reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-401 - EMCT General Requirements (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (H) and 36-2204(1), (6), and (7))

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in
				R9-25-404(E)
				and R9-25-405, an individual shall not act as an EMCT unless the individual has
				current certification or recertification from the Department.
B. An EMCT shall act as an EMCT only:
1. As authorized under the EMCT's scope of
				practice as specified in Article 5 of this Chapter; and
2. For an EMCT required to have medical
				direction according to A.R.S. Title 36, Chapter 21.1 and
				R9-25-502,
				as authorized by the EMCT's administrative medical director under:
a. Treatment protocols, triage protocols, and
				communication protocols approved by the EMCT's administrative medical director
				as specified in
				R9-25-201(E)(2);
				and
b. Medical recordkeeping,
				medical reporting, and prehospital incident history report requirements
				approved by the EMCT's administrative medical director as specified in
				R9-25-201(E)(3)(b).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-402 - EMCT Certification and Recertification Requirements (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (H) and 36-2204(1), (6), and (7))

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department
				shall not certify an EMCT if the applicant:
1. Is currently:
a. Incarcerated for a criminal
				conviction,
b. On parole for a
				criminal conviction,
c. On
				supervised release for a criminal conviction, or
d. On probation for a criminal
				conviction;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-403 - Application Requirements for EMCT Certification (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), and (H) and 36-2204(1) and (6))

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual
				may apply for initial EMCT certification if:
1. The individual is at least 18 years of
				age;
2. The individual complies
				with the requirements in A.R.S. §
										41-1080;
3. The individual is not ineligible under
				R9-25-402;
				and
4. One of the following applies
				to the individual:
a. The individual has not
				previously applied for certification from the Department or has withdrawn an
				application for certification;
b.
				An application for certification submitted by the individual was denied by the
				Department two or more years before the present date;
c. Except as provided in R9-25-404(A)(2) or
				(3), the individual's certification as an EMCT is expired;
d. The individual's certification as an EMCT
				was revoked by the Department five or more years before the present date;
				or
e. The individual has current
				certification as an EMCT and is applying for certification at a different
				classification level of EMCT.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-404 - Application Requirements for Emt Certification (authorized by A.r.s. Sections 36-2202(a)(2), (a)(3), (a)(4), and (g) and 36-2204(1) and (6))

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for
				initial EMT certification shall submit to the Department an application
				including:
1. An application form provided by
				the Department containing:
a. The applicant's
				name, address, telephone number, date of birth, and Social Security
				number;
b. Responses to questions
				addressing the applicant's criminal history pursuant to
				R9-25-402(A)
				and
				R9-25-403(A);
c. Attestation that all information required
				as part of the application has been submitted and is true and accurate;
				and
d. The applicant's signature
				and date of signature;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-405 - Extension to File an Application for EMCT Recertification (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (H) and 36-2204(1), (4), (5), and (7))

Current through Register Vol. 30, No. 28, July 12, 2024
A. Before the
				expiration of a current certificate, an EMCT who is unable to meet the
				recertification requirements in
				R9-25-404
				because of personal or family illness, military service, or authorized federal
				or state emergency response deployment may apply to the Department in writing
				for an extension of time to file for recertification by submitting:
1. The following information in a
				Department-provided format:
a. The EMCT's
				name, address, telephone number, and email address;
b. The EMCT's current certification
				number;
c. The reason for
				requesting the extension; and
d.
				The EMCT's signature or electronic signature and date of signature;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-406 - Requirements for Downgrading of Certification (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), and (H) and 36-2204(1) and (6))

Current through Register Vol. 30, No. 28, July 12, 2024
An individual who holds current EMCT certification at a
				  classification level higher than EMT and who is not under investigation
				  according to A.R.S. §
									36-2211
				  may apply for:
1. Continued
				certification at a lower EMCT classification level for the remainder of the
				certification period by submitting to the Department:
a. A written request containing:
i. The EMCT's name, address, email address,
				telephone number, date of birth, and Social Security number;
ii. The lower EMCT classification level
				requested;
iii. Attestation that
				the applicant has not committed an act or engaged in conduct that would warrant
				revocation of a certificate under A.R.S. § 36-2211;
iv. Attestation that all information submitted is true
				and accurate; and
v. The applicant's
				signature or electronic signature and date of signature; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-407 - Notification Requirements (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), and (A)(4), 36-2204(1) and (6), and 36-2211)

Current through Register Vol. 30, No. 28, July 12, 2024
A. No later than 30 days after the date an
				EMCT's name legally changes, the EMCT shall submit to the Department:
1. A completed form provided by the
				Department containing:
a. The name under which
				the EMCT is currently certified by the Department;
b. The EMCT's address, telephone number, and
				Social Security number; and
c. The
				EMCT's new name; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-408 - Unprofessional Conduct; Physical or Mental Incompetence; Gross Incompetence; Gross Negligence (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (H), 36-2204(1), (6), and (7), and 36-2211)

Current through Register Vol. 30, No. 28, July 12, 2024
A. For purposes of A.R.S. §
									36-2211(A)(1),
				unprofessional conduct is an act or omission made by an EMCT that is contrary
				to the recognized standards or ethics of the Emergency Medical Technician
				profession or that may constitute a danger to the health, welfare, or safety of
				a patient or the public, including:
1.
				Impersonating an EMCT of a higher level of certification or impersonating a
				health professional as defined in A.R.S. §
										32-3201;
2. Permitting or allowing another individual
				to use the EMCT's certification for any purpose;
3. Aiding or abetting an individual who is
				not certified according to this Chapter in acting as an EMCT or in representing
				that the individual is certified as an EMCT;
4. Engaging in or soliciting sexual
				relationships, whether consensual or non-consensual, with a patient while
				acting as an EMCT;
5. Physically or
				verbally harassing, abusing, threatening, or intimidating a patient or another
				individual while acting as an EMCT;
6. Making false or materially incorrect
				entries in a medical record or willful destruction of a medical
				record;
7. Failing or refusing to
				maintain adequate records on a patient;
8. Soliciting or obtaining monies or goods
				from a patient by fraud, deceit, or misrepresentation;
9. Aiding or abetting an individual in fraud,
				deceit, or misrepresentation in meeting or attempting to meet the application
				requirements for EMCT certification or EMCT recertification contained in this
				Article, including the requirements established for:
a. Completing and passing a course provided
				by a training program; and
b. The
				national certification organization examination process and national
				certification organization registration process;
10. Providing false information or making
				fraudulent or untrue statements to the Department or about the Department
				during an investigation conducted by the Department;
11. Being incarcerated or being placed on
				parole, supervised release, or probation for any criminal conviction;
12. Being convicted of a misdemeanor
				identified in
				R9-25-402(E),
				which has not been absolutely discharged, expunged, or vacated;
13. Having national certification
				organization registration revoked or suspended by the national certification
				organization for material noncompliance with national certification
				organization rules or standards; and
14. Having certification, recertification, or
				licensure at an EMCT classification level revoked or suspended in another state
				or jurisdiction.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 4 - EMCT CERTIFICATION › Section R9-25-409 - Enforcement Actions (Authorized by A.R.S. Sections 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (H), 36-2204(1), (6), and (7), and 36-2211)

Current through Register Vol. 30, No. 28, July 12, 2024
A. If the
				Department determines that an applicant or EMCT is not in substantial
				compliance with applicable laws and rules, under A.R.S. §§
									36-2204 or
				36-2211,
				the Department may:
1. Take the following
				action against an applicant or EMCT:
a. After
				notice is provided according to A.R.S. §
											36-2211
				and, if applicable, A.R.S. Title 41, Chapter 6, Article 10, issue:
i. A decree of censure to the EMCT,
				or
ii. An order of probation to the
				EMCT; or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Section R9-25-501 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2201 and R9-25-10 1, the
				  following definitions apply i n this Article, unless otherwise
				  specified:
1. "ALS skill" means a
				medical treatment, procedure, or technique or administration of a medication
				that is indicated by a check mark in Table 5.1 under AEMT, EMT- I(99), or
				Paramedic, but not under EMT.
2.
				Immunizing agent" means an immunobiologic recommended by the Advisory Committee
				on Immunization Practices of the U.S. Department of Health and Human Services,
				Centers for Disease Control and Prevention
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Section R9-25-502 - Scope of Practice for EMCTs

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An EMCT shall perform a medical treatment, procedure, or technique or
				administer a medication only:
1. If the skill
				is within the EMCT's scope of practice skills, as specified in Table
				5.1;
2. For an ALS skill:
a. If authorized for the EMCT by the EMCT's
				administrative medical director, and
b. If the EMCT is able to receive on-line
				medical direction;
3.
				For a STR skill:
a. If the EMCT has
				documentation of having completed training specific to the skill that is
				consistent with the knowledge, skills, and competencies established according
				to A.R.S §
											36-2204 and
				available through the Department at
				www.azdhs.gov/ems-regulatory-references;
b. If authorized for the EMCT by the EMCT's
				administrative medical director; and
c. If the EMCT is able to receive on-line
				medical direction;
4. If
				the medication is listed as an agent in a table of agents, established
				according to A.R.S. §
										36-2204 and
				available through the Department at www.azdhs.gov/ems-regulatory-references,
				that the EMCT's administrative medical director may authorize the EMCT to
				administer, monitor, or assist a patient in self-administration based on the
				classification for which the EMCT is certified;
5. If the EMCT is authorized to administer
				the medication by the:
a. EMCT's
				administrative medical director, if applicable; or
b. If the EMCT is an EMT with no
				administrative medical director, emergency medical services provider or
				ambulance service by which the EMCT is employed or for which the EMCT
				volunteers; and
6. In a
				manner consistent with standards described in
				R9-25-408
				and, if applicable, with the training in 9 A.A.C. 25, Article 3.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Section R9-25-503 - Testing of Medical Treatments, Procedures, Medications, and Techniques that May Be Administered or Performed by an EMCT

Current through Register Vol. 30, No. 28, July 12, 2024
A. Under A.R.S. §
									36-2205, the Department may
				authorize the testing and evaluation of a medical treatment, procedure,
				technique, practice, medication, or piece of equipment for possible use by an
				EMCT or an emergency medical services provider.
B. Before authorizing any test and evaluation
				according to subsection (A), the Department director shall approve the test and
				evaluation according to subsections (C), (D), (E).
C. The Department director shall consider
				approval of a test and evaluation conducted according to subsection (A), only
				if a written request for testing and evaluation:
1. Is submitted to the Department director
				from:
a. The Department,
b. A state agency other than the
				Department,
c. A political
				subdivision of this state,
d. An
				EMCT,
e. An emergency medical
				services provider,
f. An ambulance
				service, or
g. A member of the
				public; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Section R9-25-504 - Protocol for Selection of a Health Care Institution for Transport

Current through Register Vol. 30, No. 28, July 12, 2024
A.Except as
				provided in subsection (B), an EMCT shall transport a patient accessing
				emergency medical services through a call to 9-1-1 or a similar public
				emergency dispatch number to:
1. An emergency
				receiving facility, or
2. A special
				hospital that is physically connected to an emergency receiving
				facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Section R9-25-505 - Potocol for an EMT-I(99) or a Paramedic to Become Eligible to Administer an Immunizing Agent

Current through Register Vol. 30, No. 28, July 12, 2024
A. An EMT-I(99)
				or a Paramedic may be authorized by the EMT- I(99)'s or Paramedic's
				administrative medical director to administer an immunizing agent if the
				EMT-I(99) or Para- medic completes training that:
1. Includes:
a. Basic immunology and the human immune
				response;
b. Mechanics of
				immunity, adverse effects, dose, and administration schedule of available
				immunizing agents;
c. Response to
				an emergency situation, such as an allergic reaction, resulting from the
				administration of an immunization;
d. Routes of administration for available
				immunizing agents;
e. A description
				of the individuals to whom an EMCT may administer an immunizing agent;
				and
f. The requirements in 9 A.A.C.
				6, Article 7 related to:
i. Obtaining written
				consent for administration of an immunizing agent,
ii. Providing immunization information and
				written immunization records, and
iii. Recordkeeping and reporting;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 6 - STROKE CARE › Section R9-25-601 - Definitions (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2201
				  and
				  R9-25-101,
				  the following definitions apply in this Article, unless otherwise
				  specified:
1. "Acute stroke-ready
				hospital" means a hospital that is certified by a national stroke center
				certification organization as meeting national stroke care standards for the
				initial assessment, diagnosis, stabilization, and either:
a. Transfer of a stroke patient to a primary
				stroke center or comprehensive stroke center, or
b. Care of a stroke patient with input from
				the staff of a primary stroke center or comprehensive stroke center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 6 - STROKE CARE › Section R9-25-602 - Emergency Stroke Care Protocols (Authorized by A.R.S. Sections 36-2202(A)(3) and (4) and 36-2204(1) and (3))

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The council shall:
1. Establish emergency
				stroke care protocols, and
2.
				Support the adoption of emergency stroke care protocols by emergency medical
				services providers through local EMS coordinating systems.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-701 - Definitions (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), 36-2212, 36-2213, 36-2214, and 36-2215)

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-2201 and
				  R9-25-101, the following definitions apply in this Article and in Article 8 of
				  this Chapter, unless otherwise specified:
1. 'Air ambulance' means an aircraft that is
				an 'ambulance' as defined in A.R.S. § 36-2201.
2. 'Air ambulance service' means an ambulance
				service that uses an air ambulance.
3. 'Application packet' means the
				information, applicable fees, and documents required by the Department when
				making a decision for:
a. Licensing an air
				ambulance service, or
b. Issuing a
				certificate of registration for an air ambulance.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-702 - Applicability (a.r.s.sections36-2202(a)(4) and 36-2217)

Current through Register Vol. 30, No. 28, July 12, 2024
This Article and Article 8 of this Chapter do not apply to
				  persons and vehicles exempted from the provisions of A.R.S. Title 36, Chapter
				  21.1 as provided in A.R.S. § 36-2217(A).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-703 - Requirement and Eligibility for a License (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), 36-2212, 36-2213, 36-2214, and 36-2215)

Current through Register Vol. 30, No. 28, July 12, 2024
A. A person shall
				not operate an air ambulance service in this state unless the person has a
				current and valid air ambulance service license and, except as provided in
				A.R.S. § 36-2212(C), a current and valid certificate of registration for
				an air ambulance as required under Article 8 of this Chapter.
B. To be eligible to obtain an air ambulance
				service license, an applicant shall:
1. Have applied for a
				certificate of registration, issued by the Department under Article 8 of this
				Chapter, for each aircraft to be used as an air ambulance by the air ambulance
				service;
2. Possess a copy of a
				current and valid registration, issued by the Arizona Department of
				Transportation under A.R.S. Title 28, Chapter 25, Article 4, for each aircraft
				to be used as an air ambulance by the air ambulance service;
3. Have
				current and valid liability insurance coverage for the air ambulance service
				that complies with A.R.S. § 36-2215 and that has at least the following
				liability limits:
a. $1 million for injuries
				to or death of any one person arising out of any one incident or
				accident;
b. $3 million for
				injuries to or death of more than one person in any one incident or accident;
				and
c. $500,000 for damage to
				property arising from any one incident or accident;
4. Have
				current and valid malpractice insurance coverage for the air ambulance service
				that complies with A.R.S. § 36-2215 and that has a maximum liability limit
				of at least $1 million per occurrence; and
5. Comply with all
				applicable requirements of this Article, Articles 2 and 8 of this Chapter, and
				A.R.S. Title 36, Chapter 21.1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-704 - Application and Licensing Process (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), 36-2213, 36-2214, and 36-2215)

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for an initial license shall
				submit an application packet to the Department, including:
1. The following information in a
				Department-provided format:
a. The
				applicant's name; mailing address; e-mail address; fax number, if any; and
				telephone number;
b. The names of
				all other business organizations operated by the applicant related to the air
				ambulance service;
c. The physical
				and mailing addresses to be used for the air ambulance service, if different
				from the applicant's mailing address;
d. The name, title, address, e-mail address,
				and telephone number of the applicant's statutory agent or the individual
				designated by the applicant to accept service of process and subpoenas for the
				air ambulance service;
e. The name,
				title, address, e-mail address, and telephone number of the individual acting
				on behalf of the applicant according to R9-25-102;
f. If the applicant is a business
				organization:
i. The type of business
				organization; and
ii. The name;
				address; e-mail address; telephone number; and fax number, if any, of the
				individual who is to serve as the primary contact for information regarding the
				application;
g. The name
				and Arizona license number for the physician who is to serve as the
				administrative medical director for the air ambulance service;
h. The intended hours of operation for the
				air ambulance service;
i. The
				intended schedule of rates for the air ambulance service;
j. Which of the following mission types is to
				be provided:
i. Emergency medical services
				transports,
ii. Interfacility
				transports,
iii. Interfacility
				maternal transports, or
iv.
				Interfacility neonatal transports;
k. Which of the following mission levels is
				to be provided:
i. Critical care,
				or
ii. Advanced life
				support;
l. Whether the
				applicant plans to use fixed-wing or rotor-wing aircraft for the air ambulance
				service;
m. Whether the applicant
				agrees to allow the Department to submit supplemental requests for information
				under R9-25-1201(C)(3);
n.
				Attestation that the applicant will comply with all applicable requirements in
				this Article, Articles 2 and 8 of this Chapter, and A.R.S. Title 36, Chapter
				21.1;
o. Attestation that the
				information provided in the application packet, including the information in
				the accompanying documents, is accurate and complete; and
p. The signature of the applicant and the
				date signed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-706 - Minimum Standards for Mission Staffing (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), and 36-2213)

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee shall ensure that, except as
				provided in subsection (B):
1. Each critical
				care mission is staffed by a medical team of at least two individuals with the
				following qualifications:
a. For a critical
				care interfacility transport mission:
i. A
				physician or registered nurse; and
ii. Another physician, Another registered
				nurse, a Paramedic, or a licensed respiratory care practitioner; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-707 - Minimum Standards for Training (Authorized by A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2213)

Current through Register Vol. 30, No. 28, July 12, 2024
A. a licensee shall ensure that each medical
				team member completes training in the following subjects before serving on a
				mission:
1. Aviation terminology;
2. Physiological aspects of flight;
3. Patient loading and unloading;
4. Safety in and around the
				aircraft;
5. In-flight
				communications;
6. Use, removal,
				replacement, and storage of the medical equipment installed on the
				aircraft;
7. In-flight emergency
				procedures;
8. Emergency landing
				procedures; and
9. Emergency
				evacuation procedures.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-708 - Minimum Standards for Medical Control (Authorized by A.R.S. Sections 36-2202(A)(3) and (4), 36-2209(A)(2), and 36-2213)

Current through Register Vol. 30, No. 28, July 12, 2024
A. a licensee shall ensure that:
1. The air ambulance service has an
				administrative medical director who:
a. Meets
				the qualifications in subsection (B);
b. Supervises and evaluates the quality of
				medical care provided by medical team members;
c. Ensures the competency and current
				qualifications of all medical team members;
d.
				Except as provided in subsections (A)(3) and (4), ensures that:
i. Each EMCT medical team member receives
				medical direction as required under Article 2 of this Chapter; and
ii. Each non-EMCT medical team member
				receives medical guidance through written treatment protocols and according to
				subsection (C); and
e. Approves, ensures
				implementation of, and annually reviews treatment protocols to be followed by
				medical team members;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-709 - Changes Affecting a License (Authorized by A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), and 36-2213)

Current through Register Vol. 30, No. 28, July 12, 2024
A. At least 30 days before the date of a
				change in an air ambulance service's name, the licensee shall send the
				Department written notice of the name change.
B. At least 90 days before an air ambulance
				service ceases to operate, the licensee shall send the Department written
				notice of the intention to cease operating, effective on a specific date, and
				the licensee's intention to relinquish the air ambulance service's license as
				of that date.
C. Within 30 days
				after the date of receipt of a notice described in subsection (A) or (B), the
				Department shall:
1. For a notice described in
				subsection (A), issue an amended license that incorporates the name change but
				retains the expiration date of the current license; and
2. For a notice described in subsection (B),
				send the licensee written confirmation of the voluntary relinquishment of the
				air ambulance service's license, with an effective date consistent with the
				written notice.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-710 - Term and Transferability of License (Authorized by A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), 36-2213, 36-2214, and 41-1092.11)

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department
				shall issue an initial license:
1. When based
				on current CAMTS accreditation, with a term beginning on the date of issuance
				of the initial license and ending on the expiration date of the CAMTS
				accreditation upon which licensure is based; and
2. When based on Department inspection, with
				a term beginning on the date of issuance of the initial license and ending
				three years later.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-711 - Inspections and Investigations (Authorized by A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), 36-2213, and 36-2214)

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in subsections (D) and
				(E), the Department shall inspect an air ambulance service, as required under
				A.R.S. § 36-2214(B), before issuing an initial or renewal license and as
				necessary to determine compliance with this Article, Articles 2 and 8 of this
				Chapter, and A.R.S. Title 36, Chapter 21.1.
B. A Department inspection may include the
				air ambulance service's premises, records, and equipment, and each air
				ambulance used by the air ambulance service.
C. If the Department receives written or
				verbal information alleging a violation of this Article, Article 2 or 8 of this
				Chapter, or A.R.S. Title 36, Chapter 21.1, the Department shall conduct an
				investigation.
1. The Department may conduct
				an inspection as part of an investigation.
2. A licensee shall allow the Department to
				inspect the air ambulance service's premises, records, and equipment, and each
				air ambulance and to interview personnel as part of an
				investigation.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 7 - AIR AMBULANCE SERVICE LICENSING › Section R9-25-712 - Enforcement Actions (Authorized by A.R.S. Sections 36-2202(A)(4), 36-2209(A)(2), 36-2213, 36-2214, 36-2215, 41-1092.03, and 41-1092.11(B))

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department
				may take an action listed in subsection (B) against an air ambulance service
				that:
1. Fails to meet the eligibility
				requirements of R9-25-703;
2. Fails
				or has failed to comply with any provision in A.R.S. Title 36, Chapter
				21.1;
3. Fails or has failed to
				comply with any provision in this Article or Article 2 or 8 of this
				Chapter;
4. Does not submit a
				corrective action plan, as provided in R9-25-711(G)(2), that is acceptable to
				the Department;
5. Does not
				complete a corrective action plan submitted according to R9-25-711(G)(2);
				or
6. Knowingly or negligently
				provides false documentation or false or misleading information to the
				Department or to a patient, third-party payor, or other person billed for
				service.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 8 - AIR AMBULANCE REGISTRATION › Section R9-25-801 - Requirement, Eligibility, and Application for an Initial or Renewal Certificate of Registration for an Air Ambulance (Authorized by A.R.S. Sections 36-2202(A)(4) and (5), 36-2209(A)(2), 36-2212, 36-2213, 36-2214, 36-2232(A)(11), and 36-2240(4))

Current through Register Vol. 30, No. 28, July 12, 2024
A. To be eligible
				to obtain a certificate of registration for an air ambulance, an applicant
				shall:
1. Ensure that the aircraft is not
				currently registered with the Department by another air ambulance
				service;
2. Hold a current and
				valid air ambulance service license issued under Article 7 of this Chapter;
3. Possess a copy of a current and valid
				registration for the air ambulance, issued by the Arizona Department of
				Transportation under A.R.S. Title 28, Chapter 25, Article 4; and
4. Comply with all applicable requirements of
				this Article, Articles 2 and 7 of this Chapter, and A.R.S. Title 36, Chapter
				21.1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 8 - AIR AMBULANCE REGISTRATION › Section R9-25-803 - Changes Affecting Registration (Authorized by A.R.S. Sections 36-2202(A)(4) and (5), 36-2209(A)(2), and 36-2212)

Current through Register Vol. 30, No. 28, July 12, 2024
A. At least 30 days before the date of a
				change in a certificate holder's name, the certificate holder shall send the
				Department written notice of the name change.
B. No later than 10 days after a certificate
				holder ceases to use an aircraft as an air ambulance, the certificate holder
				shall send the Department written notice of the date that the certificate
				holder ceased to use the aircraft as an air ambulance and of the certificate
				holder's intention to relinquish the certificate of registration for the use as
				an air ambulance as of that date.
C. Within 30 days after the date of receipt
				of a notice described in subsection (A) or (B), the Department shall:
1. For a notice described in subsection (A),
				issue an amended certificate of registration that incorporates the name change
				but retains the expiration date of the current certificate of registration;
				and
2. For a notice described in
				subsection (B):
a. Void the certificate of
				registration for the air ambulance; and
b. Send the certificate holder written
				confirmation of the voluntary relinquishment of the certificate of
				registration, with an effective date that corresponds to the written
				notice.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 8 - AIR AMBULANCE REGISTRATION › Section R9-25-804 - Term and Transferability of Certificate of Registration (Authorized by A.R.S. Sections 36-2202(A)(4) and (5), 36-2209(A)(2), 36-2212, and 41-1092.11)

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department
				shall issue an initial certificate of registration:
1. With a term of one year from date of
				issuance of the initial certificate of registration; or
2. If requested by the applicant, with a term
				shorter than one year that allows for the Department to conduct annual
				inspections of all of the applicant's air ambulances at one
				time.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 8 - AIR AMBULANCE REGISTRATION › Section R9-25-805 - Inspections (Authorized by A.R.S. Sections 36-2202(A)(4) and (5), 36-2209(A)(2), 36-2212, and 36-2232(A)(11))

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Except as provided in
				R9-25-711(C),
				an applicant or a certificate holder shall make an air ambulance available for
				inspection within Arizona within 10 working days after a request by the
				Department.
B. The Department shall
				conduct each inspection in compliance with A.R.S. §
									41-1009.
C. As permitted under A.R.S. §
									36-2232(A)(11),
				upon a certificate holder's request and at The certificate holder's expense,
				the annual inspection of an air ambulance required for renewal of a certificate
				of registration may be conducted by a Department-approved inspection
				facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-901 - Definitions (Authorized by A.R.S. Section 36-2202 (A))

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-2201 and
				  R9-25-101, the following
				  definitions apply in Articles 9, 10, 11, and 12 unless otherwise
				  specified:
1. "Accounting period"
				means a continuous 12-month span of time used by an applicant or a certificate
				holder for purposes of planning, budgeting, or annual financial reporting to
				the Department.
2. "Adjustment" means a
				modification, correction, or alteration to a rate or charge.
3. "ALS
				base rate" means the monetary amount set by the Department for a certificate
				holder to bill a patient according to A.R.S. §
									36-2239(F).
4. "Ambulance response" means EMS provided by
				a ground ambulance service.
5. "Ambulance Revenue
				and Cost Report" means the information required in
				R9-25-909, which records and
				reports the financial activities of an applicant or a certificate
				holder.
6. "Application packet"
				means the information, applicable fees, and documents required by the
				Department when making a decision for certification, licensure, or approval of
				a request.
7. "Back-up agreement"
				means a written arrangement, which may include one of the following, between a
				certificate holder and a neighboring or overlapping certificate holder to allow
				one of the certificate holders to provide ambulance response or transport
				within the other certificate holder's service area on a limited basis when the
				certificate holder's ambulances are temporarily not able to provide needed
				services in the certificate holder's service area:
a. A mutual aid agreement, or
b. A Memorandum of Understanding.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-903 - Application for Renewal of a Certificate of Necessity (Authorized by A.R.S. Sections 36-2233, 36-2235, 36-2238, 36-2240, 36-2242)

Current through Register Vol. 30, No. 28, July 12, 2024
A. An applicant for
				a renewal of a certificate of necessity shall submit to the Department, not
				less than 30 days before the expiration date of the certificate of necessity,
				an application packet that includes:
1. The
				following information in a Department-provided format:
a. The identifying number on the applicant's
				current certificate of necessity;
b. The legal business or corporate name,
				address, telephone number, and facsimile number of the ground ambulance
				service;
c. Any other names by
				which the applicant is known;
d.
				The names of all other business organizations operated by the applicant related
				to the ground ambulance service;
e.
				The name, title, address, e-mail address, and telephone number of the
				following:
i. Each applicant and individual
				responsible for managing the ground ambulance service,
ii. The individual acting for the applicant
				according to
				R9-25-102,
iii. The individual to contact to access the
				ground ambulance service's records required in
				R9-25-908(B),
				and
iv. The statutory agent for the
				ground ambulance service or the individual designated by the applicant to
				accept service of process and subpoenas for the ground ambulance
				service;
f. Whether the
				applicant agrees to allow the Department to submit supplemental requests for
				information under
				R9-25-1201(C)(3);
g. Attestation that the applicant has
				analyzed response times according to
				R9-25-908(G)(2)
				and, if applicable, performance of interfacility transports of patients with no
				time-critical condition according to
				R9-25-908(H)(1);
h. Attestation that the applicant is familiar
				with the requirements in A.R.S. Title 36, Chapter 21.1 and this Chapter and
				will comply with applicable statutes and rules in any matter relating to or
				affecting the ground ambulance service;
i. Attestation that the certificate holder,
				except as provided in
				R9-25-908(G)(4),
				R9-25-908(H)(3),
				or R9-25-908(K)(1)(c),
				has and is continuing to meet the conditions of the certificate of
				necessity;
j. Attestation that any
				information or documents submitted to the Department are true and correct;
				and
k. The signature of the
				applicant or the applicant's designated representative and the date
				signed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-904 - Transfer of a Certificate of Necessity (Authorized by A.R.S. Sections 36-2232, 36-2233, 36-2236(A) and (B), 36-2238)

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate
				holder shall request that a certificate of necessity be transferred if:
1. There is an anticipated change of
				ownership, which is considered to occur when:
a. In the case of ownership by a sole
				proprietor, 20% or more interest or a beneficial interest is sold or
				transferred;
b. In the case of
				ownership by a partnership or a private corporation, 20% or more of the stock,
				interest, or beneficial interest is sold or transferred; or
c. The controlling influence changes to the
				extent that the management and control of the ground ambulance service is
				significantly altered, as determined according to subsection (B);
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-905 - Application for Amendment of a Certificate of Necessity (Authorized by A.R.S. Sections 36-2232, 36-2240, 36-2247)

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder requesting to amend
				the certificate of necessity due to a change in the legal name of the ground
				ambulance service shall submit to the Department:
1. The certificate of necessity number for
				the ground ambulance service;
2.
				The name of the ground ambulance services on the certificate of
				necessity;
3. The new legal name of
				the ground ambulance service;
4.
				The name, title, address, e-mail address, and telephone number of an individual
				whom the Department may contact about the requested amendment;
5. Documentation demonstrating that the
				change in the name of the ground ambulance service does not constitute a change
				of ownership; and
6. If applicable,
				documentation showing the new legal name of the ground ambulance service on:
a. Documentation of insurance coverage
				required according to
				R9-25-908(A),
				and
b. Coverage by a surety bond if
				required under A.R.S. §
											36-2237(B).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-906 - Determining Public Necessity (Authorized by A.R.S. Section 36-2233(F))

Current through Register Vol. 30, No. 28, July 12, 2024
A. In determining
				public necessity for an initial or amended certificate of necessity, the
				Director shall consider the following to ensure quality patient care:
1. The following information, as proposed by
				the applicant for the service area:
a.
				Proposed response times or compliance percentage,
b. The priority that may be assigned by an
				applicant or a certificate holder to a response, and
c. The percentage of time the actual response
				time for a run is or is anticipated to be compliant with the proposed response
				times during a 12-month period;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-907 - Determining Response Times, Priority for Responses, and Compliance with Specified Times (Authorized by A.R.S. Setions 36-2232, 362233, 36-2236)

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department
				may periodically assess whether the following parameters, as associated with a
				certificate of necessity, are appropriate to ensure quality patient care:
1. Response times, consistent with A.R.S.
				§§
										36-2232(A)(4) 
				and 36-2236(E);
2. The priority to be assigned by a
				certificate holder to a response;
3. The percentage of time that the actual
				response time for a run is compliant with the response times for the
				certificate of necessity during a 12-month period;
4. If applicable, the plan for complying with
				the requirements in
				R9-25-908(E)(3)(c),
				or with a standard different from that in
				R9-25-908(E)(3)(c),
				that demonstrates how quality patient care will be provided, including to
				patients with a time-sensitive condition; and
5. If applicable, the percentage of time that
				the certificate holder is compliant with the standards in the plan in
				subsection (A)(4) during a 12-month period.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 9 - GROUND AMBULANCE CERTIFICATE OF NECESSITY › Section R9-25-908 - Operations (Authorized by A.R.S. Sections 36-2204.02, 36-2211, 36-2224, 36-2232, 36-2233, 36-2237, 36-2241)

Current through Register Vol. 30, No. 28, July 12, 2024
A. Insurance: A
				certificate holder shall:
1. Either:
a. Maintain with an insurance company
				authorized to transact business in this state:
i. A minimum single occurrence automobile
				liability insurance coverage of $1,000,000 for ground ambulance
				vehicles;
ii. A minimum single
				occurrence professional liability insurance coverage for the ground ambulance
				service of $1,000,000; and
iii. If
				the certificate holder provides ALS services or critical care services, a
				minimum single occurrence professional liability insurance coverage for
				personnel of the ground ambulance service providing ALS services or critical
				care services of $1,000,000; or