“Reasonable” Requests

6.4.1 – “Reasonable” Requests (Rev. 308, Issued: 10-30-09, Effective: 11-30-09, Implementation: 11-30-09) 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).