Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 132 - Emergency Medical Services-service Program Authorization › Rule 641-132.2 - Service Program-authorization and Renewal Procedures and Inspections

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Requirements for initial service program authorization.
a. An entity that desires to provide
			 emergency medical care services in the out-of-hospital setting in this state
			 shall apply to the department for service program full authorization and may
			 apply for a conditional service level authorization if the entity can
			 demonstrate advanced emergency medical care provider availability and medical
			 director approval for conditional authorization at such level.
b. Information for initial authorization can
			 be found on the BETS website
(
www.idph.iowa.gov/BETS
)
.
c.
			 Transport service-full authorization. An entity seeking authorization as a
			 transport service program shall apply for full authorization at a minimum of
			 the EMT level or the level of care which will be provided by the service
			 program or through a transport agreement for initial 911 or emergency calls 24
			 hours per day, seven days per week at the following EMS service levels:
(1) EMT.
(2) AEMT.
(3) Paramedic.
d. Transport service-conditional service
			 level authorization. An entity seeking authorization as a transport service
			 which is capable of providing emergency medical care beyond the full
			 authorization level on an intermittent basis may apply for conditional service
			 level authorization at one or more of the following conditional service levels:
(1) AEMT.
(2) Paramedic.
e. Nontransport service-full authorization.
			 An entity seeking authorization as a nontransport service program shall apply
			 for full authorization at a minimum of the EMR level or at the level of care
			 which will be provided for initial 911 or emergency calls 24 hours per day,
			 seven days per week. The nontransport service program shall have an executed
			 written transport agreement ensuring simultaneous dispatch with an authorized
			 transport service program for all 911 or emergency calls. The nontransport
			 service shall apply for full authorization at the following EMS service levels:
(1) EMR.
(2) EMT.
(3) AEMT.
(4) Paramedic.
f. Nontransport service-conditional service
			 level authorization. An entity seeking authorization as a nontransport service
			 program that has an executed written transport agreement ensuring simultaneous
			 dispatch with an authorized transport service program for all 911 or emergency
			 calls and is capable of providing emergency medical care beyond the full
			 authorization level on an intermittent basis may apply for conditional service
			 level authorization at one or more of the following conditional service levels:
(1) EMT.
(2) AEMT.
(3) Paramedic.
g. Conditional service level authorization
			 restrictions and requirements.
(1) A service
			 program which has been granted conditional service level authorization shall
			 only advertise or otherwise hold itself out to the public as an authorized
			 service program at the level of full authorization.
(2) A service program authorized to operate
			 at a conditional service level shall operate at such level only when an
			 emergency medical care provider certified at the advanced certification level
			 is listed on the service roster, physically present and directly responsible
			 for patient care.
h. An
			 applicant should expect a minimum of a 30-day time period for review of the
			 application, completion of an inspection, and response by the department
			 regarding authorization status.
i.
			 Deficiencies that are identified during the application review and inspection
			 process by the department shall be corrected prior to service program
			 authorization.
j. An applicant may
			 be authorized as a service program when the department is satisfied that the
			 program proposed by the applicant and associated satellites or affiliates will
			 be operated in compliance with Iowa Code chapter 147A and these
			 rules.
k. An applicant for
			 authorization as a service program shall be fully operational upon the
			 effective date specified on the certificate of authorization and shall ensure
			 compliance with Iowa Code chapter 147A and these rules.
l. Initial service program authorization
			 shall be valid for a period of one year from its effective date unless
			 otherwise specified on the certificate of authorization or unless sooner
			 suspended or revoked or surrendered.
m. An applicant shall provide evidence of
			 liability insurance coverage for the service program and emergency medical care
			 provider staff. Any change in insurance status must be reported to the
			 department no later than 30 days from the change.
n. An applicant seeking endorsement as a CCT
			 must provide verification that the service program will be staffed by one or
			 more paramedics with a critical care paramedic endorsement from the department
			 or by other health care professionals when providing specialty care and
			 transport.