XTS believes that NEMT driver training is more than just learning “How to”– we want you to understand the “Why” behind what you do. People with disabilities are people first; they rely on you and your drivers to get where they need to go…safely and efficiently. 

XTS NEMT driver training courses provide drivers with a refresher on the rules of the road, best practices on passenger assistance and transport, safety techniques, and important information about the people they serve. 

We offer affordable training options for your company that cover topics that prepare your drivers to better serve your business and your customers. Courses should be taken annually and are updated periodically with new information on recommended business rules, policies and procedures, and guidelines recommended by industry leaders in each specific area. 

We will also work with you to create customized training modules for your company based on your needs. Check out our free training resources for your use. They will give you an idea of how the course subject matter is presented. 

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FOR NEMT DRIVERS:

Need ambulatory, wheelchair, and non-emergency stretcher driver training?

Take the courses at the XTS Training Academy.

NEMT Driver Training Course $169 per trainee - 12 training modules, which include courses D-1 through D-12 below. Each module is approximately 30 minutes to one (1) hour in length. Complete the modules at your own pace—with the ability to save answers and continue at a later time.

  • You are required to take a test after each module.

  • You must complete each test and score an 80% to pass.

Specialty Courses $89 each (Classroom portion of training)

  • Wheelchair and Mobility Equipment Safety and Securement

  • Non-emergency Stretcher Transportation (NEST)

Recommend that drivers take hands-on instruction training following the classroom course. Will refer to partner organization for hands-on training needs.

XTS Training Academy

D-1 Course Name: Transporting Persons with Disabilities (95 slides)

Description: This course equips NEMT drivers and attendants with the skills to transport passengers with disabilities safely, respectfully, and in full compliance with the Americans with Disabilities Act (ADA). Trainees will learn about person-first language, disability awareness, and professional conduct when assisting passengers with visible and invisible disabilities. Participants learn how to provide inclusive, compliant, and compassionate service while maintaining the highest standards of safety and care.

Learning Objectives - By the end of this course, participants will be able to understand:

  • The role and responsibilities of NEMT providers

  • Americans with Disabilities Act (ADA) requirements and passenger rights

  • Human rights and person-first language for respectful communication

  • Intellectual, developmental, and invisible disabilities awareness

  • Proper handling and acceptance of service animals

  • Techniques for assisting and transporting passengers with diverse mobility needs

  • Driver ergonomics, professionalism, and passenger assistance best practices

  • Safe loading, unloading, and child transport procedures

  • Guidance for Do Not Resuscitate (DNR) and End-of-Life transport situations

  • Incident management and strategies for handling challenging situations

  • Recognizing and reporting elder abuse

D-2 Course Name: Adaptive Equipment (36 slides)

Description: This course provides NEMT drivers and attendants with essential knowledge on the safe handling, use, and transport of adaptive and durable medical equipment (DME) used by passengers with disabilities or medical conditions. Participants will learn how to recognize different types of assistive devices, understand their functions, and follow proper procedures to ensure safety, comfort, and equipment protection during transport. Emphasis is placed on care, securement, and respect—ensuring passengers’ mobility devices and medical aids are handled properly while maintaining compliance with ADA and NEMT operational standards.

Learning Objectives - By the end of this course, participants will be able to:

  • Develop an understanding of adaptive equipment, its use, care, and replacement needs.

  • Identify common types of durable medical equipment (DME) and assistive technology (wheelchairs, walkers, canes, scooters, oxygen systems, etc.).

  • Recognize health conditions and disabilities that require adaptive equipment for mobility and independence.

  • Understand the importance and correct use of helmets for passengers with disabilities or seizure disorders.

  • Safely transport and handle oxygen tanks and respiratory equipment in accordance with safety protocols.

  • Properly secure adaptive equipment within the vehicle to prevent movement or damage during transport.

D-3 Course Name: Protection from Blood-borne Pathogens (43 slides)

Description: This training provides an annual review of blood-borne pathogen exposure control principles, practices, and requirements as required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard. It is required for all personnel who may come in contact with human blood or blood products or human tissues, fluids, or cells that are considered “other potentially infectious materials” (OPIM) as defined by OSHA. Drivers may be exposed to bloodborne pathogens when transporting passengers to medical appointments, such as dialysis and chemotherapy, and persons infected with COVID-19. This training module is designed to provide an awareness or basic understanding of blood-borne pathogens, common transmission modes, prevention methods, and other pertinent information.

Learning Objectives - By the end of this course, participants will be able to:

  • Define bloodborne pathogens (BBP) and understand how they are transmitted.

  • Identify workplace duties and scenarios that could expose NEMT workers to blood or other potentially infectious materials.

  • Apply standard precautions and safe handling practices to prevent exposure.

  • Use personal protective equipment (PPE) such as gloves, face shields, and masks properly.

  • Understand how to handle contaminated materials, spills, and biohazard cleanup safely.

  • Follow the correct steps after an exposure incident, including immediate first aid, documentation, and medical follow-up.

  • Recognize the importance of vaccination (e.g., Hepatitis B) and compliance with OSHA’s Bloodborne Pathogens Standard

D-4 Course Name: 3D Driver Safety Program (Defensive, Drowsy, and Distracted Driving) (94 slides)

Description: This course offers defensive driving techniques to motivate drivers to change risky driving habits and behaviors to avoid collisions and traffic violations, and offers practical strategies to reduce collision-related injuries, fatalities, and costs. It addresses the importance of attitude in preventing motor vehicle collisions and reinforces the good driving skills drivers already have. It provides Non-Emergency Medical Transportation (NEMT) drivers with the knowledge and skills to stay alert, focused, and safe on the road. Drivers will learn proven techniques for defensive driving, recognizing and preventing fatigue, and avoiding distractions that lead to accidents.

Learning Objectives - By the end of this course, participants will be able to:

  •  Understand and apply safe driving standards specific to NEMT operations.

  • Demonstrate best practices for operating large, mobility-accessible vehicles safely.

  • Apply the “Keys to Defensive Driving” to anticipate and avoid hazards.

  • Review and follow the Rules of the Road and key traffic signs.

  • Recognize how alcohol and drugs impair driving performance.

  • Identify and prevent drowsy driving risks.

  • Reduce distractions from technology, passengers, or external factors while driving.

D-5 Course Name: Pre and Post-Trip Vehicle Inspections (77 slides)

Description: This training module provides NEMT drivers with the knowledge and skills to inspect, maintain, and document vehicle readiness before and after each trip. Proper inspection ensures passenger safety, prevents costly mechanical issues, and supports compliance with state, DOT, ADA, and Medicaid transportation requirements. Drivers will learn how to identify potential hazards, complete the required Driver Vehicle Inspection Report (DVIR), maintain a clean, safe passenger environment, and understand the importance of regular preventive maintenance and communication with dispatch or fleet supervisors.

Learning Objectives - By the end of this course, participants will be able to:

  • Understand the purpose and importance of pre- and post-trip vehicle inspections.

  • Conduct a complete visual and functional inspection of the vehicle interior, exterior, and mobility equipment (ramps/lifts, securements).

  • Document inspection results accurately using the Driver Vehicle Inspection Report (DVIR).

  • Recognize and report safety issues or mechanical concerns before transporting passengers.

  • Follow vehicle cleaning and sanitation procedures to maintain a hygienic, passenger-ready environment.

  • Identify periodic maintenance requirements and the driver’s role in preventive upkeep.

D-6 Course Name: Accident and Incident Management (29 slides)

Description: This course provides NEMT drivers and attendants with the knowledge and procedures necessary to respond effectively and professionally to accidents and incidents in the field. Participants will learn how to distinguish between an accident and an incident, take immediate and appropriate actions to secure the scene, protect passengers, and report events accurately and promptly. The training emphasizes safety, calm communication, and compliance with company policy and regulatory requirements. Drivers will gain confidence in handling emergency situations, completing documentation, and following up with management or law enforcement when necessary.

Learning Objectives - By the end of this course, participants will be able to understand:

  • Define the difference between an accident and an incident.

  • Understand the impact of vehicle accidents on passengers, operations, and company reputation.

  • Demonstrate how to control the scene of an accident safely and professionally.

  • Follow proper procedures for medical emergencies and passenger care after an incident.

  • Complete an accurate Accident and Incident Report in compliance with company and state regulations.

  • Recognize the importance of timely communication, documentation, and follow-up after any event.

D-7 Course Name: Emergency and Evacuation Procedures (35 slides)

Description: The elderly and disabled persons who use wheelchairs or other personal assistive devices or who have visual impairments or medical, physical, or mental conditions will require assistance in the event of an emergency situation. They may not be able to move with the speed, agility, and sureness needed to evacuate transport vehicles safely and quickly during emergencies. To be able to respond effectively to the special needs of elderly and disabled passengers during emergencies, it is necessary that drivers and attendants possess the appropriate knowledge and skills.

This course prepares NEMT drivers and attendants to respond quickly, safely, and confidently during emergency situations involving elderly passengers or persons with disabilities. Drivers will learn how to recognize potential hazards, use emergency equipment properly, and follow safe evacuation procedures while maintaining calm, professional communication. The training emphasizes preparedness, awareness, and protection, helping NEMT professionals minimize harm and ensure every passenger’s safety during accidents, vehicle breakdowns, medical emergencies, or public health threats.

Learning Objectives - By the end of this course, participants will be able to: 

  • Identify risks specific to elderly passengers and individuals with disabilities in an emergency.

  • Recognize potential emergency situations that may occur while transporting passengers.

  • Demonstrate knowledge of emergency equipment, including fire extinguishers, first aid kits, and wheelchair lift safety features.

  • Identify road hazards and environmental threats that can impact transport safety.

  • Apply appropriate response steps during accidents, incidents, or vehicle breakdowns.

  • Follow recommended evacuation procedures for passengers with mobility devices, prosthetics, or cognitive impairments.

  • Implement infection control and COVID-19 precautions when assisting or evacuating passengers.

  • Communicate effectively with dispatch, emergency responders, and passengers throughout the event.

D-8 Course Name: Substance Abuse and Alcohol Misuse Program (66 slides)

Description: This course provides clear, concise guidelines to employees regarding the DOT/FTA substance abuse prevention program. This annual training meets the DOT/FTA 60-minute employee training requirement. Includes a downloadable copy of Federal Transit Authority (FTA) Booklet – What Employees Need to Know about DOT Drug and Alcohol Testing.

  • Defines safety-sensitive positions

  • Informs employees of actions that are prohibited

  • Effects and consequences of prohibited drug use on personal health, safety, and the work environment

  • Signs and symptoms that may indicate prohibited drug use

  • Describes the circumstances for testing and testing procedures

  • Defines consequences for rule violations

D-9 Course Name: Workplace Discrimination and Harassment Awareness and Prevention (42 slides)

Description: This course provides transportation providers, dispatchers, and drivers with the knowledge and tools to recognize, prevent, and respond to discrimination, harassment, and human trafficking in the workplace and during passenger interactions. Participants will learn to identify sexual, racial, religious, national origin, and gender-based harassment, understand how such behaviors impact individuals and teams, and practice professional conduct that fosters respect and inclusion. The course also highlights the transportation industry’s role in identifying and reporting potential human trafficking situations.

Learning Objectives - By the end of this course, participants will be able to:

  • Identify sexual, racial, religious, national origin, and gender-based discrimination and harassment.

  • Understand how discriminatory or harassing behavior impacts individuals, teams, and workplace morale.

  • Demonstrate professional and respectful conduct that fosters inclusion and safety.

  • Recognize and appropriately report workplace or passenger-related incidents of discrimination or harassment.

  • Understand the signs of human trafficking and the important role transportation professionals play in identifying and reporting it.

  • Define sexual harassment

  • Recognizing behavior that constitutes sexual harassment and behavior that does not

  • Discuss issues of sexual harassment in transit environments

  • Demonstrate passenger assistance techniques that can be used to prevent sexual harassment perceptions

D-10 Course Name: HIPAA Privacy and Confidentiality Training (24 slides)

Description: As a non‐emergency medical transportation provider, you deal directly with Medicare and Medicaid Members’ healthcare information every time you provide services. Also, your private-pay clients have HIPAA rights that protect them from disclosing private information. The Health Insurance Portability and Accountability Act, also known as HIPAA, protects much of this information from disclosure. This training module explains the privacy and security of healthcare information in compliance with HIPAA.

Learning Objectives - By the end of this course, participants will be able to:

  • Describe the key components and purpose of HIPAA.

  • Understand privacy and security rules that apply to NEMT operations and staff with a legitimate “need to know.”

  • Apply best practices to safeguard client health information during transport and communication.

  • Recognize the responsibilities of employers and employees under HIPAA compliance standards.

  • Promote a culture of confidentiality, trust, and accountability within transportation services.

  • Describe the components of the Health Insurance Portability and Accountability Act (HIPAA)

  • Focus on HIPAA guidelines that affect the daily functions of NEMT operations, drivers, and other personnel who have a “need to know” while doing their job.

  • Provide employees and subcontractors with information necessary to ensure that client’s health information is regarded with the highest privacy and security.

  • Educate employees and subcontractors on the latest standards for privacy and security set forth by the governing agencies.

D-11 Course Name: Fraud, Waste, and Abuse (39 slides)

Description: This training module provides NEMT providers, dispatchers, and drivers with essential knowledge and tools to recognize, prevent, and report Fraud, Waste, and Abuse (FWA) within Medicaid and Medicare programs. Participants will learn how to identify common FWA schemes, how it occurs in transportation services, understand their legal responsibilities under federal and state law, and promote ethical business practices that protect patients and public funds.

Learning Objectives - By the end of this course, participants will be able to:

  • Define what constitutes Medicare and Medicaid Fraud, Waste, and Abuse (FWA).

  • Recognize examples of beneficiary, transportation provider, and driver FWA practices.

  • Understand how to use the Medicare and Medicaid Exclusion List to verify eligibility and compliance.

  • Identify key state and federal laws that govern FWA prevention and enforcement.

  • Apply best practices to prevent, detect, and report FWA in accordance with established procedures.

D-12 Course Name: Coronavirus (COVID-19) Education and Precautions (29 slides)

This course provides NEMT drivers, attendants, and administrative staff with essential education on the prevention and control of Coronavirus (COVID-19) in transportation environments. Participants will learn how COVID-19 spreads, how to identify common symptoms, and how to apply safe work practices to protect themselves and passengers during daily operations. The training emphasizes infection control procedures, proper hygiene, use of personal protective equipment (PPE), vehicle disinfection, and compliance with current CDC, OSHA, and state health department guidelines.

Learning Objectives - By the end of this course, participants will be able to:

  • Explain what COVID-19 is and how the virus spreads.

  • Recognize common symptoms and understand when to report illness or exposure.

  • Demonstrate proper hand hygiene and respiratory etiquette.

  • Identify and correctly use personal protective equipment (PPE), including gloves, masks, and sanitizing products.

  • Follow vehicle cleaning and disinfection protocols before and after passenger transport.

  • Apply social distancing and ventilation measures when feasible.

  • Understand company procedures for exposure reporting and return-to-work clearance.

  • Support passengers safely while maintaining infection control and professionalism

NEMT Specialty Training Courses – $89 each

ST-1 Course Name: Wheelchair and Mobility Equipment Safety and Securement (94 slides)

Description: This training module offers a full-spectrum understanding of wheelchair, scooter, and mobility-equipment safety for NEMT and specialized transportation drivers. It guides learners through the anatomy, function, and handling of manual, power, and bariatric wheelchairs, and the unique nuances of scooters—each one its own engineered extension of a rider’s independence. Drivers are taught not only the mechanics of proper securement, lift operation, and safe maneuvering, but also the etiquette, communication, and judgment calls required when transporting mobility-limited passengers. The module builds the driver’s confidence through practical safety procedures, risk awareness, emergency manual lift operations, and instructions for preventing injuries and equipment damage. By the end, participants understand how to create a stable, dignified, and safe journey for every rider, no matter the complexity of their mobility device.

Learning Objectives - By the end of this course, participants will be able to:

  • Identify different types of mobility equipment: manual wheelchairs, power chairs, bariatric chairs, and scooters.

  • Understand how mobility devices function and why proper handling is essential to rider safety.

  • Demonstrate respectful communication and proper assisting techniques.

  • Explain the use of torso restraints, wheelchair seatbelts, and vehicle occupant belts.

  • Follow company policies on safety-belt usage and required documentation when exceptions occur.

  • Recognize when service must be denied for safety reasons and properly document the incident.

  • Recognize wheelchair components and perform basic functions such as folding, maneuvering, and navigating curbs or short stairs safely.

  • Identify the components of a power wheelchair, including alternative control systems (head arrays, sip-and-puff, switch arrays).

  • Operate wheelchair lifts safely from the ground, using correct loading, unloading, and passenger-protection steps.

ST-2 Course Name: Non-Emergency Stretcher Transportation (NEST) Stretcher Course (49 slides)

Description: Unlike ambulance services, NEST teams provide scheduled, non-urgent, door-through-door transport for clients who must remain reclined, are bed-bound, or otherwise cannot travel in a seated position. The training builds a critical understanding of safe stretcher handling, essential equipment, proper lifting mechanics, professional conduct, facility coordination, and infection-control standards. Learners are guided through risk awareness, emergency recognition, communication expectations, and securement protocols.

Learning Objectives - By the end of this course, participants will be able to:

  • Define Non-Emergency Stretcher Transport (NEST) and distinguish it from ambulance services.

  • Identify the types of clients who require stretcher transport and the circumstances that qualify as non-emergency.

  • Understand booking requirements, trip screening, and when trips must be denied.

  • Identify the components of stretchers (manual, powered, bariatric) and understand their operation.

  • Apply proper securement practices on the stretcher, including using all required restraint straps (chest, hip, knee, and shoulder) and strap extensions when needed, to keep clients safely positioned during transport.

  • Safely load and unload clients on stretchers, including coordinating as a team, using clear communication and countdowns, and following recommended head-first loading and facility/site safety procedures.

  • Apply proper use of slide sheets, slide boards, disposable sheets, blankets, pillows, and support wedges.

  • Maintain PPE use, sanitary supply bins, first-aid kits, and spill kits.

  • Perform safe lifts using correct posture, power grip technique, and leg-driven mechanics.

  • Conduct environmental assessments upon arrival, including hallway width, room layout, elevator access, obstacles, and safety hazards.

Management NEMT Courses - $149.00 per course

M-1 Course Name: DOT Drug and Alcohol Testing / Reasonable Suspicion Training

Description: This course is provided to assist supervisors of safety-sensitive employees in making decisions about reasonable suspicion drug and alcohol tests. Regulation 49 CFR 382.603 requires supervisors of motor vehicle drivers to provide 60 minutes of training on the symptoms of alcohol abuse and another 60 minutes on the symptoms of controlled substance use (120 minutes in total).  The purpose of this training is to teach supervisors to identify circumstances and indicators that may create reasonable suspicion that a driver is using or under the influence of alcohol or drugs. The suspicion must be based on specific observations by the supervisor or company official regarding the employee’s current appearance, behavior, speech, and odor, which are usually associated with drug or alcohol use.

  • Definition of Reasonable Suspicion 

  • Criteria for Reasonable Suspicion Test Determination 

  • Role of the Supervisor in Reasonable Suspicion Testing 

  • Appearance and Behavioral Signs and Symptoms of Prohibited Drug and Alcohol Use 

  • Alcohol and Drug Testing procedures

M-2 Course Name: NEMT Vehicle Preventive Maintenance Program

Description: A successful preventive maintenance (PM) program is mandatory for NEMT companies.  Through preventive maintenance, vehicles are inspected, repaired, and maintained in such a way that defects are prevented from surfacing in the first place before a violation or accident can occur. Your clients count on you to provide safe transport for passengers. This course covers:

  • Recommended preventive maintenance schedules

  • Inspection checklists

  • Lock out – tag out procedures

  • Wheelchair lift maintenance requirements

Contact us to order training courses

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 NEMT Training benefits your Company

  • Builds a safety culture within your company

  • Potential insurance premium savings

  • Investment in training is minimal compared to the cost of accidents and lawsuits

  • Doing it right the first time and every time is the best way to lower costs and improve efficiencies

  • Less downtime due to incidents and accidents

  • Knowledge and compliance with ADA law

  • Increased employee loyalty – your investment shows you value your drivers

  • Sets your company above your competition by having trained or certified drivers

 NEMT Training benefits your Drivers

  • Allows drivers to practice techniques and ask questions before experiencing situations with actual passengers

  • Training gives drivers added confidence

  • Improved customer service skills

  • Happier, more loyal customers thanks to a better overall experience

  • Safe workplace environment