US · guidance
CMS Pub. 100-08, ch. 6, § 6.4.1
“Reasonable” Requests
Rural air ambulance transport shall be considered reasonable and necessary when a
physician or other qualified medical personnel orders or certifies the air transport service.
A physician or other qualified medical personnel must certify or determine that the
individual’s condition requires air transport due to time or geographical factors. The
following should be considered to be personnel qualified to order air ambulance services:
• Physician,
• Registered nurse practitioner (from the transferring hospital),
• Physician’s assistant (from transferring hospital),
• Paramedic or EMT (at the scene), and
• Trained first responder (at the scene).
History
(Rev. 308, Issued: 10-30-09, Effective: 11-30-09, Implementation: 11-30-09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
45b7e00c650af78a1fd5532b7bf79efc4c9f75917b62b71647f442d8bb14f09a
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