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2012 Texas Medicaid Provider Procedures Manual

Ambulance Services Handbook : 2. Ambulance Services : 2.2 Services/Benefits, Limitations, and Prior Authorization : 2.2.3 Levels of Service

2.2.3
Levels of services are defined by the Centers for Medicare & Medicaid Services (CMS) and the Texas Health and Safety Code.
Basic Life Support (BLS) is emergency care that uses noninvasive medical acts and, if allowed by licensing jurisdiction, may include the establishment of a peripheral intravenous (IV) line.
Advanced Life Support, Level 1 (ALS 1) is emergency care that uses invasive medical acts including an ALS assessment or at least one ALS intervention.
Advanced Life Support, Level 2 (ALS 2) is emergency care that uses invasive medical acts including:
At least one of the ALS 2 procedures: manual defibrillation/cardioversion, endotracheal intubation, central venous line, cardiac pacing, chest decompression, surgical airway, or intraosseous line.

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