diff --git a/vllm/_aiter_ops.py b/vllm/_aiter_ops.py
index d59b74782be2..07c2b1f2cdef 100644
--- a/vllm/_aiter_ops.py
+++ b/vllm/_aiter_ops.py
@@ -91,6 +91,8 @@ def _rocm_aiter_fused_moe_impl(
     intermediate_pad: int = 0,
     bias1: torch.Tensor | None = None,
     bias2: torch.Tensor | None = None,
+    moe_sorting_dispatch_policy: int = 0,
+    moe_buf: torch.Tensor | None = None,
 ) -> torch.Tensor:
     from aiter import ActivationType, QuantType
     from aiter.fused_moe import fused_moe
@@ -118,6 +120,8 @@ def _rocm_aiter_fused_moe_impl(
         intermediate_pad=intermediate_pad,
         bias1=bias1,
         bias2=bias2,
+        moe_sorting_dispatch_policy=moe_sorting_dispatch_policy,
+        moe_buf=moe_buf,
     )
 
 
@@ -141,7 +145,11 @@ def _rocm_aiter_fused_moe_fake(
     intermediate_pad: int = 0,
     bias1: torch.Tensor | None = None,
     bias2: torch.Tensor | None = None,
+    moe_sorting_dispatch_policy: int = 0,
+    moe_buf: torch.Tensor | None = None,
 ) -> torch.Tensor:
+    if moe_buf is not None:
+        return torch.empty_like(moe_buf)
     if output_dtype is not None:
         return torch.empty_like(hidden_states, dtype=output_dtype)
     return torch.empty_like(hidden_states)
@@ -1256,7 +1264,7 @@ def register_ops_once() -> None:
             direct_register_custom_op(
                 op_name="rocm_aiter_fused_moe",
                 op_func=_rocm_aiter_fused_moe_impl,
-                mutates_args=[],
+                mutates_args=["moe_buf"],
                 fake_impl=_rocm_aiter_fused_moe_fake,
                 dispatch_key=current_platform.dispatch_key,
             )
@@ -1546,6 +1554,8 @@ def fused_moe(
         intermediate_pad: int = 0,
         bias1: torch.Tensor | None = None,
         bias2: torch.Tensor | None = None,
+        moe_sorting_dispatch_policy: int = 0,
+        moe_buf: torch.Tensor | None = None,
     ) -> torch.Tensor:
         return torch.ops.vllm.rocm_aiter_fused_moe(
             hidden_states,
@@ -1567,6 +1577,8 @@ def fused_moe(
             intermediate_pad,
             bias1,
             bias2,
+            moe_sorting_dispatch_policy,
+            moe_buf,
         )
 
     @staticmethod
diff --git a/vllm/envs.py b/vllm/envs.py
index d2af9e64d66c..5a97a1ed660e 100755
--- a/vllm/envs.py
+++ b/vllm/envs.py
@@ -122,6 +122,7 @@
     VLLM_ROCM_USE_AITER_UNIFIED_ATTENTION: bool = False
     VLLM_ROCM_USE_AITER_FUSION_SHARED_EXPERTS: bool = False
     VLLM_ROCM_USE_AITER_TRITON_GEMM: bool = True
+    VLLM_ROCM_AITER_MOE_DISPATCH_POLICY: int = 0
     VLLM_ROCM_USE_SKINNY_GEMM: bool = True
     VLLM_ROCM_FP8_PADDING: bool = True
     VLLM_ROCM_MOE_PADDING: bool = True
@@ -1039,6 +1040,9 @@ def _get_or_set_default() -> str:
     "VLLM_ROCM_USE_AITER_TRITON_GEMM": lambda: (
         os.getenv("VLLM_ROCM_USE_AITER_TRITON_GEMM", "True").lower() in ("true", "1")
     ),
+    "VLLM_ROCM_AITER_MOE_DISPATCH_POLICY": lambda: int(
+        os.getenv("VLLM_ROCM_AITER_MOE_DISPATCH_POLICY", "0")
+    ),
     # use rocm skinny gemms
     "VLLM_ROCM_USE_SKINNY_GEMM": lambda: (
         os.getenv("VLLM_ROCM_USE_SKINNY_GEMM", "True").lower() in ("true", "1")
diff --git a/vllm/model_executor/layers/fused_moe/rocm_aiter_fused_moe.py b/vllm/model_executor/layers/fused_moe/rocm_aiter_fused_moe.py
index d24bda101ffa..62a7661b13a2 100644
--- a/vllm/model_executor/layers/fused_moe/rocm_aiter_fused_moe.py
+++ b/vllm/model_executor/layers/fused_moe/rocm_aiter_fused_moe.py
@@ -5,6 +5,7 @@
 
 import torch
 
+import vllm.envs as envs
 import vllm.model_executor.layers.fused_moe.modular_kernel as mk
 from vllm._aiter_ops import rocm_aiter_ops
 from vllm.model_executor.layers.fused_moe.activation import MoEActivation
@@ -195,6 +196,8 @@ def rocm_aiter_fused_experts(
     a1q_scale: torch.Tensor | None = None,
     num_local_tokens: torch.Tensor | None = None,
     output_dtype: torch.dtype | None = None,
+    moe_sorting_dispatch_policy: int = 0,
+    moe_buf: torch.Tensor | None = None,
 ) -> torch.Tensor:
     """ROCm AITER fused MoE expert computation."""
     if quant_config is None:
@@ -309,6 +312,8 @@ def rocm_aiter_fused_experts(
             intermediate_pad=intermediate_pad,
             bias1=quant_config.w1_bias if quant_config.use_mxfp4_w4a16 else None,
             bias2=quant_config.w2_bias if quant_config.use_mxfp4_w4a16 else None,
+            moe_sorting_dispatch_policy=moe_sorting_dispatch_policy,
+            moe_buf=moe_buf,
         )
 
 
@@ -422,7 +427,7 @@ def apply(
         else:
             num_local_tokens = None
 
-        result = rocm_aiter_fused_experts(
+        rocm_aiter_fused_experts(
             hidden_states=hidden_states,
             w1=w1,
             w2=w2,
@@ -436,5 +441,6 @@ def apply(
             a1q_scale=a1q_scale,
             num_local_tokens=num_local_tokens,
             output_dtype=output.dtype,
+            moe_sorting_dispatch_policy=envs.VLLM_ROCM_AITER_MOE_DISPATCH_POLICY,
+            moe_buf=output,
         )
-        output.copy_(result)