl and never magnetic lettering: that one is ours, not Virginia’s, and we say so rather than letting it read as law.

  • 04
    Published requirementVerified August 26, 2026

    Records retention

    Trip logs retained five years, subject to random-sample validation audits.

  • 05
    Not establishedVerified August 26, 2026

    Vehicle age or mileage cap

    Virginia publishes none. The requirements are condition standards, not an age limit. Anyone quoting you a Virginia age cap is quoting something else.

Insurance: confirmed at registration, in writing

  • Virginia ties some requirements to local ordinance as well as the DMV amount, so the number that applies depends on where you run.
  • We confirm the exact requirement that applies to you at registration, in writing, before you are asked to buy anything.

Confirm with Virginia DMV, and with WMATC if any part of your service area is inside the district.

Who to call

The authority is always the final word. If what they tell you differs from what you read here, they are right and we want to know.

  • Authority record

    Virginia DMV

    Operating-authority navigator, motor-carrier requirements, and the Medicaid-only OA-151 path.

  • Authority record

    WMATC

    Whether your northern Virginia work needs their authority too.

    wmatc.gov (opens in a new tab)
  • Authority record

    Nexo Access

    What our standard asks for, and what is missing from your file.

Start with these three

All nine documents are in Resources.

Start the conversation

Tell us which jurisdiction you intend to work and what you run today. We will tell you what that authority asks for, and what is missing from your file, before you commit anything.

Apply as provider

Not ready to apply? Ask us a question first.