EMS & Dialysis: Winter Emergencies

Legislation passed in the 2021 Texas Legislature (and subsequent clean up legislation in 2023) changed the law related EMS transports and dialysis centers during declared emergencies. The following information is from the state of Texas before the upcoming winter storm in Texas: Texas ESRD Emergency Coalition toll-free number 1-866-407-3773 – this number […]

 National EMS Memorial Moving Honors Held in Texas

The  National EMS Memorial Moving Honors ceremony service, which marks the half-way point of the mobile memorial’s procession across the U.S., was held at the Global Medical Response headquarters in Lewisville on July 6. Texas State Senator Drew Springer, a 17-year volunteer firefighter, spoke at the ceremony. The procession, which begins […]

Covid Staffing Waiver Termination

The state of Texas announced the termination of the state's Covid-19 staffing waiver for Texas EMS agencies. The Department of State Health Services made the following announcement: The COVID-19 pandemic began almost three years ago, and agencies have made significant progress to address staffing. The staffing waiver, which previously had been extended, will […]

Texas Workers’ Comp Releases Covid-19 Claims Data

The Texas Department of Insurance - Division of Workers' Compensation (TDI-DWC) released data related to Covid-19 claims in the Texas Workers' Compensation Program. Specifically, the data addressed first responder claims. Click here to view the data. […]

CMS Announces 2023 Ambulance Inflation Factor

The Centers for Medicare and Medicaid Services (CMS) announced an ambulance inflation factor of 8.7 percent for calendar year (CY) 2023 last week. Several variables will determine an EMS agency's actual payment in 2023: Legislation related to ambulance fee schedule bonus payments is pending.Health care providers continue to face Medicare […]

TEMSA’s 2022 EMS Awards

TEMSA presented its second-annual EMS Awards on August 9, 2022, at EMS EVOLUTION 2022. EMS Professional of the Year: Ken Elliott of Harris County Emergency Corps President's Award: Doug Hooten of Harris County ESD 11 EMS Agency of the Year: Washington County EMS EMS Leader of the Year: Jeremy Hyde of Harris County […]

Texas DSHS Survey on Public Health Threats; EMS Capability

From the Texas Department of State Health Services: Senate Bill 969, as passed by the 87th Texas Legislature and signed into law by the Governor, requires the Department of State Health Services (DSHS) to evaluate the planning and response capabilities of the state health care system, including hospitals, long-term care facilities, and […]

Payer Relationships in Texas: An Interview With Matt Zavadsky

Matt Zavadsky speaking at EMS EVOLUTION 2019. TEMSA recently sat down with Matt Zavadsky, the Chief Transformation Officer at MedStar Mobile Healthcare in Fort Worth, to look at the agency’s latest thoughts on payer relationships. TEMSA: MedStar has gone in network with five payers (two commercial plan and three managed Medicare/Medicaid plans). What […]

EMS Staffing Waiver Extended

The Office of the Governor is in receipt of the Texas Department of State Health Services’ (DSHS) request to extend the temporary suspension of 25 TAC 157.11(h)(1)-(6) and Sections 773.050(a) of the Texas Health & Safety Code beyond the current termination effective date of 12:01am on February 28, 2022. DSHS asserts that strict compliance […]

The First Responder Bowl: Honoring First Responders

The First Responder Bowl is providing complimentary tickets to all EMS professionals and first responders for the December 28, 2021, post-season bowl game that will be held at SMU's Gerald J. Ford Stadium. EMS professionals can claim free tickets by clicking here. […]

CMS’s Upcoming Ambulance Data Collection Webinars

Per CMS: Dear Ground Ambulance Providers and Suppliers, Please attend these upcoming Zoom webinars: October 28: Reporting revenueNovember 4: Hospitals and other providers – We encourage other organizations to attend future webinarsNovember 16: Q&A session Starting January 1, 2023, selected ground ambulance organizations are required to report cost, utilization, revenue, and other information to […]

Novitas’ November 16 Webinar on Prior Authorization for Medicare

Novitas will hold another webinar on Medicare's new prior authorization program for Texas on Tuesday, November 16. Participants must register in advance. The following is from Novitas: The Centers for Medicare & Medicaid Services (CMS) just released plans for the nationwide expansion of the prior authorization program for repetitive scheduled non-emergent ambulance transports […]

Novitas Training for Prior Authorization

Per Novitas: The Centers for Medicare & Medicaid Services (CMS) just released plans for the nationwide expansion of the prior authorization program for repetitive scheduled non-emergent ambulance transports (RSNAT).  JH ambulance suppliers garaged in the states of Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas are now included in this initiative. Additional states will […]

TEMSA’s 9.17.21 Member Newsletter

TEMSA's members received the following information in today's e-mail newsletter: A look at the reporting requirements under SB 809 if you received federal funds during the pandemic.TEMSA's ARPA request for the Texas Legislature's third special session.The latest round of federal Provider Relief Funding.A look at the proposed rule related to data […]

EMS Tragedy in Frio County, Texas

STRAC shared the following news regarding Camino Ambulance and Eagle Pass Fire Department (yesterday, September 15): This afternoon a little after 1400 hours, Camino Real Ambulance had a crew returning from a transfer when they had a devastating accident in Frio County. The accident involved their ambulance and an 18-wheeler in […]

Ambulance Holds & Best Practices

Click here to view Axios' August 27 article about ambulance delays as a result of emergency department crowding. AIMHI will touch on this subject during a noon CDT webinar on September 27: "Best Practices for Mitigating Ambulance/ED Delays." Click here for details. […]

CMS Announces Prior Auth Ambulance Transports for Texas

The Centers for Medicare and Medicaid Services (CMS) announced on August 26, 2021, that it will expand its prior authorization for repetitive, scheduled non-emergency transportation to the state of Texas beginning on December 1, 2021. Stay tuned for details from Novitas and TEMSA. You will be required to have an active […]

TEMSA Asks for Covid-19 EMS Waiver Extension

The Texas EMS Alliance asked Texas Governor Greg Abbott to extend the state's EMS-related waiver for Covid-19. TEMSA's request is in response to the governor's announcement to end the existing waiver on September 1, 2021. Click here to view TEMSA's waiver request letter: Texas-EMS-Alliance-Waiver-Extension-August-2021Download […]

2021 RCHIP Application Now Available – Apply by July 15

Per Texas DSHS: The 2021 Rural Community Healthcare Investment Program (RCHIP) application is open.  The purpose of the RCHIP program is assist rural communities in recruiting non-physician healthcare providers to practice in rural communities by providing partial student loan reimbursement or stipends in the amount of $10,000 for a commitment to […]

Texas EMS Conference’s Presentation Deadline

TEMSA will co-host the new Leadership Track at this year's Texas EMS Conference In Austin. The Leadership Track will consist of five presentations.March 1 is the deadline to submit your proposed presentation: […]

AIMHI Flash Poll: EMS Agencies Are Providing COVID Vaccines and mAb Infusions

a The Academy of International Mobile Healthcare Integration (AIMHI) conducted a flash poll of approximately 100 EMS agencies from around the nation in late January, and the majority of the respondents indicated that they are administering COVID vaccines and mAb infusions in their communities. Click here to view the results: AIMHI Flash Poll […]

Covid-19 Vaccination Survey for EMS

a Texas DSHS is planning for statewide Covid-19 vaccination centers and asking EMS agencies to fill out a brief survey. Click here to access the survey. […]

Phase 3 Provider Relief Funding

a From Asbel Montes: Today the Department of Health and Human Services (HHS) announced the distribution of Phase 3 funds. For those ambulance agencies which applied for Phase 3 funding, you should have received notification of this funding or will shortly. Please see the announcement from the American Ambulance Association, as well as the […]

Texas Immunization Registry Webinars

a Announcement   The Texas Immunization Registry is excited to announce it is hosting live webinars that cover the steps and processes for entering and reporting disaster related patient and immunization information in the Texas Immunization Registry (ImmTrac2).   Description   The webinars will include the following topics:   1.                   Legal Statutes related to Disasters​  2.                   Brief Introduction to the ImmTrac2 Registry  1.                   Different types of Consents​  2.                   Client Searches​  3.                   Entering a Client​  4.                   Priority Groups  5.                   Adding Immunizations  1.                   Data Exchange ​  2.                   Other Resources​  The webinars will cover […]

EMS Transports for Covid-19 Testing

a The Texas Senate Health and Human Services Committee December 7, 2020, hearing on Covid-19 heard testimony from the Houston Fire Department that some patients called an ambulance to seek a transport for Covid-19 testing. MedStar Mobile Healthcare in Fort Worth indicated that they will send a unit. However, if the patient […]

Texas Workers’ Comp Study of Covid-Related Claims

a A November 10, 2020, study by the Texas Department of Insurance - Division of Workers' Compensation (TDI-DWC) found that the majority of Covid-related claims were filed by first responders: "As of September 27, 2020, insurance carriers reported more than 25,000 COVID-19 claims and 100 fatalities to DWC. Most of these claims […]

December 1 Fatigue Webinar

a Please register for the National Association of State EMS Officials' EMS Fatigue Risk Management and Project Research - What's New??? on Dec 1, 2020 1:00 PM EST at: After registering, you will receive a confirmation email containing information about joining the webinar. […]

STRAC Survey – Potential Covid-19 Vaccine Distribution

a EMS agencies in the STRAC region are encouraged to fill out the survey related to potential Covid-19 vaccine distribution. The following message is from Bexar County. Dear Prospective Participant, We write to you today on behalf of the community of Bexar County, asking for your help in completing a survey that will give […]

Novitas – December 4 Webinar

a Novitas will be conducting an Ambulance Webinar on December 4, 2020 at 9:00am CST. Understanding the Fundamentals of Ambulance Services This class is designed for Part A providers and Part B suppliers who provide Ground Ambulance Transportation. We will discuss the ambulance coverage requirements, trip record documentation guidelines and Physician’s Certification Statement […]

Covid-related Workers’ Comp Claims Affect First Responders

The Texas Department of Insurance - Division of Workers's Compensation (TDI-DWC) released data related to Texas Workers' Comp claims and Covid-19. The November 10, 2020, report found: As of September 27, 2020, insurance carriers reported more than 25,000 COVID-19 claims and 100 fatalities to DWC. Most of these claims and fatalities […]

Texas EMS Alliance Welcomes New Board Members

Three individuals were elected to TEMSA's Board of Directors for a three-year term: Michael Furrh (Lavaca County EMS) James Campbell (Montgomery County Hospital District) Bryan Norris (San Antonio Fire Departmen) […]

HHS’s Third Round of Covid-19 Funding

a The U.S. Department of Health and Human Services (HHS) released the third part of its Covid-19 funding earlier this week. Click here to learn more from Asbel Montes. Click here to reach the HHS portal. […]

Adult Influenza Vaccine Initiative

a To access the electronic Adult Influenza Vaccine Initiative site recruitment packet, please use the following link: For additional information and questions by interested facilities, please visit the Adult Influenza Vaccine Initiative website or email […]

MedStar Covid-19 Non-Transport Protocol Results

  Per Matt Zavadsky of MedStar Mobile Healthcare in Fort Worth: Since the start of the Coronavirus pandemic, under a protocol established by the Office of the Medical Director, MedStar personnel have been using on-scene procedures designed to not transport patients to an Emergency Department (ED) who are assessed with low-acuity medical complaints identified as potentially […]

DSHS Launches the EMS Peer Referral Program

The Texas Department of State Health Services announced the launch of the Texas EMS Peer Referral Program on April 1, 2020. The program is available for anyone in the EMS field who is struggling with substance abuse issues. Click here to learn more. […]

Novel Coronavirus Update From

From Novel Coronavirus (2019-nCoV) Update Chinese health officials have identified a new (novel) coronavirus (2019-nCoV) as the cause of an outbreak of pneumonia in Wuhan, Hubei Province, China, which has led to a number of confirmed and suspected cases and several deaths in China. There have been cases identified in several […]

The Evolution of EMS: Community Paramedicine & Mobile Integrated Health

Over the past few years, EMS providers have likely heard the more frequent use of terms such as mobile integrated health (MIH), community paramedicine (CP), and community health paramedicine (CHP).  These topics have also gained the interest of EMS leaders, as the nation attempts to slowly move from fee-for-service to […]

Ambulance Documentation Specialist Course: August 27/28 in Houston

The Southeast Texas Regional Advisory Council (SETRAC) EMS Committee is pleased to offer a Certified Ambulance Documentation Specialist Course FREE to all our EMS partners in the region.  This course is being offered at two locations this month August 27th and 28th with registration links for the course provided below next to the date you […]

Meet Jeff Mincy, TEMSA’s New President

Jeff Mincy started his two-year presidency of TEMSA at EMS EVOLUTION 2019. He serves as the director 0f Coryell Memorial Health EMS. TEMSA recently sat down with Jeff Mincy to learn more about his thoughts on the future of EMS in Texas. TEMSA: Tell us about your background that led you […]

“Creating an Emergency Medical Services Improvement Culture”

Ernesto Rodriguez of Austin-Travis County EMS recently performed a Q&A with the Institute for Healthcare Improvement on "Creating an Emergency Medical Services Improvement Culture." Click here to read the article. [caption id="attachment_3076" align="aligncenter" width="1024"] Ernesto Rodriguez speaking at the Texas EMS Alliance's EMS EVOLUTION 2018.[/caption] […]

First Responders – Comprehensive Addiction and Recovery Act

First Responders-Comprehensive Addiction and Recovery Act: Description The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for fiscal year (FY) 2019 First Responders-Comprehensive Addiction and Recovery Act (Short Title: FR-CARA) Grants. SAMHSA will award FR-CARA funds to states, tribes and tribal organizations [as defined in section 4 of the […]

CMS to Hold a February 27 Webinar on the ET3 Model

The Centers for Medicare and Medicaid Services (CMS) will hold a February 27 webinar at noon (CST) on the new Emergency Triage, Treatment and Transport (ET3) model. Click here to register for the February 27 webinar. Click here to learn more about the model. EMS EVOLUTION 2019 will feature a session on […]

Medicare Announces Emergency Triage, Treat and Transport (ET3) Model

The Centers for Medicare and Medicaid Services (CMS) announced the ET3 model earlier today. Per CMS: Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call. Under the […]

EMS Blood Labs

EMS EVOLUTION 2018 featured a lightning round presentation by Jonathan Sell of Booker EMS on blood labs for EMS. TEMSA recently sat down with Jonathan Sell and Ben Oakley of Blanco County EMS, who also has a blood lab, to discuss their experience with the service. The following is the conversation. TEMSA: […]

Emergency Health Care Runs for FY 2019 EMS Funding

The Office of EMS/Trauma Systems is asking EMS Providers to submit an affidavit to attest that a good faith effort was made to submit calendar year (CY) 2017 data to the Texas EMS/Trauma Registry and reconcile potential discrepancies between emergency healthcare runs recorded by individual EMS providers during CY17 and […]

Workgroup on Mental Health Access for First Responders – October 4

HHSC's Workgroup on Mental Health Access for First Responders will meet on October 4. The agenda includes: This meeting will be webcast. To access the webcast, go to  the day and time of the meeting. Welcome and logistical announcements Approval of September 4, 2018, meeting minutes Ad hoc Subcommittee Report Out […]

Your Invite to Participate: TEMSA’s Committees

TEMSA has accomplished a number of achievements in its first five years of existence. The defeat of proposed Medicaid cuts, the preservation of the ability for EMS agencies to balance bill for out-of-network services, the creation of a rural assistance program for EMS agencies, and TEMSA's annual conference - EMS EVOLUTION - […]

Novitas Encourages the Use of Novitasphere

Reopenings and Redeterminations: Save time with Novitasphere – B Novitas, the Medicare Administrative Contractor (MAC) for Jurisdictions H and Jurisdiction L, highly encourages providers to perform claim corrections and submit redeterminations on their claims through Novitasphere, our free internet portal.   These features are fast, and easy to use – saving providers valuable time. One of […]

Potential Eligible EMS Providers for Funding – DSHS

From the Texas Department of State Health Services: The provider eligibility lists have been updated. Visit for details. The Office of EMS/Trauma Systems (OEMS/TS) is updating the list of potential eligible emergency medical service (EMS) providers for the FY 19 EMS Allotment/Allocation (also referred as EMS/County fund). Funds are distributed through your Regional […]

EMS Fatigue Education

Dear EMS Colleagues: The purpose of this email is to ask for your help. My team and I are looking for EMS clinicians who want to contribute to the development of fatigue education and training materials. These materials will be brief in length and divided into multiple topics related to fatigue and […]

Texas Exempt from Medicare’s Latest Ambulance Moratorium

The Centers for Medicare and Medicaid Services (CMS) extended the moratorium on the new enrollment of non-emergency ambulance services in Pennsylvania and New Jersey for another six months in a July 30 announcement (applicable July 29, 2018). However, Texas was not included in the announcement for ambulance services. The following is […]

Medicare’s Listening Session on Ambulance Cost Reporting

The Centers for Medicare and Medicaid Services (CMS) held a June 28, 2018 listening session on Medicare's upcoming data collection program for ambulances. Congress passed an "extender" package in February 2018, and it required HHS to create a Medicare data collection program for ambulances. HHS has a December 31, 2019 […]

New Texas Workgroup on Mental Health Seeks Information

The state's Workgroup on Mental Health Access for First Responders is asking EMS agencies to complete a survey by July 4. The workgroup, which was created by the 2017 Texas Legislature, features three TEMSA members. Click here to access the survey. Your input is important and will help guide the workgroup's […]

MedPAC Recommends Freestanding ED Payment Cuts

In its June 2018 report to Congress, the Medicare Payment Advisory Commission made the following Medicare payment recommendations related to freestanding emergency departments: 2-1 The Congress should: • allow isolated rural stand-alone emergency departments (more than 35 miles from another emergency department) to bill standard outpatient prospective payment system facility fees and • […]

CMS Listening Session on Ambulance Data Collection

The Centers for Medicare and Medicaid Services (CMS) will hold a listening session on June 28, 2018 to discuss the ambulance data collection program, which was created by the Bipartisan Budget Act of 2018. Ambulance coding expert Brian Werfel will discuss the program at the Texas EMS Alliance's annual conference, EMS […]

May 22 REPLICA Agenda Posted

The agenda for the May 22, 2018 Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) has been posted. Click here to view the agenda. The Texas Legislature passed its own REPLICA legislation in 2015, which allows Texas to recognize EMS personnel licenses from other states that joined REPLICA. Joe Schmider of the […]

HHSC’s May 3 Hearing on Proposed Ambulance Medicaid Rates

The Texas Health and Human Services Commission (HHSC) announced on April 17, 2018 that it will hold a May 3, 2018 hearing on proposed Medicaid rate changes for ambulance service in Texas. Specifically, the notice stated: The proposed rate actions are consistent with the legislative directive in Rider 33, Article II […]

Mobile Healthcare Practitioner Course: April 30 – May 11

The next Mobile Healthcare Practitioner course will be held April 30 - May 11, 2018.  This course is the core didactic and clinical components for an urban model Mobile Integrated Healthcare program. Clinical rotations can be done following classroom content and will be coordinated specifically with each agency. Click here for more […]

CMS Releases Guidance for Dialysis Transport Cuts

Click here to review Congress' February budget bill, which extended Medicare's ambulance add-on payments. The add-ons were offset by future cost reporting and cuts to dialysis transports. Brian Werfel will cover the topic as part of his billing and coding course at EMS EVOLUTION 2018 on Tuesday, June 19. The Centers for […]

Congress Passes Medicare Ambulance Extenders; New Cost Reporting

Congress passed a funding resolution early this morning that includes Medicare add-on payments for ground ambulances that will be in effect for five years (December 31, 2022). However, much like other health care "extenders" in this funding resolution, several offsets have been placed on the ambulance industry to pay for the […]

Baxter Issues Update on IV Solution Shortage

Baxter indicated in a January 24, 2018 letter to its customers that its Puerto Rico manufacturing facilities are now operating at pre-hurricane levels. It expects to return to normal supply levels in the upcoming weeks. Click here to view the letter: Baxter Saline Shortage Update The Texas EMS Alliance will produce the results […]

Learn More About REPLICA – November 1

AAA Webinar Spotlight: The Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) Wednesday, November 1, | 2:00 PM EST Speaker: Sue Prentiss Free Admission The time has come where the borders between states will no longer be seen as a barrier to the practice of EMS in authorized circumstances. The Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) provides […]

Texas HHSC Seeking Volunteers for First Responder Mental Health Workgroup

The Texas Health and Human Services Commission seeks volunteers to develop and make recommendations on mental health-care access for first responders. HHSC is looking for people with professional and personal experience with crisis or emergency response, crisis or emergency mental health services, and mental health benefits for first responder organizations. To apply, […]

Healing Our EMS Heroes: October 4 in Tyler

Brenda McBride of ETMC presented on PTSD among EMS professionals at EMS EVOLUTION 2017. She will be presenting again at EMS EVOLUTION 2018 (June 18-20). In the meantime, David Berceli, PhD, the creator of Tension & Trauma Releasing Exercises (TRE), will be presenting at the ETMC Behavioral Health Center in Tyler […]

“Adopt an EMS Family Program” – Hurricane Harvey Relief

The Journal of Emergency Medical Services is adopting EMS families to help with Hurricane Harvey relief. Interested EMS agencies are encouraged to reach out to JEMS. Click here to view the background and instructions: 1 - Explanatory letter - Hurricane Harvey - Texas & Louisian Adopt-An-EMS-Family - Description and parameters of the […]

DSHS Survey on Hurricane Damage to EMS Agencies

The Texas Department of State Health Services (DSHS) has asked EMS agencies to complete a very short online survey to determine the effect of Hurricane Harvey on Texas EMS agencies. Click here to access the survey and complete it. […]

Texas EMS Award Nominations Due on September 29

Texas EMS Award nominations are being accepted until September 29. Don't miss your opportunity to nominate a person or organization that best exemplifies what the Texas EMS/Trauma system has to offer.  Winners are announced at the Texas EMS Conference Awards Luncheon in November.  Visit for submission information. […]

Pharmacies Open in the Hurricane Area

The Texas Medical Association published a map of the pharmacies that are open in the area affected by Hurricane Harvey. Click here to view the map. […]

EMS Response to Hurricane Harvey

EMS professionals from across the state of Texas have responded to the Hurricane Harvey efforts along the Texas coast. Please visit TEMSA's Facebook and Twitter pages to keep updated on EMS efforts in Texas. Texas Governor Greg Abbott is pictured in Rockport, Texas with EMS professionals from Hopkins County EMS, Argyle […]

First Responder Mental Health Webinar on August 29

This webinar will introduce attendees to the topic of first responder mental health. It includes a review of mental health conditions common in first responders; an overview of the statistics regarding first responder mental health; the signs that someone may be having a mental health crisis, and how to talk […]

Clarification of EMS Scope of Practice Model

There has been a lot of confusion on social media regarding scope of practice updates from NASEMSO. The organization provided this clarification: […]

Sodium Cyanide Capsule Notice for EMS Agencies

The Texas Wildlife Services Program (TWSP) is providing a notice regarding sodium cyanide capsules to Texas EMS agencies. TWSP employees throughout the State may use sodium cyanide capsules in a spring loaded device called the M-44 device to control predation of livestock and the spread of diseases caused by certain wild […]

New Resources for Regional Medication Shortages

The following resource was produced by the U.S. Department of Health and Human Services: Access to medications is a problem plaguing healthcare providers across the United States, and EMS systems have not been immune. From dextrose to epinephrine to sodium bicarbonate, many of the common drugs found on an ambulance have […]

Sepsis Webinar on July 19

The Centers for Medicare and Medicaid Services (CMS) Region VI will hold a webinar on Sepsis on Wednesday, July 19. Click here to learn more and register. […]

New Fentanyl Guide for First Responders

The U.S. Department of Justice's Drug Enforcement Administration recently released a guide on fentanyl for first responders.  Click here to access it: Fentanyl Guide Public Fire EMS June2017 […]

New NHTSA Report on Lights & Safety

The U.S. Department of Transportation's National Highway Traffic Safety Office of Emergency Medical Services released a report on lights and safety. Click here to access the report. Executive Summary Primum non nocere – first do no harm. This principle of medical care helps to guide medical decisions by reminding healthcare providers that while attempting […]

Ransomware Info for EMS Agencies

The "WannaCry" ransomware attack on May 12 affected health care providers across the world. Click here to view the FBI's memo on the subject: FBI Memo Ransomware Click here to view a memo prepared by the federal government regarding useful tips for preventing the ransomware attack: Memo 02Ransomware_Preven […]

EMS Licensure Compact Is Now Official

Georgia's governor signed his state's EMS licensure compact bill into law today.  As the 10th state, the EMS licensure compact is now official. The 2015 Texas Legislature passed Texas' participation in the EMS licensure compact.  The 10 states include Colorado, Texas, Kansas, Virginia, Tennessee, Idaho, Utah, Mississippi, Wyoming and Georgia. […]

EipPen Batches Recalled

Epi batches have been recalled due to a failure to activate. Click here to learn more. […]

Federal Government’s OIG Work Plan for Ambulances in 2017

By Chris Kelly The Department of Health and Human Services’ Office of the Inspector General (“OIG”) has released its “work plan” for 2017. The OIG is the policing arm of Medicare, and they issue this annual report to itemize and explain the areas of Medicare compliance that they intend to investigate […]

Mobile Integrated Healthcare Programs

On behalf of the National Fire Academy (NFA), Cybermedia Technologies, Inc. (CTEC) and EMS subject matter experts are creating online training for EMS personnel to learn how to develop, maintain, and implement a Mobile Integrated Healthcare program. In addition to our expertise, we want to ensure that we are capturing the […]

Lewisville’s Ricky Reeves Awarded 2016 EMS Administrator of the Year

Ricky Reeves, who serves as the Lewisville Fire Department's EMS Division Chief and is one of the founding members of TEMSA, was presented the 2016 EMS Administrator Award by the Texas Department of State Health Services. The award was presented on November 22, 2016 at the Texas EMS Conference in Dallas. […]

Social Media in the EMS Industry

By Michael Benavides, Austin-Travis County EMS Emergency Medical Services (EMS) is plagued with being the “Ghosts on the Scene." The necessity of responding to incidents, and treating and transporting patients off the scene in a relatively expedient manner is not only unavoidable, but it is a good pre-hospital care business practice. Unfortunately, […]

Using DSI To Prevent RSI from Becoming RSD

Using DSI to Prevent RSI from Becoming RSD (Rapidly Sequenced Death) By Jeffrey L. Jarvis, MD RSI (Rapid Sequence Intubation) is a common process used by EMS agencies across the nation to perform endotracheal intubation. It involves administering a sedative agent (often ketamine, etomidate, or Versed) and a neuromuscular blocking agent (succinylcholine […]

Risk vs. Benefit Analysis in EMS

Texas EMS Alliance – October 2016 Risk vs. Benefit Analysis By Jonathan Sell Emergency services management is often overwhelmed by attempting to avert or deal with problems by creating and enforcing policy and procedure. By doing so we generally answer the questions of "who, what, when, and where" with a policy, and the […]

Overview of DSHS’s Chapter 157 EMS Re-write

The Department of State Health Services (DSHS) produced an overview of the proposal to re write Chapter 157, which is the state's EMS rule.  Click here to view it: Chapter 157 Draft Rule Presentation June 2015 It is important to note: The PowerPoint does not include every proposed change.  It is […]

September 9th Hearing on DSHS’s EMS Proposed Rule

The Texas Department of State Health Services (DSHS) will hold a public hearing on the proposed rule for EMS on September 9, 2016 in Austin. Visit for more information regarding the proposed rule.  Comments are due on September 12, 2016. The re-write of the state's EMS rule has been a multi-year […]

Advanced Paramedic Task Force Meeting – August 15

The Texas Department of State Health Services (DSHS) posted a notice regarding the meeting of the Advanced Practice Paramedic Task Force Meeting in Georgetown on August 15.  TEMSA will have full details after the meeting. […]

Dual Diagnoses Required for Ambulance Transports

Per Novitas: Effective with services rendered October 1, 2015, and later, ALL ambulance transports require dual diagnoses.  Providers should report the primary diagnosis as the most appropriate ICD-10 code that adequately describes the patient’s medical condition at the time of transport.  In addition, a secondary diagnosis must be reported which reflects […]

EMS Grant Writing 101 This June

The National Organization of State Offices of Rural Health (NOSORH) is offering a three-part “EMS Grant Writing 101 Virtual Conference” in June. Rural EMS agencies and other interested partners will learn how to write and submit a complete grant proposal, understand rural relevant data important to EMS and identify funding […]

National Moment of Silence on Saturday, May 21

Texas EMS agencies will join other agencies across the nation this Saturday, May 21 to observe a moment of silence for the 32 EMS professionals who lost their lives in the line of duty this year. The national moment of silence corresponds with the National EMS Memorial Service this weekend by […]

CMS Implements Cycle 2 Revalidation Program

Earlier this week, CMS announced the Cycle 2 Revalidation Program. The American Ambulance Association provided an analysis by Brian Werfel. TEMSA members can check their e-mail newsletter to learn more details. […]

GSA’s 2017 Federal Ambulance Specifications

The U.S. General Services Administration (GSA) 2017 Federal Ambulance Specifications are currently open for comment. While the rules won't affect Texas rules, the rules will affect what manufacturers are allowed to do without signing a waiver/release when the vehicles are built for Texas EMS agencies. These are included in the new CAAS […]

Texas EMS Agencies Visit Washington for Stars of Life

Texas EMS agencies visited Washington this week as part of the American Ambulance Association's Stars of Life annual event. Members of the Texas Congressional Delegation recognized several EMS professionals.  Ramona Hanks and Erin Lally are pictured with U.S. Senator John Cornyn (R-Texas). Click here to learn more about the event. Next week, representatives […]

GETAC’s May 11-13 Schedule Announced

The Texas Department of State Health Services (DSHS) posted the agenda for the May 11-13, 2016 GETAC meetings in Austin. Click here to view the schedule: GETAC May 2015 Schedule […]

CAAS Ground Ambulance Standards Released

The Commission on Accreditation of Ambulance Standards (CAAS) published Ground Vehicle Standard for Ambulances v.1.0 Edition on March 28.  Click here to access the publication.     […]

CMS Ambulance Open Door – April 7

The next CMS Ambulance Open Door Forum scheduled for: Date: Thursday, April 7, 2016 Start Time: 2:00 PM Eastern Time (ET); Please dial-in at least 15 minutes before call start time. Conference Leaders: Dr. William Rogers, Valerie Miller and Jill Darling **This Agenda is Subject to Change** I. Opening Remarks Chair – Dr. William Rogers (OC) Co-Chair-Valerie Miller […]

TX Medicaid Re-enrollment Advisory

The Centers for Medicare and Medicaid Services (CMS) recently extended the Medicaid provider re-enrollment deadline from March 24, 2016 to Sept. 24, 2016 to allow states additional time to process applications. In an effort to ensure Texas Medicaid complies with the federal requirement, HHSC has established a plan to provide […]

Mission Lifeline Deadline: March 31

March 31, 2016 is the deadline for EMS agencies to submit their applications for the American Heart Association's Mission Lifeline recognition. Click here for details: 2016 EMS Recognition flyer March […]

DSHS’s Biological & Chemical Terrorism Course

The Department of State Health Services' April 1st Biological and Chemical Terrorism: A Laboratory Overview for First Responders & Law Enforcement is free. However, it is limited to the first 20 registrations. The topics include: Types of biological and chemical threats. Field screening requirements for specimen submission. Specimen/material submission process. Processing of threat letters and other […]

February 24: Medicare’s Next Ambulance Open Forum

The next CMS Ambulance Open Door Forum scheduled for: Date:  Wednesday February 24, 2016 Start Time:  2:00 PM Eastern Time (ET); Please dial-in at least 15 minutes before call start time. Conference Leaders: Dr. William Rogers, Valerie Miller and Jill Darling **This Agenda is Subject to Change** I. Opening Remarks Chair – Dr. William Rogers (OC) Co-Chair-Valerie Miller […]

CMS Issues Final Rule on Overpayments

The Centers for Medicare and Medicaid Services (CMS) issued a final rule that requires Medicare Parts A and B providers to report and return overpayments within 60 days of identifying the oversight. In addition, the rule provided a six-year look-back period, which was an improvement over the previous proposal that would have […]

EMS for Children Crew of the Year Nominations

EMS for Children Day May 18, 2016: EMS for Children Crew of the Year Nominations Underway In honor of EMS for Children Day 2016, the Texas EMS for Children State Partnership is now accepting nominations for the seventh annual EMS for Children Crew of the Year Award. This award is granted to […]

State’s Medicaid Re-enrollment Deadline Extended

Per the Texas Health and Human Services Commission (HHSC): The Centers for Medicare and Medicaid Services (CMS) recently announced that the previous March 24, 2016 deadline for Medicaid provider re-enrollment is extended to Sept. 25, 2016. Though this extension gives states additional time to ensure providers comply with Patient Protection and […]

EMS Controlled Substance Relief Bill Filed in Congress – HR 4365

Congressman Richard Hudson (R-North Carolina) introduced the "Protecting Patient Access to Emergency Medications Act of 2016," which would update the Controlled Substances Act (CSA) as it relates to EMS activity.  Some Drug Enforcement Agency (DEA) offices have provided conflicting interpretation of the CSA as it relates to EMS activity, and H.R. […]

Regional EMS Time Out for STRAC Goes Live 01.01.16

To:  All ER Nurses, Emergency Physicians, Surgeons, and EMS personnel The Regional EMS Time Out Report  has been designed by ER Nurses, EMS Paramedics, Emergency Physicians and Trauma Surgeons from the STRAC region. The purpose of the EMS Time Out process is simple;  Improve communication at the critical moment of patient transfer of care from EMS […]

Final EMS Review of Chapter 157

GETAC's EMS Committee will meet in San Antonio on Monday, December 14 to perform a review of Chapter 157 before sending final suggestions to GETAC.  The meeting is a great opportunity for stakeholders who have not yet made suggestions to do so. Click here for details: EMS-Notification-121415 […]

DSHS Guidance for Sharing Hospital Data

The Department of State Health Services (DSHS) issued guidance for EMS providers that are experiencing difficulty in obtaining patient health outcome or emergency department data from hospitals for inclusion into their quality improvement programs. Click here to read the guidance: ProvGuidance-PatientHealthOutcome-EmergencyDepatmentData […]

TEMSA’s Magazine Is Now Available

TEMSA had a very busy first 10 months of 2015.  TEMSA's magazine is now in the mail and recaps the organization's activities over the past 10 months. TEMSA Fall 2015 Newsletter-web […]

Daniel Hampton Funeral Information

Funeral services for Burnet Firefighter/EMT Daniel Hampton are scheduled for September 24. Information for fire department and EMS units that wish to participate can be found by clicking here: Hampton Funeral […]

Interview with Jonathan Sell of Booker EMS

Jonathan Sell of Booker EMS and Fire Department was elected to TEMSA’s Board of Directors in August 2015. He has been involved with his EMS and Fire for the last 11 years. Jonathan began as a volunteer in his hometown with Booker EMS and Fire Department in 2004 as an […]

Interview with Brent Smith of Hopkins County EMS

Brent Smith is the current EMS Director for Hopkins County EMS and has been in the position for six years. Hopkins County EMS is a 911 hospital-based ambulance provider in Sulphur Springs, Texas that operates four ambulances daily between Hopkins and Delta Counties. Along with his duties, Brent also plays an […]

EMS in Texas Workers’ Comp Due to Air Medical?

The State Office of Administrative Hearings (SOAH) Administrative Law Judge (ALJ) released a ruling on September 8, 2015 that ruled that PHI Air Medical should be reimbursed 149 percent of Medicare for air ambulance services within the Texas Workers' Comp program. Both industry and policymakers are in the process of digesting […]

Dudley Wait Elected TEMSA’s President

Dudley Wait, an executive director with the City of Schertz, was named TEMSA's president of the TEMSA Board of Directors at EMS EVOLUTION 2015 conference on August 4. Doug Hooten, Executive Director of MedStart Mobile Healthcare in Fort Worth, was the organization's interim president of the TEMSA Board of Directors and will […]

Annual Conference Wrap-up

Visit our EMS EVOLUTION 2015 page to review TEMSA's August 1-5 annual conference.  The event examined a number of public policy, industry, and clinical issues that affect EMS in Texas. TEMSA will present its public policy symposium once again at the Texas EMS Conference in Dallas on November 23. EMS EVOLUTION 2016 […]

TEMSA’s Board Ballot Is Ready

TEMSA will hold a membership election during EMS EVOLUTION ON August 4.  TEMSA is currently accepting nominations for President through the end of Friday, July 31.  Please view TEMSA's July 29 newsletter for full details. The Board of Director ballot is ready: TEMSA Board Ballot 2015 […]

ICD-10 Grace Period Announced by AMA and CMS

Today, the American Medical Association and Centers for Medicare and Medicaid Services (CMS) announced that providers will have a one-year grace period once ICD-10 goes into effect on October 1, 2015.  This will allow providers to still be reimbursed if their coding error is within the broad family of the […]

ICD-10: What Is Happening in Washington?

The October 1, 2015 ICD-10 implementation date is still on track.  However, three bills are moving through Congress that would either eliminate ICD-10 or create a grace period for providers to make a transition. HR 2126 by Congressman Ted Poe (R-Humble) would completely eliminate ICD-10 and simply wait a few years […]

SGR Overhaul’s Impact on Texas EMS

Congress' recent passage of H.R. 2, which will eliminate the Medicare physician payment reimbursement program - sustainable growth rate (SGR) - and replace it with a completely new way to reimburse physicians, will have an impact on all segments of the health care system, including Texas EMS. TEMSA's April 6 membership newsletter […]

Ford Ambulance Recall

Ford announced a recall for certain ambulances.  Click here to learn more:   […]

EMS Local Projects Grant Application for FY 2016 is Available

DSHS recently announced that the Local Projects Grant application for FY 2016 is now available.  Be sure to get your ideas in quickly. Application deadline is May 21, 2015 at 2:00 PM.  Applications received after the application deadline will not be considered. Applications received by email or fax will not be considered. The […]

CMS Extends Enrollment Moratoria

Novitas has announced the CMS decision to extend the new provider enrollment moratorium in and around Houston for another six months.  The effected counties include Harris, Brazoria, Chambers, Fort Bend, Galveston, Liberty, Montgomery, and Waller.  You can see the CMS publication at this link.  The document is also available in […]

Novitas posts proposed new ambulance coverage policy

Courtesy of Gail Atnip from Novitas: A draft Ambulance policy was posted to the Novitas Website you can view it at this link Comments can be made until March 5, 2015 via the internet Since there is not an ambulance representative on the CAC I encourage anyone who has concerns to […]

HHSC Dual Demonstration Training

HHSC has announced the dates and times where acute care providers within the regions effected by the Dual Demonstration project can receive information and training.  There are also two webinars available.  Links to those are available in the calendar of events on our website. Upcoming Dual Demonstration Provider Trainings   Location Date Time Address Fort Worth 1/12/15 Duals: 11-12:30 Catholic Charities 249 W. Thornhill […]

CMS Announces Changes by Zip Code

The Center for Medicare Services (CMS) has announces changes to the list of urban and rural designations by zip code.  These changes are scheduled to become effective on January 1, 2015.  We have compacted this list down to those effected zip codes in Texas.  There are 32 Texas zip codes that […]

Remembering a Texas Trauma System Pioneer

It is with great sadness we announce the passing of Dr. Erwin R. Thal.  Doctor Thal passed peacefully in the early morning hours of December 13, 2014 from an acute illness.  Family, friends and colleagues were at his bedside. Dr. Thal’s work through the American College of Surgeons’ (ACS) Committee on […]

Texas EMS Alliance at the Texas EMS Conference

Thanks to everyone who made the TxEMSA Booth at the Texas EMS Conference such a huge success! We had 49 entries for the free membership drawing and 93 suggestions about the future of Texas EMS that we will use to help build our work-plan and goals for the next few years. Thanks everyone […]