California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100184 - Community Paramedicine, Triage to Alternate Destination, and Alternate Destination Facility Providers Program Requirements, Oversight and Withdrawal

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) LEMSAs that approve
				a community paramedicine, triage to alternate destination, or alternate destination
				facility provider shall annually conduct a review of community paramedicine, triage
				to alternate destination, or alternate destination facility providers programs to
				ensure compliance with all requirements.
(b) A community paramedicine, triage to alternate
				destination, or alternate destination facility providers program's failure to comply
				with the provisions of statute, regulation, and/or any additional LEMSA requirements
				may result in denial, probation, suspension, or revocation of approval by the LEMSA.
				Not complying with this subsection is considered noncompliance.
(c) The procedure for notifying a community
				paramedicine, triage to alternate destination, or alternate destination facility
				providers programs of noncompliance shall be as follows:
(1) Within ten (10) days of a LEMSA finding
				noncompliance by a community paramedicine, triage to alternate destination, or
				alternate destination facility provider, the LEMSA shall provide a written
				notification of noncompliance to the community paramedicine, triage to alternate
				destination, or alternate destination facility provider, including the specific
				requirements they failed to meet. The notification shall be sent by certified mail
				to the director.
(2) Within fifteen (15)
				days from receipt of the notification, the community paramedicine, triage to
				alternate destination, or alternate destination facility provider shall submit, in
				writing and by certified mail, to the LEMSA one of the following:
(A) Evidence of compliance, or
(B) A plan to comply within sixty (60) days from
				the day of receipt of the notification of noncompliance.
(3) Within fifteen (15) days from receipt of the
				community paramedicine, triage to alternate destination, or alternate destination
				facility provider's response, or within thirty-five (35) days from the mailing date
				of the notification of noncompliance if no response is received from the community
				paramedicine, triage to alternate destination, or alternate destination facility
				provider, the LEMSA shall issue a decision letter by certified mail to the Authority
				and the community paramedicine, triage to alternate destination, or alternate
				destination facility provider. The letter shall identify the LEMSA's decision to
				take one or more of the following actions based on relevant factors such as severity
				of noncompliance, actual or potential harm to public health, safety, and welfare, or
				history of compliance or noncompliance as provided in subsection (b) of this
				section:
(A) Accept the evidence of compliance
				provided.
(B) Accept the plan for
				meeting compliance provided.
(C) Place
				the community paramedicine, triage to alternate destination, or alternate
				destination facility provider on probation.
(D) No sooner than five (5) days after the LEMSA's
				decision suspend or revoke the community paramedicine, triage to alternate
				destination, or alternate destination facility provider.
(4) The decision letter shall also include, but
				not be limited to, the following information:
(A)
				Date of the LEMSA's decision,
(B)
				Specific requirements that LEMSA found the community paramedicine, triage to
				alternate destination, or alternate destination facility provider failed to
				meet,
(C) The probation or suspension
				effective and ending date, if applicable,
(D) The terms and conditions of the probation or
				suspension, if applicable, and
(E) The
				revocation effective date, if applicable.
(5) The LEMSA that approves a community
				paramedicine, triage to alternate destination, or alternate destination facility
				provider shall establish the probation, suspension, or revocation effective dates no
				sooner than five (5) days after the date of the community paramedicine provide
				community paramedicine, triage to alternate destination, or alternate destination
				facility provider had been notified under subsection (c)(3) of this
				Section.
(6) EMSA retains authority to
				take any necessary action against a community paramedicine, triage to alternate
				destination, or alternate destination facility provider for failure to meet the
				requirements of this Chapter or the community paramedicine or triage to alternate
				destination program requirements of the LEMSA. Such action may be taken in addition
				to any actions taken by the LEMSA and may include immediate suspension or
				revocation.