In 2017–2018, the helicopter has been certified for operation under extremely cold and high temperatures from minus 45°С to plus 50°С, during a series of ground and flight testing. In January 2019, on the basis of trials conducted at Mount Elbrus in 2018, the Federal Air Transport Agency certified the increase in take-off/landing altitude of the Ansat from previous 1,000 m to 3,500 m and approved the helicopter for high-altitude operations. Ansat helicopter optional Emergency Floatation System certified in March 2020. Since May 2020, a specially-adapted medical version is used to transport patients with the novel coronavirus in Russia. December 2020, first flight of the Ansat-M.