"In an effort to reduce the number of patients being transported to ED that could receive appropriate care at an alternate (non-emergency department) medical facility, the Virginia Office of Emergency Medical Services (OEMS) is providing guidance to both EMS agencies and facilities considered to be allowable destinations for ambulance transports under the CMS guidance, including any destination that is able to provide treatment to the patient in a manner consistent with state and local EMS protocols in use where the services are being furnished."
Download and review the OEMS White Paper in it's entirety here: pdf EMS Transport to Alternate Sites White Paper FINAL (203 KB)