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if you do not have a good process in place to verify that your EMS personnel are currently certified youamp;#39;re asking for trouble Medicare requires that an ambulance be staffed by at least two people who satisfy the requirements of state and local laws where the ambulance service is furnished and that one of those persons is at least an EMT other insurers likely require at a minimum that state and local law staffing requirements are satisfied state law and they also condition payment upon the ambulance being staffed in ance with such laws when you rely upon a certified person to satisfy the minimum staffing requirement where reimbursement that person must be currently certified you must verify that in advance and you cannot rely upon the providers assertion of timely renewal the consequence for relying upon that assertion if untrue can be severe reimbursement for each ambulance transport on which a person with an expired certification served is an overpayment if that perso