Medicare Benefit Policy Manual (Pub. 100-02), Ch. 10 § 10.1.2
Vehicle Requirements for Basic Life Support and Advanced
10.1.2 - Vehicle Requirements for Basic Life Support and Advanced
Life Support
(Rev. 226, Issued: 09-12-16, Effective: 01-01-16, Implementation: 12-12-16)
Basic Life Support (BLS) ambulances must be staffed by at least two people, who meet
the requirements of state and local laws where the services are being furnished and where,
at least one of whom must (1) be certified at a minimum as an emergency medical
technician-basic (EMT-basic) by the state or local authority where the services are being
furnished and (2) be legally authorized to operate all lifesaving and life-sustaining
equipment on board the vehicle.
Advanced Life Support (ALS) vehicles must be staffed by at least two people, who meet
the requirements of state and local laws where the services are being furnished and where
at least one of whom must (1) meet the vehicle staff requirements above for BLS vehicles
and (2) be certified as an EMT-Intermediate or an EMT-Paramedic by the state or local
authority where the services are being furnished to perform one or more ALS services.