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Dear ground ambulance providers and suppliers,

We wanted you to be aware that we posted the following announcement on our Ambulances Services Center [ https://www.cms.gov/medicare/coverage/ambulances-services-center ] webpage:

Medicare Ground Ambulance Data Collection System: Submit Comments by September 9

CMS issued the CY 2025 Physician Fee Schedule (PFS) [ https://www.federalregister.gov/public-inspection/2024-14828/medicare-and-medicaid-programs-calendar-year-2025-payment-policies-under-the-physician-fee-schedule ] proposed rule that announces proposed policy changes for Medicare payments under the PFS and other Medicare Part B payment policy issues, including ambulance services.


* We propose to modify the definition of advanced life support level 2 (ALS2) at 42 CFR §414.605 by adding the administration of low titer O+ whole blood transfusion (WBT) to the list of ALS2 procedures. For patients in hemorrhagic shock, the use of WBT has demonstrated a survival benefit when compared to traditional hemorrhagic resuscitative therapy. Under this proposal, a ground ambulance transport that provides WBT would itself constitute an ALS2-level transport.

We’re also seeking comments on whether we should add alternative blood product treatments, like administering packed red blood cells and plasma, to the list of ALS2 procedures. We’re aware that some established emergency medical services systems may already provide WBT to treat patients in hemorrhagic shock, while other jurisdictions, including those in rural areas, may rely on alternative blood product treatments. 

We encourage you to submit comments on this proposal by September 9, 2024; see the proposed rule for details on how to submit them.




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