reglab/statecodes huggingface dataset:
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-14 - EMERGENCY MEDICAL DISPATCH SERVICES

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL DISPATCH SERVICES
means any of
				  the following services provided in the context of an emergency call made to the
				  E-9-1-1 system:
1. Reception,
				evaluation, or processing of calls.
2. Provision of dispatch life
				support.
3. Management of requests
				for emergency medical assistance; and
4. Evaluation or improvement of the emergency
				medical dispatch process, including identifying the nature of an emergency
				request, prioritizing the urgency of a request, dispatching necessary
				resources, providing medical aid and safety instructions to the caller, and
				coordinating the responding resources as needed.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-15 - EMERGENCY MEDICAL DISPATCHER

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL DISPATCHER
means a person
				  licensed by the Board who provides emergency medical dispatch services as a
				  member of an emergency medical dispatch center licensed by the
				  Board.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-16 - EMERGENCY MEDICAL SERVICES AMBULANCE OPERATOR

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL SERVICES AMBULANCE OPERATOR
means a person associated with a licensed ground ambulance service who operates
				  an ambulance in emergency mode or transports patients and is not licensed under
				  32 M.R.S.
				  §85.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-17 - EMERGENCY MEDICAL SERVICES PERSON

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL SERVICES PERSON
means any
				  person who routinely provides emergency medical treatment to the sick or
				  injured. The following persons are not considered to be routinely providing
				  emergency medical treatment for the purpose of these Rules and may provide
				  emergency medical treatment only as specified below when called upon:
1. Those persons as specified in
				32 M.R.S.
				§82(2) subject to any
				restrictions stated in that section.
2. Any person having CPR or hemorrhage
				control training, for the purpose of providing those skills within the scope of
				that training.
3. Any person who
				provides automatic external defibrillation in accordance with
				22 M.R.S.
				§2150-C;
4. Any person who administers Naloxone
				Hydrochloride in accordance with
				22 M.R.S.
				§2353 and is not licensed in
				32 M.R.S.
				§85
5. Any student currently enrolled in a course
				leading to licensure may practice procedures learned in that course when that
				student:
A. Has received permission to
				practice those procedures from the Maine EMS authorized Training Center
				conducting the course.
B. Is
				participating in a scheduled field internship session approved by the course's
				clinical coordinator.
C. Is
				practicing those procedures with a Maine EMS-licensed service that complies
				with guidelines as developed by Maine EMS to conduct field internship sessions;
				and,
D. Is supervised by a
				preceptor licensed to perform those procedures and who is acting in accordance
				with any requirements or guidelines as approved and published by Maine
				EMS.
E. If such a person is also
				licensed under these Rules, any emergency medical treatment he/she provides
				that is within the scope of his/her license will be considered as routine and
				not subject to such supervision.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-18 - EMERGENCY MEDICAL SERVICES VEHICLE

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL SERVICES VEHICLE
means a
				  vehicle, authorized by Maine EMS pursuant to
				  29-A
				  M.R.S. §2054, for the purpose of
				  transporting personnel and/or equipment to the scene of a medical emergency
				  that is not otherwise licensed as an ambulance or registered as a fire
				  department vehicle. An emergency medical services vehicle must be exclusively
				  leased or owned and operated by a service licensed by Maine EMS or by an agency
				  designated by Maine EMS.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-19 - EMERGENCY MEDICAL TREATMENT

Current through 2024-29, July 17, 2024
EMERGENCY MEDICAL TREATMENT
means those skills,
				  techniques and judgments, as defined by the Board, which are directed to
				  maintaining, improving or preventing deterioration of the medical condition of
				  the patient and which are appropriate to be delivered by trained persons at the
				  scene of a patient's illness or injury outside the hospital and during
				  transportation to the hospital.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-20 - EMERGENCY RESPONSE MODE

Current through 2024-29, July 17, 2024
EMERGENCY RESPONSE MODE
means the operation of
				  the ambulances or emergency medical services vehicle's warning lights and siren
				  in accordance with the Maine Motor Vehicle Statutes, 29-A
				  M.R.S.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-21 - EMERGENCY SERVICES COMMUNICATIONS BUREAU

Current through 2024-29, July 17, 2024
EMERGENCY SERVICES COMMUNICATIONS BUREAU
means
				  the Emergency Services Communication Bureau within the Public Utilities
				  Commission.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-24 - FULL TIME DISPATCH

Current through 2024-29, July 17, 2024
FULL TIME DISPATCH
means a communications center
				  that:
1. Operates twenty-four hours
				per day.
2. Records telephone and
				radio transmissions regarding calls for medical assistance.
3. Communicates with emergency medical
				services providers via two-way radio and other methods.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-26 - LOCATED OUTSIDE THE STATE OF MAINE

Current through 2024-29, July 17, 2024
LOCATED OUTSIDE THE STATE OF MAINE
. An ambulance
				  service is located outside the State of Maine provided that it is licensed in
				  another state or territory, does not maintain a base of operations in Maine,
				  and does not routinely carry patients between points, both of which are in
				  Maine.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-27 - MAINE EMERGENCY MEDICAL SERVICES, or MAINE EMS

Current through 2024-29, July 17, 2024
MAINE EMERGENCY MEDICAL SERVICES, or MAINE EMS
means the Board, the emergency medical services director, and staff within the
				  Department of Public Safety responsible for carrying out the responsibilities
				  of 32
				  M.R.S. §81 et seq. and these
				  Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-28 - MEDICAL CONTROL

Current through 2024-29, July 17, 2024
MEDICAL CONTROL
is physician supervision of
				  pre-hospital emergency medical care. More specifically, it is those actions
				  taken to ensure that care provided on behalf of ill or injured patients is
				  medically appropriate. Medical Control includes:
1. Online Medical Control:
A. The contemporaneous physician direction of
				a field provider utilizing telecommunications, or in-person contact.
B. This physician direction may be provided
				by a Physician Assistant or Advanced Practice Registered Nurse delegated by the
				physician(s) charged with medical oversight, pursuant to
				32 M.R.S.
				§83(17-A).
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-29 - MEDICAL DIRECTION AND PRACTICES BOARD

Current through 2024-29, July 17, 2024
MEDICAL DIRECTION AND PRACTICES BOARD
means the
				  board consisting of each regional medical director, an emergency physician
				  representing the Maine Chapter of the American College of Emergency Medicine
				  Physicians, an at-large member, a toxicologist or licensed pharmacist, a person
				  licensed under
				  32 M.R.S.
				  §85 to provide basic emergency medical
				  treatment, a person licensed under
				  32 M.R.S.
				  §85 to provide advanced emergency
				  medical treatment, a pediatric physician, the statewide associate emergency
				  medical services medical director and the statewide emergency medical services
				  medical director. The Medical Direction and Practices Board is responsible for
				  creation, adoption and maintenance of Maine Emergency Medical Services
				  protocols.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-30 - NON-EMERGENCY MEDICAL CALL

Current through 2024-29, July 17, 2024
NON-EMERGENCY MEDICAL CALL
means a situation in
				  which an immediate response to a scene, hospital, health care facility or other
				  place is not required to prevent life-or limb-threatening medical deterioration
				  of a person.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-31 - NON-EMERGENCY RESPONSE MODE

Current through 2024-29, July 17, 2024
NON-EMERGENCY RESPONSE MODE
means operation of
				  the ambulance or emergency medical services vehicle in a non-emergency mode
				  obeying all traffic laws.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-32 - NON-TRANSPORTING SERVICE

Current through 2024-29, July 17, 2024
NON-TRANSPORTING SERVICE
means any organization,
				  person or persons who hold themselves out as providers of emergency medical
				  treatment and who do not routinely provide transportation to ill or injured
				  persons, and who routinely offer or provide services to the general public
				  beyond the boundaries of a single recreational site, business, school or other
				  facility. For the purposes of these Rules, a physician making house calls as a
				  part of ordinary medical practice is not considered to be a non-transporting
				  service. For the purposes of this definition, "routinely" means regularly, as
				  part of the usual way of doing things.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-33 - OFFICE OR OFFICE OF EMERGENCY MEDICAL SERVICES

Current through 2024-29, July 17, 2024
OFFICE OR OFFICE OF EMERGENCY MEDICAL SERVICES
means the administrative unit within the Department of Public Safety to which
				  the Board assigns responsibility for carrying out the purposes of
				  32 M.R.S.
				  §81, et seq. Responsibility for
				  implementation, enforcement and administration of these Rules is delegated to
				  the Director of the Office.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-34 - PATIENT CARE REPORT

Current through 2024-29, July 17, 2024
PATIENT CARE REPORT
means the report generated
				  and filed by Ambulance Services and Non-Transporting Services documenting each
				  request for service or for each patient when more than one patient is
				  involved.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-35 - PARAMEDIC INTER-FACILITY TRANSFER (PIFT)

Current through 2024-29, July 17, 2024
PARAMEDIC INTER-FACILITY TRANSFER (PIFT)
means a
				  transfer of a patient after initial assessment and stabilization from and to a
				  health care facility, or other location designated by medical control or a
				  primary patient care physician, conducted in accordance with the Maine EMS PIFT
				  guidelines.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-36 - PARAMEDIC INTER-FACILITY TRANSFER (PIFT) SERVICE

Current through 2024-29, July 17, 2024
PARAMEDIC INTER-FACILITY TRANSFER (PIFT) SERVICE
means a Maine EMS licensed Ambulance Service that has been approved as a PIFT
				  Service by Maine EMS after fulfilling the PIFT Service eligibility
				  requirements.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-37 - PARAMEDIC INTER-FACILITY TRANSFER (PIFT) PROVIDER

Current through 2024-29, July 17, 2024
PARAMEDIC INTER-FACILITY TRANSFER (PIFT)
				  PROVIDER
means a Maine EMS Paramedic who has completed the Maine EMS
				  PIFT Training Program.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-38 - PROTOCOL OR MAINE EMERGENCY MEDICAL SERVICES PROTOCOL

Current through 2024-29, July 17, 2024
PROTOCOL OR MAINE EMERGENCY MEDICAL SERVICES
				  PROTOCOL
means the written statement approved by the Medical Direction
				  and Practices Board and filed with the Board, specifying the conditions under
				  which some form of emergency medical care is to be given by emergency medical
				  services persons. These protocols are coordinated and published through Maine
				  EMS as a single, statewide common set of protocols.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-39 - PROVIDER

Current through 2024-29, July 17, 2024
PROVIDER
of emergency medical dispatch services
				  means an Emergency Medical Dispatcher or Emergency Medical Dispatch Center
				  licensed by the Board.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-40 - PUBLIC SAFETY ANSWERING POINT (PSAP)

Current through 2024-29, July 17, 2024
PUBLIC SAFETY ANSWERING POINT (PSAP)
has the
				  same meaning as in
				  25 M.R.S.
				  §2921.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-41 - REGIONAL COUNCILS

Current through 2024-29, July 17, 2024
REGIONAL COUNCILS
mean those business entities
				  recognized by the Board that represent the various geographical areas of the
				  state, as designated by the Board, with respect to matters subject to
				  32
				  M.R.S., §81 et seq. and these
				  Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-42 - REGIONAL MEDICAL DIRECTOR

Current through 2024-29, July 17, 2024
REGIONAL MEDICAL DIRECTOR
means the physician
				  designated in each EMS region by the regional council, subject to approval by
				  the Board, to oversee all matters of medical control and to advise the regional
				  council on medical matters. In approving the regional medical director, the
				  Board will be advised by the regional council for the region.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-43 - RESPONSE ASSIGNMENT PLAN

Current through 2024-29, July 17, 2024
RESPONSE ASSIGNMENT PLAN
means a Maine
				  EMS-approved plan developed by a Maine licensed service and its service medical
				  director that establishes the service's response in accordance with Maine EMS
				  Emergency Medical Dispatch (EMD) protocol determinant codes.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-44 - ROUTINELY

Current through 2024-29, July 17, 2024
ROUTINELY
means the median annual call volume
				  for the lowest 10% of all Maine EMS-licensed ground ambulance and
				  non-transporting services for the preceding year, calculated and applied
				  separately as it pertains to those defined services and ambulance licensure
				  with the least of the median figures applied as it relates to other defined
				  services, emergency medical services persons, or persons licensed by the
				  Board.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-45 - SERVICE-LEVEL MEDICAL DIRECTOR

Current through 2024-29, July 17, 2024
SERVICE-LEVEL MEDICAL DIRECTOR
means a
				  physician, or a nurse practitioner who has completed the required clinical
				  experience pursuant to
				  32 M.R.S.
				  §2102(2-A), who assumes
				  primary responsibility to ensure quality medical care for the service. A
				  physician assistant may assist in this role under the direct supervision of a
				  physician; however, the supervising physician must be identified to Maine EMS
				  as the medical director.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-46 - STATE LICENSURE EXAMINATIONS

Current through 2024-29, July 17, 2024
STATE LICENSURE EXAMINATIONS
mean the written
				  (cognitive) tests and practical (psychomotor) evaluations approved by the Board
				  and used to determine the minimum competency of a person seeking licensure as
				  an EMS provider.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-47 - TRAINING CENTER

Current through 2024-29, July 17, 2024
TRAINING CENTER
means an entity that meets the
				  requirements of the Maine EMS Training Center Standards and is authorized by
				  Maine EMS to conduct Maine EMS-approved EMS educational courses and training
				  programs leading to EMS provider licensure.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-48 - TRAUMA

Current through 2024-29, July 17, 2024
TRAUMA
means a single or multisystem
				  life-threatening or limb-threatening injury requiring immediate medical or
				  surgical intervention or treatment to prevent death or permanent
				  disability.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-49 - WILDERNESS EMERGENCY MEDICAL TECHNICIAN (WEMT)

Current through 2024-29, July 17, 2024
WILDERNESS EMERGENCY MEDICAL TECHNICIAN (WEMT)
means the graduate of any wilderness emergency medical technician course who
				  may apply the principles of care taught in that course as defined. This is not
				  a Maine EMS licensure level in itself but is a certification of skills and
				  knowledge that may be employed by those licensed by Maine EMS.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 2 - DEFINITIONS › Section 163-2-50 - 9-1-1 PRIMARY RESPONSE AREA

Current through 2024-29, July 17, 2024
9-1-1 PRIMARY RESPONSE AREA
means the
				  geopolitical subdivision(s) where the agency provides response to a scene
				  location for an Emergency Medical Call.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-1

Current through 2024-29, July 17, 2024
No ground ambulance service or non-transporting service shall
				  operate unless it is duly licensed by the Board under these
				  Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-2 - License Factors

Current through 2024-29, July 17, 2024
License Factors
- a ground ambulance service
				  license or a non-transporting service license is issued for a specific:
1. Service Type - which may be:
A. A Non-Transporting Service; or
B. A Ground Ambulance Service
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-3 - Change in License Factors

Current through 2024-29, July 17, 2024
1. A service must
				apply for and receive a new license in order to change one or more licensing
				factors. However, a service may apply for a new permit level, or the removal of
				a 9-1-1 Primary Response Area, on a renewal application form.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-4 - Approval of License

Current through 2024-29, July 17, 2024
1. Once a service's
				application for a new or renewed license has been accepted as complete by Maine
				EMS, Maine EMS shall grant, deny, or conditionally grant the license within
				seventy days.
2. The Board shall
				issue a license with a defined 9-1-1 Primary Response Area when a need is
				demonstrated based on the following criteria:
A. The Board finds the applicant's proposed
				response time(s), enroute time(s), transport time(s), and time-tolerance(s) are
				sufficient to protect the health, welfare, and safety of the public within the
				9-1-1 Primary Response Area based on evidence provided;
B. If the 9-1-1 Primary Response Area is
				currently served by a licensed ground ambulance or non-transporting service,
				the proposed times above are maintained or improved;
C. Public comment(s) received;
D. Discipline undertaken by the Board and any
				Letters of Guidance that have not expired for the ambulance service currently
				serving the 9-1-1 Primary Response Area, and the service applying to serve the
				9-1-1 Primary Response Area;
E. An
				evaluation of the potential impact upon existing ground ambulance and
				nontransporting services; and,
F.
				The character of the ownership of a proposed service.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-6 - Renewal of Service License

Current through 2024-29, July 17, 2024
1. A licensee shall
				submit an application for renewal prior to the expiration date of the license.
A. An application will not be accepted as
				complete unless it includes all materials required to be evaluated for
				licensure.
1. The application shall not
				require a service applying for licensure renewal to comply with this chapter
				§
											4(2) and §
											5(1)(D).
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-7 - Personnel Requirements for Ground Ambulance Service or Non-Transporting Service Licensees

Current through 2024-29, July 17, 2024
1. A ground
				ambulance service or non-transporting service will be licensed at the level at
				which it agrees to provide, on all emergency medical calls, at least one
				emergency medical services person who is licensed and able to provide care at
				or above the service license level, except:
A.
				When the service's response is in accordance with a Maine EMS-approved Response
				Assignment Plan.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-8 - Availability for Emergency Response

Current through 2024-29, July 17, 2024
1. Any ground
				ambulance service offering response to emergency medical calls in the service's
				9-1-1 Primary Response Area must be available twenty-four hours a day, every
				day, with full-time dispatch capability, and written mutual aid arrangements as
				necessary, and must also provide a detailed plan to its primary dispatch agency
				indicating its mutual aid agencies and the order of contact of those mutual aid
				agencies.
A. Failure of a ground ambulance
				service to comply with these emergency response requirements will be reviewed
				by Maine EMS to determine if corrective action is required. Maine EMS shall
				notify the service of any required corrective action and shall set a reasonable
				amount of time for the service to carry out this action.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-9 - Patient Care Report

Current through 2024-29, July 17, 2024
1. For each request
				for service, or for each patient when more than one patient is involved in a
				call, a service must complete and submit an electronic Maine EMS patient care
				report, as specified by Maine EMS, within twenty-four hours.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-10 - Pilot Projects

Current through 2024-29, July 17, 2024
1. For the purpose
				of evaluating the workability and appropriateness of incorporating a particular
				emergency medical treatment technique or a type of equipment into any licensure
				level, the Board may elect to exempt a service from the requirements of the
				relevant licensure level so as to permit the service to utilize the designated
				techniques or equipment on an experimental basis. Such authorizations may be
				continued at the discretion of the Board. Such authorizations should not be
				construed as levels of licensure.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-11 - Vehicles - General

Current through 2024-29, July 17, 2024
1. Except as
				otherwise exempted by
				32 M.R.S.
				§82, no vehicle shall be operated as an
				ambulance (from within Maine) or emergency medical services vehicle unless it
				is licensed or authorized in accordance with these Rules.
2. A vehicle license or authorization is
				valid for a period of one year, starting from the month the service license is
				issued.
A. Maine EMS will prorate the vehicle
				licensing fee for a service licensing a new vehicle within its one-year service
				license period to ensure concurrent expiration dates for service and vehicle
				licenses.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-12 - Ground Vehicles - Licensing and Authorization Requirements

Current through 2024-29, July 17, 2024
1. Ground Ambulance Vehicles
A. If control of a ground ambulance vehicle
				passes from one ambulance service to another, or from an ambulance manufacturer
				or its representative to an ambulance service, through any means, the ground
				ambulance vehicle must be licensed to the recipient service prior to the
				recipient service's operation of that vehicle as an ambulance. If temporary
				control of a licensed ground ambulance vehicle, which is owned by a licensed
				service, is passed to another ambulance service, the ground ambulance vehicle
				transferred under this subsection will be considered licensed pursuant to these
				Rules.
B. Emergency Medical
				Services Vehicles
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-14 - Ground Ambulance Vehicle Equipment Requirements

Current through 2024-29, July 17, 2024
1. A ground ambulance service must possess,
				at a minimum, the equipment listed in Chapter 17 of these Rules, for the type
				of service and license level. A ground ambulance service must maintain a system
				to ensure the availability of this equipment on any call.
2. Upon request of Maine EMS, a ground
				ambulance service shall make its equipment available for inspection in order to
				ensure conformity with the Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-15 - Vehicle Operation

Current through 2024-29, July 17, 2024
1. A licensed
				ground ambulance vehicle or authorized emergency medical services vehicle shall
				operate in a non-emergency response mode to a location to which the ambulance
				or emergency medical services vehicle has been dispatched except when:
A. Dispatch or responding personnel do not
				have adequate information to determine the existence or condition of persons at
				a scene who may require emergency medical treatment; or,
B. The ambulance or emergency medical
				services vehicle is responding in accordance with a Maine-EMS-approved Response
				Assignment Plan.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-16 - Non-Transporting Service Requirements

Current through 2024-29, July 17, 2024
1. A
				non-transporting service must possess, at a minimum, the equipment listed in
				Chapter 17 of these Rules and must maintain a system to ensure the availability
				of this equipment on any call.
A. All medical
				equipment and medical supplies required must be latex free.
B. The Emergency Medical Responder (EMR) set
				of equipment is the minimum set of required equipment for a non-transporting
				service.
C. If a non-transporting
				service is licensed at the Emergency Medical Technician (EMT), Advanced EMT or
				Paramedic level, that service, while responding on an emergency medical call
				will be equipped on those calls with the equipment and supplies required by
				these Rules.
D. If the service is
				permitted to a given level, it must possess at least one set of equipment and
				supplies required for that level pursuant to these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-17 - Termination of Service Licensure

Current through 2024-29, July 17, 2024
1. Any ground
				ambulance service or non-transporting service intending to terminate its
				license must make written notification to Maine EMS at least 30 days prior to
				the service termination date. The service shall notify the public at least 30
				days prior to the service termination date by placing an advertisement in the
				most widely circulated newspaper(s) serving the 9-1-1 Primary Response Area.
				The notice must state:
A. The name of the
				service;
B. The date of service
				termination; and,
C. The names of
				the geopolitical subdivision(s) affected by the service's
				termination.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3 - GROUND AMBULANCE SERVICE AND NON-TRANSPORTING SERVICE LICENSES › Section 163-3-18 - Duty to Report

Current through 2024-29, July 17, 2024
1. A licensee or an
				applicant for licensure under this chapter shall notify the Board in writing
				within 10 days of a:
A. Change of name or
				address;
B. Criminal
				conviction;
C. Revocation,
				suspension, or other disciplinary action taken in this or any other
				jurisdiction against any occupational or professional license held by the
				applicant or licensee; or,
D.
				Material change in the conditions or qualifications set forth in the original
				application for licensure submitted to the Board.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-1

Current through 2024-29, July 17, 2024
A provider of emergency medical dispatch services must be
				  licensed by the Board in accordance with
				  32 M.R.S.
				  section85-A and these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-2 - Licensing Factors

Current through 2024-29, July 17, 2024
The license issued under this chapter is for an Emergency
				  Medical Dispatch Center
1. Ownership
				Upon request of the Board, an applicant or licensed Emergency Medical Dispatch
				Center must provide the Board with the identity and legal status (e.g.
				municipality, corporation, limited liability company, sole proprietorship) of
				the person or entity that holds, or is making application for the license.
				Failure to provide this information will result in an application being treated
				as incomplete.
2. Physical address
				or location
A license is issued for a specific physical address or
				  location.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-3 - Change in Licensing Factors

Current through 2024-29, July 17, 2024
An Emergency Medical Dispatch Center must receive Board
				  approval to change any of the licensing factors.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-4 - Standards

Current through 2024-29, July 17, 2024
1. An application will not be accepted as
				complete unless it includes all materials required to be evaluated for
				licensure. To obtain a new license, an EMD Center applicant must:
A. Apply on forms available from Maine EMS;
				and
B. Demonstrate to Maine EMS
				that:
1. The applicant complies with the
				requirements of
				32 M.R.S.
				§85-A, the Rules, and the Maine
				EMS-approved Emergency Medical Dispatch Priority Reference System;
2. The applicant can provide the facilities,
				equipment, and personnel required by these Rules;
3. The applicant has an electronic version of
				the Maine EMS-approved emergency medical dispatch protocol on each computer
				used by an emergency medical dispatcher while engaged in emergency medical
				dispatch. . . In the event of power loss, software failure or as part of
				continuing education, card sets or other back-up tools, approved by Maine EMS,
				may be used.
4. The applicant
				complies with the Quality Assurance/Quality Improvement requirements as set
				forth in the Maine EMS approved Emergency Medical Dispatch Priority Reference
				System; and
5. The applicant has
				designated a director of Emergency Medical Dispatch, who shall act as the point
				of contact for the Emergency Medical Dispatch Center.
6. The applicant must provide a policy
				addressing situations where an EMS agency is notified of an emergency medical
				call but does not immediately respond. This policy must include procedures for
				the Emergency Medical Dispatcher to follow in these situations.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-5 - Renewal

Current through 2024-29, July 17, 2024
1. An application will not be accepted as
				complete unless it includes all materials required to be evaluated for
				licensure.
2. An Emergency Medical
				Dispatch Center may apply for a renewal license for up to ninety (90) days
				after the date of expiration. The ninety-day period does not postpone the
				expiration date. An Emergency Medical Dispatch Center with an expired license
				cannot provide emergency medical dispatch services. An application submitted
				more than 90 days after expiration shall be considered a new application and
				subject to all requirements governing new applications.
3. In order to obtain a license renewal, an
				Emergency Medical Dispatch Center must:
A.
				Apply on forms available from Maine EMS; and
B. Demonstrate, as may be required by Maine
				EMS, that it meets the licensing requirements of
				32 M.R.S.
				§85-A and these Rules.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-6 - Personnel Requirements for Emergency Medical Dispatch Centers

Current through 2024-29, July 17, 2024
1. An Emergency Medical Dispatch Center must
				use Maine EMS licensed Emergency Medical Dispatchers to receive, evaluate and
				process all calls for medical assistance, except that a dispatcher-in-training,
				under direct supervision of a Maine EMS licensed emergency medical dispatcher
				designated by the EMD Center director, may process calls using the emergency
				medical dispatch protocol after the dispatcher-in-training has attended the
				Maine EMS approved certification course for emergency medical dispatch. For
				purposes of this paragraph, direct supervision means that the designated
				licensed emergency medical dispatcher is contemporaneously listening to the
				call for medical assistance being processed by the dispatcher-in-training and
				is able to assume control of the call and provide emergency medical dispatch,
				if the dispatcher-in-training is unable to process the call in accordance with
				protocol.
2. An Emergency Medical
				Dispatch Center director must notify Maine EMS when Emergency Medical
				Dispatchers are employed or terminated from employment by the Center.
				Notification must be made electronically or by mail within five days of the
				employment or termination of employment of an Emergency Medical
				Dispatcher.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-7 - Response Standards for Emergency Medical Dispatch Centers

Current through 2024-29, July 17, 2024
1. Emergency Medical Dispatch Centers must
				provide Emergency Medical Dispatch Services twenty-four hours a day, every day,
				with full-time dispatch capability to ensure that all calls for medical
				assistance received are processed in accordance with
				32 M.R.S.
				§85-A, the Maine EMS-approved Emergency
				Medical Dispatch Priority Reference System and these Rules.
2. Emergency Medical Dispatch services must
				be implemented within the first 10 seconds of when a 9-1-1 call is received in
				at least ninety percent of the calls received.
3. Effective June 1, 2020, licensed Emergency
				Medical Dispatch Centers at a minimum must provide the Emergency Medical
				Dispatch Determinant level and chief complaint to responders as part of the
				emergency medical services dispatch to a call for medical treatment or
				transport on all calls received through the E-911 system.
1. (Chief Complaint, as defined in the
				International Academy of Emergency Dispatch EMD Course Manual Edition 25, is
				'the primary reason the patient is seeking medical care (in some cases only the
				mechanism of injury).
2.
				Determinant Levels: 'A categorization of Determinant Descriptors for each Chief
				Complaint that reflects the general priority of the incident (OMEGA, ALPHA,
				BRAVO, CHARLIE, DELTA and ECHO).'
3. These definitions are incorporated into
				these rules by reference:
a. Copies of theses
				definitions from the International Academy of Emergency Dispatch, Emergency
				Medical Dispatch Manual Edition 25, (September 2015) is available at cost from
				Maine Emergency Medical Services, 45 Commerce Drive, Augusta, Maine
				04330.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-8 - Termination of Center License

Current through 2024-29, July 17, 2024
1. Any Emergency
				Medical Dispatch Center intending to terminate its operations must make written
				notification to Maine EMS and the Emergency Services Communications Bureau at
				least 30 days prior to the termination date. The Emergency Medical Dispatch
				Center shall notify the public at least 30 days prior to the service
				termination date by placing an advertisement in the most widely circulated
				newspaper(s) serving the dispatch area(s). The notice must state:
A. The name of the Emergency Medical Dispatch
				Center;
B. The date of
				termination;
C. The names of the
				municipalities affected by the termination; and
D. The plan in place for 9-1-1 service and
				Emergency Medical Dispatch coverage for municipalities affected by the
				termination.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 3-A - EMERGENCY MEDICAL DISPATCH SERVICE CERTIFICATION › Section 163-3-A-9 - Statewide Emergency Dispatch Protocol

Current through 2024-29, July 17, 2024
1. All
				licensed Emergency Medical Dispatch Centers in Maine must exclusively use Board
				approved statewide Emergency Medical Dispatch protocols.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 4 - AIR AMBULANCE SERVICES LICENSES › Section 163-4-1

Current through 2024-29, July 17, 2024
No air ambulance service shall administer emergency medical
				  services unless it is duly licensed by the Board under these Rules. Licensure
				  under this Chapter authorizes the licensee only to provide emergency medical
				  care using an air ambulance, and does not constitute authority to provide air
				  transportation. Such authority must be obtained from the Federal Aviation
				  Administration and the United States Department of
				  Transportation
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 4 - AIR AMBULANCE SERVICES LICENSES › Section 163-4-2 - License Factors

Current through 2024-29, July 17, 2024
an air ambulance service license is issued for a
				  specific:
1. Type of service - which
				may be:
A. Scene Response Air Ambulance
				Service;
B. Transfer Air Ambulance
				Service; or
C. Restricted Response
				Air Ambulance Service (RRAAS). In order to be licensed as a Restricted Response
				Air Ambulance Service, an applicant must demonstrate to the Board that the
				limited scope of the proposed service will fulfill a unique and/or unmet need
				regarding the air transport of patients in the state.
a. Only Ground Ambulance Services may apply
				for this type of license.
1. Notwithstanding
				the requirements of this Chapter, in order to receive a license as a RRAAS, an
				applicant must comply with any and all restrictions or modifications placed
				upon the licensee by the Board, including, but not limited to:
(a) The primary service area to which the
				service may provide emergency medical services; and
(b) The type and medical condition of
				patients that may be transported by the licensee. RRAAS is limited to response
				to non-emergency medical calls unless a Scene Response Air Ambulance Service or
				Transfer Air Service is unavailable to respond to emergency medical calls in
				the RRAAS response areas or unless the applicant has a plan, approved by the
				Maine EMS Board.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 4 - AIR AMBULANCE SERVICES LICENSES › Section 163-4-4 - Approval of License

Current through 2024-29, July 17, 2024
Once a service's application for a new or renewed license has
				  been accepted as complete by Maine EMS, Maine EMS shall grant, refuse, or
				  conditionally grant the license within seventy days.
Code of Maine Rules › 16 - DEPARTMENT OF PUBLIC SAFETY › 163 - BUREAU OF EMERGENCY MEDICAL SERVICES (MAINE EMS) › Chapter 4 - AIR AMBULANCE SERVICES LICENSES › Section 163-4-6 - Licensing Standards for Restricted Response Air Ambulance Services

Current through 2024-29, July 17, 2024
1. An application will not be accepted as
				complete unless it includes all materials required to be evaluated for
				licensure. To obtain a new license, an applicant must:
A. Apply on forms available from Maine
				EMS.
B. Demonstrate to Maine EMS
				that:
1. The applicant has made a detailed
				manual of policies and procedures available for reference, which shall include,
				but not be limited to:
(a) Education,
				clinical experience, and competency requirements of the medical crew
				commensurate with the scope of care to be provided;
(b) Notification phone numbers and access
				dispatch procedure, including identification of those who may request a mission
				and those who will approve missions;
(c) Type of aircraft vehicle(s) used and
				operational protocols specific to type;
(d) Coordination of operating practices with
				hospital and pre-hospital providers and other public safety agencies;
(e) Preparation and stabilization of the
				patient;
(f) A safety program of
				policies and procedures specific to patient care;
(g) Procedures for acceptance of requests,
				referrals, and/or denial of service for medically-related reasons;
(h) Criteria for the medical conditions and
				indications or medical contraindications for flight;
(i) Acceptable destinations and landing
				areas;
(j) Written policy that
				ensures that air medical personnel shall not be assigned or assume cockpit
				duties concurrent with patient care duties and responsibilities; and
(k) Written plan that addresses the actions
				to be taken in the event of an emergency or patient crisis during transport
				operations.
2.
				Applicants for licensure must demonstrate liability coverage for injuries to
				persons and for loss or property damages resulting from negligence by the
				service or medical crew. A license holder should immediately notify Maine EMS
				and cease operations if the coverage required by this section is cancelled or
				suspended. Maine EMS will not issue a Restricted Response Air Ambulance service
				license unless the applicant for a license or the licensee has:
a. Evidence of medical professional liability
				insurance that requires the insurer to compensate for injuries to persons or
				unintentional damage to property.
b. Worker's compensation coverage is required
				as defined by individual state regulating bodies.
3. The applicant meets the quality
				assurance/quality improvement requirements of Chapter 18 of these
				Rules.
4. The service has either
				(1) guaranteed continuity of care for the patient by entering into written
				agreements with the ambulance services that will transport its patients or (2)
				otherwise addressed these concerns in a plan approved by Maine EMS that
				includes as a component a written agreement of this nature with at least one
				ambulance service.