NEMTAC education programs are designed for:
NEMT drivers and transportation specialists
Stretcher operators and mobility device specialists
Instructors and trainers
Providers seeking broker- and state-recognized compliance pathways
Programs combine online learning, in-person skills validation, and standards-based instruction to ensure consistent, high-quality outcomes across the industry.
The Certified Transport Specialist® (CTS®) program is an ANSI-aligned education program that establishes foundational knowledge and competency for non-emergency medical transportation (NEMT) drivers. It is aligned with the NEMTAC Transportation Specialist Education Standard and supports consistent, safety-focused service delivery across NEMT operations.
NEMT drivers
New hires and experienced transportation staff
Providers onboarding or retraining personnel
CTS education includes instruction in:
Passenger assistance and professional communication
Safety, ethics, and duty of care
Core operational responsibilities and expectations
Regulatory and compliance considerations for NEMT services
Online, self-paced
Accessible on any device
Certification valid for two (2) years
The CTS® certification is widely recognized across the NEMT industry and serves as a foundational requirement for advanced NEMTAC education and certification programs.
Formerly Advanced Mobility Device Securement (AMDS), the Mobility Device Securement™ (MDS™) program establishes competency-based education and required skills validation for the safe securement and transport of passengers using wheelchairs and other mobility devices in NEMT vehicles.
This bundled program includes:
Certified Transport Specialist® (CTS®) – Online
Mobility Device Securement™ (MDS™) – Hybrid (Online + In-Person Skills Validation)
Participants learn and demonstrate:
Proper securement techniques across mobility device types
Passenger safety, positioning, and restraint application
Risk mitigation for drivers, passengers, and equipment
Consistent, standards-aligned securement practices
Upon completion, participants earn CTS® and MDS™ certifications, demonstrating competency in safe mobility device transport in alignment with NEMTAC standards.
What is the Certified Stretcher Operator™ (CSO™) program?
The Certified Stretcher Operator™ (CSO™) program establishes competency-based education and required skills validation for professionals responsible for transporting stretcher-bound passengers in non-emergency settings.
Program Structure
This bundled program includes:
Certified Transport Specialist® (CTS®) – Online
Certified Stretcher Operator™ (CSO™) – Hybrid (Online + In-Person Skills Validation)
What CSO Training Covers
Safe stretcher operations and equipment use
Passenger transfers and team-based coordination
Risk mitigation, injury prevention, and environmental awareness
Safety-focused communication and operational protocols
Successful participants earn CTS® and CSO™ certifications, demonstrating competency to perform stretcher transports safely, professionally, and in alignment with NEMTAC standards.
The NEMTAC® Instructor Certification Renewal option allows currently certified instructors to renew their credentials one (1) time online in order to maintain authorization to deliver NEMTAC-approved education programs.
This online renewal option is available only once per instructor certification. After an instructor completes a single online renewal, all future renewals require re-completion of the full instructor course, including any required in-person or skills-based components.
To be eligible for online renewal, instructors must hold a current:
Certified Stretcher Operator – Instructor (CSO-I™), or
Advanced Mobility Device Securement – Instructor (AMDS-I™)
In addition, instructors must maintain a valid, unexpired Certified Transport Specialist® (CTS®) certification at the time of renewal.
The renewal process is completed online through the NEMTAC renewal portal. The renewal fee is $250. Successful renewal allows the instructor to continue delivering NEMTAC instructor-led courses using the current curriculum and standards until the next renewal cycle.
Note: Instructors who have already completed a prior online renewal, whose certification has expired, or who are subject to required curriculum updates must complete the full instructor course to renew.
NEMTAC® offers advanced education programs designed to support safe, compliant, and professional Non-Emergency Medical Transportation (NEMT) services. These programs focus on the proper transport of passengers with mobility devices and those requiring stretcher-based transport.
Courses combine online education with in-person skills validation, ensuring participants are prepared to perform specialized transportation services in alignment with NEMTAC education standards.
Through these programs, transportation professionals gain the knowledge and practical skills needed to reduce risk, improve passenger safety, and support inclusive transportation for individuals with varying mobility needs.
To begin, use the course links above to request a program or contact a NEMTAC-authorized instructor in your area by emailing info@nemtac.co.
Certified Transport Specialist® (CTS®)
Advanced Mobility Device Securement™ (AMDS™)
Advanced Mobility Device Securement – Instructor™ (AMDS-I™)
Certified Stretcher Operator™ (CSO™)
Certified Stretcher Operator – Instructor™ (CSO-I™)
Virginia Stretcher Operator (VSO)
Virginia Stretcher Operator – Instructor (VSO-I)
To qualify for certification in the NEMTAC® Advanced Mobility Device Securement™ (AMDS™) course or the Certified Stretcher Operator™ (CSO™) course, participants must first complete a recognized passenger safety and customer service education program.
Acceptable prerequisite programs include, but are not limited to:
Certified Transport Specialist® (CTS®) by NEMTAC®
Passenger Assistance, Safety, and Sensitivity (PASS) by CTAA
An organization-issued certification that meets NEMTAC 3001-2025 Transport Specialist Education standards
Organizations that self-certify prerequisite programs must demonstrate alignment with NEMTAC 3001-2025 requirements.
All prerequisite certificates must be current and unexpired and must include:
Certification date
Unique document identifier
Expiration date
Participants are required to upload their prerequisite certificate for review before enrolling in or proceeding with the AMDS™ or CSO™ program.
