Ground ambulance transports must meet several coverage requirements to be covered by Medicare. The transport must be medically necessary, the patient must be transported to an appropriate facility, and the destination must generally be local. The medical necessity of the transport is based on the patient's condition and whether other transportation could endanger their health. The facility must be equipped to treat the patient's condition and be the nearest one, though exceptions can be made if a more distant facility has specialized services needed. The document then provides examples of conditions that would indicate medical necessity for ambulance transport rather than other means.