reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 1 - GENERAL PROVISIONS › Section R. 325.22103 - Definitions; P to S

Current through Vol. 24-12, July 15, 2024
Rule 103. As used in these rules:
(a) "Physician" means a doctor of medicine or
				  doctor of osteopathy who possesses a valid license to practice medicine in this
				  state.
(b) "Primary dispatch
				  service area" means a service area.
(c) "Professional standards review
				  organization" means a committee established by a life support agency or a
				  medical control authority for the purpose of improving the quality of medical
				  care.
(d) "Protocol" means a
				  patient care standard, standing orders, policy, or procedure for providing
				  emergency medical services that is established by a medical control authority
				  and approved by the department under section
				  20919 of the code, MCL
				  333.20919.
(e) "Quality improvement program" means
				  actions taken by a life support agency, medical control authority, or jointly
				  between a life support agency and medical control authority with a goal of
				  continuous improvement of emergency medical services in accordance with section
				  20919 of the code, MCL
				  333.20919.
(f) "Regional trauma network" means an
				  organized group comprised of the local medical control authorities within a
				  region, which integrates into existing regional emergency preparedness, and is
				  responsible for appointing a regional trauma advisory council and creating a
				  regional trauma plan.
(g) "Rotary
				  aircraft" means a helicopter that is licensed under the code as an
				  ambulance.
(h) "Service area" means
				  the geographic area in which a life support agency is licensed to provide
				  emergency medical services for responding to an emergency.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22111 - Life support agencies; general provisions

Current through Vol. 24-12, July 15, 2024
Rule 111.
(1) A
				  life support agency shall not operate unless it is licensed by the department
				  and operates under the direction of a medical control authority in accordance
				  with department-approved protocols. A life support agency shall not operate at
				  a level that exceeds its license or violates approved medical control authority
				  protocols, unless otherwise allowed by part 209 of the code, MCL
				  333.20901 to
				  333.20979.
(2) A life support agency license shall do
				  both the following:
(a) Communicate approved
				  protocols to appropriate emergency medical services personnel.
(b) Provide emergency medical services in
				  accordance with protocols established by the medical control authority and
				  approved by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22112 - Patient destination; transporting agencies

Current through Vol. 24-12, July 15, 2024
Rule 112.
(1) An
				  ambulance operation, both ground and rotary, shall transport an emergency
				  patient only to an organized emergency department located in and operated by 1
				  of the following:
(a) A hospital licensed
				  under part 215 of the code, MCL
				  333.21501 to
				  333.21571.
(b) A freestanding surgical outpatient
				  facility licensed under part 208 of the code, MCL
				  333.20801 to
				  333.20821, that operates a
				  service for treating emergency patients 24-hours-a-day, 7-days-a-week, and
				  complies with medical control authority protocols.
(c) An off-campus emergency department of a
				  hospital licensed under part 215 of the code, MCL
				  333.21501 to
				  333.21571, if the off-campus
				  emergency department is available for treating emergency patients
				  24-hours-a-day, 7-days-a-week, complies with medical control authority
				  protocols, and has obtained provider-based status under
				  42 CFR
				  413.65.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22113 - Patient transfers; ground, rotary, aircraft transport

Current through Vol. 24-12, July 15, 2024
Rule 113.
(1) A
				  person shall not transport a patient by stretcher, cot, litter, or isolette
				  unless it is done in a licensed ambulance or aircraft transport vehicle. The
				  life support agency transporting the patient shall require that any applicable
				  department-approved protocols of the medical control authority are followed in
				  accordance with section
				  20921(4) and
				  (5) of the code, MCL
				  333.20921.
(2) An out-of-state service that is coming to
				  this state to transfer a patient from a Michigan facility to a facility in
				  another state or country shall be licensed or certified within its own
				  jurisdiction.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22114 - Professional standards review organization: data collection

Current through Vol. 24-12, July 15, 2024
Rule 114. Each life support agency shall establish a
					 professional standards review organization for improving the quality of
					 emergency medical services. As part of the professional standards review
					 organization, each life support agency shall collect data to assess the need
					 for and quality of emergency medical services. The data must be submitted to
					 the medical control authority as determined by department-approved medical
					 control authority protocol as required in
					 R 325.22207.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22115 - Use of descriptive words, phrases, symbols, advertising

Current through Vol. 24-12, July 15, 2024
Rule 115. A person shall not use words, phrases, signs,
					 symbols, or insignia that advertise or convey to the public that it provides
					 emergency medical services or that it provides emergency medical services at a
					 particular level unless it is licensed to do so.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22116 - Inability to provide service

Current through Vol. 24-12, July 15, 2024
Rule 116.
(1) If a
				  life support agency cannot operate or staff at least 1 vehicle for response to
				  an emergency within its service area in accordance with the code, these rules,
				  or applicable protocols, then the life support agency shall do all the
				  following:
(a) Immediately notify the
				  department and medical control authority within its service area if it cannot
				  provide at least 1 life support vehicle available for response to requests for
				  emergency assistance on a 24-hour-a-day, 7-day-a-week basis in accordance with
				  medical control authority protocols. This rule excludes air ambulance services
				  and aircraft transport operations when the weather does not meet weather
				  minimums outlined by a national accrediting body for air ambulance
				  services.
(b) Immediately notify
				  the department of a change that would alter the information contained on its
				  application.
(c) Notify the
				  dispatch center that regularly receives requests for its services, and other
				  public safety agencies if appropriate, that it is not available to respond. The
				  notification must advise the dispatch center of the period in which the agency
				  will be out of service and the name of the agency that will be covering its
				  service area.
(d) Notify life
				  support agencies providing mutual aid.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22117 - Maintenance of medical records

Current through Vol. 24-12, July 15, 2024
Rule 117. In accordance with section
					 20175(1) of
					 the code, MCL
					 333.20175, a life support agency
					 shall maintain an accurate record of each case where care is rendered in a
					 format approved by the medical control authority. Medical records must be
					 maintained for a minimum of 7 years. However, records of minors must be
					 maintained until they reach 25 years of age.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22118 - Removal of vehicle from service; licensure; interagency vehicle transfer, lease, loan, from another life support agency

Current through Vol. 24-12, July 15, 2024
Rule 118.
(1) A
				  life support agency shall notify the department if it permanently removes a
				  vehicle from service. If a vehicle is permanently removed from service, then
				  the agency shall contact the department, in writing, within 30 days after
				  removal. The notification must include the make, model, year, and vehicle
				  identification number on an application prescribed by the department. The
				  agency shall remove all oscillating, rotating, or flashing lights, and words,
				  phrases, signs, symbols, or insignia that advertise or convey to the public
				  that it provides emergency medical services before transfer or sale of the
				  vehicle.
(2) A life support vehicle
				  license is nontransferable. A life support agency may temporarily use a state
				  licensed life support vehicle of another licensed life support agency through a
				  loan. Vehicle loans may occur if mechanical problems prevent an agency from
				  deploying its existing vehicles. The life support agency acquiring the vehicle
				  shall do all the following:
(a) Notify the
				  department of the loan within 3 business days on an application prescribed by
				  the department.
(b) Replace an
				  existing licensed vehicle with the loaned vehicle at the agency. The loaned
				  vehicle must not increase the total number of vehicles the agency is licensed
				  to use.
(c) Use the loan for a
				  maximum of 60 calendar days.
(d)
				  Extend the loan 1 time for 60 additional calendar days if the agency notifies
				  the department on an application prescribed by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22119 - Operational routine vehicle and equipment inspection

Current through Vol. 24-12, July 15, 2024
Rule 119. A life support agency shall have a written policy
					 in place to ensure vehicles and equipment are operational and provide
					 documentation of not less than a weekly inspection program for all vehicles,
					 communications equipment, and mechanical and electronic medical
					 equipment.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22120 - Life support agencies licensed in other states or dominion of Canada

Current through Vol. 24-12, July 15, 2024
Rule 120.
(1) A
				  life support agency licensed in another state or the dominion of Canada that
				  responds to emergencies in this state shall be licensed by the department
				  unless specific intergovernmental agreements exist between the department, the
				  dominion of Canada, or the other state.
(2) A life support agency licensed in another
				  state or in the dominion of Canada that responds to emergencies is accountable
				  to the medical control authority in whose geographical boundaries initial
				  patient contact is made.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22121 - Inquiry into ability to pay

Current through Vol. 24-12, July 15, 2024
Rule 121. Life support agencies shall not inquire about
					 ability to pay or source of payment before providing life support consistent
					 with its license and approved medical control authority protocols to each
					 emergency patient.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22122 - Misleading information concerning emergency response

Current through Vol. 24-12, July 15, 2024
Rule 122. A life support agency shall not knowingly provide
					 a person with false or misleading information concerning the time at which an
					 emergency is initiated or the location from which the response is being
					 initiated. The department or medical control authority may investigate any
					 allegation of wrongdoing submitted under this rule. If a violation of this rule
					 occurs, the department or medical control authority may take any corrective
					 action authorized under the code and these rules.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22123 - Spontaneous use of vehicle under exceptional circumstances; written report

Current through Vol. 24-12, July 15, 2024
Rule 123.
(1) If an
				  ambulance operation is unable to respond to an emergency patient within a
				  reasonable time, a vehicle may be used under exceptional circumstances, as
				  defined by department policy, to provide, without charge or fee and as a humane
				  service, transportation for the emergency patient.
(2) Emergency medical personnel who
				  transport, or who make the decision to transport, an emergency patient under
				  subrule (1) of this rule shall file a written report with the medical control
				  authority describing the incident within 7 days.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22124 - Enforcement

Current through Vol. 24-12, July 15, 2024
Rule 124.
(1) The
				  department may take any action authorized by sections
				  20162,
				  20165, and
				  20168 of the code, MCL
				  333.20162,
				  333.20165, and
				  333.20168, or other provisions of
				  the code in response to a violation of the code or these rules. Enforcement
				  actions include any of the following:
(a)
				  Denial, suspension, limitation, or revocation of a life support agency
				  license.
(b) The issuance of a
				  nonrenewable conditional license effective for not more than 1 year.
(c) The issuance of an administrative order
				  to correct deficiencies and prescribing the actions the department determines
				  necessary to obtain compliance with the code or to protect the public health,
				  safety, and welfare.
(d) Imposition
				  of an administrative fine.
(e) The
				  issuance of an emergency order limiting, suspending, or revoking
				  license.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22125 - Life support agency; licensure at higher level of care; requirements

Current through Vol. 24-12, July 15, 2024
Rule 125.
(1) A
				  life support agency seeking licensure at a higher level qualifies for that
				  license only if the life support agency meets the following requirements:
(a) Under the code, a life support agency
				  that is licensed to provide medical first response life support may apply for
				  licensure at the basic, limited advanced, or advanced life support level. A
				  life support agency that is licensed to provide basic life support may apply
				  for licensure at the limited advanced or advanced life support level. In the
				  same manner, a life support agency that is licensed to provide limited advanced
				  life support may apply for licensure at the advanced life support
				  level.
(b) Each life support agency
				  that meets the requirements of subdivision (a) of this subrule shall apply for
				  a higher level of licensure on applications provided by the department and meet
				  the requirements of the code and these rules. The application must include the
				  required fee and identification of level of life support of the
				  operation.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22126 - Life support agency; medical control; disciplinary action

Current through Vol. 24-12, July 15, 2024
Rule 126.
(1) A
				  medical control authority may exercise disciplinary action against a life
				  support agency or its emergency medical services personnel that may result in
				  the life support agency, or its personnel not being allowed to provide
				  prehospital emergency care. The basis for these actions must be for
				  noncompliance with protocols established by the medical control authority and
				  approved by the department. Disciplinary action may include the suspension,
				  limitation, or removal of medical control for the life support agency of a
				  medical control authority providing medical control, from an individual
				  providing emergency medical services care, or any other action authorized by
				  the code.
(2) If a suspension or
				  removal of medical control for a life support agency or individual occurs, the
				  life support agency or individual shall not operate or practice in that medical
				  control authority region until medical control is restored by the medical
				  control authority.
(3) If a
				  suspension or removal of medical control for a life support agency or
				  individual occurs, the life support agency or individual may appeal the
				  decision to the medical control authority. After appeals to the medical control
				  authority have been exhausted, the life support agency or individual may appeal
				  the medical control authority's decision to the statewide emergency medical
				  services coordination committee. An appeal to the emergency medical services
				  coordination committee must be filed with the department in writing not more
				  than 30 calendar days following notification to the agency or individual of the
				  final determination of the medical control authority.
(4) The emergency medical services
				  coordination committee shall review the appeal of a life support agency or
				  individual and make a recommendation to the department. The department shall
				  consider the emergency medical services coordination committee recommendation
				  and conduct its own review of the appeal. If the department determines that
				  licensure action is required, the department shall provide a hearing in
				  accordance with the code and chapter 4 of the administrative procedures act of
				  1969, 1969 PA 369, MCL
				  24.271 to
				  24.288.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 2 - LIFE SUPPORT AGENCIES-GENERAL › Section R. 325.22127 - Life support agency; life support vehicle; inspection; contractor requirements

Current through Vol. 24-12, July 15, 2024
Rule 127.
(1) The
				  department shall, at least annually, inspect or provide for the inspection of
				  each life support agency. The department shall conduct random inspections of
				  life support vehicles during the agency licensure period.
(2) A life support agency that receives
				  accreditation from the Commission on Accreditation of Ambulance Services or
				  another department-approved national accrediting organization as having
				  equivalent expertise and competency in the accreditation of life support
				  agencies, may not be subject to an agency inspection by the department if the
				  life support agency meets both of the following requirements:
(a) Submits verification of accreditation
				  described in this rule.
(b)
				  Maintains accreditation as described in this rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22131 - Life support agency; initial application

Current through Vol. 24-12, July 15, 2024
Rule 131. A life support agency and its life support
					 vehicles shall be licensed by the department in accordance with sections
					 20920,
					 20926,
					 20931, and
					 20941 of the code, MCL
					 333.20920,
					 333.20926,
					 333.20931, and
					 333.20941. The application for
					 initial licensure must include all the following:
(a) Be on an application provided by the
				  department and include the required fees and identification of level of life
				  support of the agency.
(b) Specify
				  each life support vehicle to be operated, the level of life support being
				  provided by that life support vehicle, and include a certificate of insurance
				  covering each life support vehicle as identified in this rule.
(c) Provide the name and address of each
				  medical control authority under which the life support agency is operating. The
				  agency shall complete an application for licensure, as prescribed by the
				  department, for each medical control authority under which it operates. A
				  signature on the application by the emergency medical services medical
				  director, from each medical control authority, is proof that the medical
				  control authority agrees to provide medical control to the life support
				  agency.
(d) Provide an attestation,
				  as evidenced by signing the application, of all the following:
(i) Radio communications for each life
				  support vehicle comply with medcom requirements.
(ii) Each vehicle meets minimum equipment
				  requirements.
(iii) Minimum staff
				  requirements must be met to operate at least 1 vehicle on a 24 hour-a-day, 7
				  day-a-week basis, consistent with section
				  20921(3) and
				  (4),
				  20927(3),
				  20932(2), or
				  20941(6) of
				  the code, MCL
				  333.20921,
				  333.20927,
				  333.20932, and
				  333.20941, as
				  appropriate.
(iv) A manufacturer
				  certificate of compliance for each ground ambulance licensed by the
				  department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22133 - Life support agency; licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 133. A life support agency shall comply with all the
					 following:
(a) Ensure compliance with
				  the code and these rules.
(b)
				  Advise the department immediately of any changes that would alter the
				  information contained on its licensure application, including any of the
				  following:
(i) Change of ownership.
(ii) Change of facility name.
(iii) Change in vehicle status.
(iv) Change in agency licensure administrator
				  contact information.
(v)
				  Circumstances that preclude the life support agency from complying with
				  staffing or minimum equipment requirements.
(vi) Change in communication ability to
				  comply with medcom requirements.
(vii) Change in service area.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22134 - Additional licensure requirements for life support agencies approved to administer medications

Current through Vol. 24-12, July 15, 2024
Rule 134. In addition to meeting the other licensure
					 requirements of the code and these rules, a life support agency approved to
					 administer medications by their local medical control authority shall do both
					 of the following:
(a) Comply with the
				  procedures of drug acquisition, storage, security, dispensing, and
				  accountability in accordance with department-approved medical control authority
				  protocols and federal and state law.
(b) If licensed at the limited advanced or
				  advanced life support level, comply with the acquisition, storage, security,
				  dispensing, and accountability procedures for intravenous solutions, tubing,
				  and related apparatus in accordance with department-approved medical control
				  authority protocols and in compliance with the federal and state law.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22135 - Rotary aircraft ambulance operations; additional licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 135.
(1) In
				  addition to meeting other licensure requirements of the code and these rules,
				  an ambulance operation providing rotary aircraft transport shall do all the
				  following:
(a) Meet all equipment requirements
				  of the Federal Aviation Administration for the specific type of aircraft and
				  flying conditions under which the aircraft will operate as specified by the air
				  taxi certificate of operation of the aircraft transport provider.
(b) Maintain accurate medical flight records
				  concerning the transportation of each emergency patient in intrastate flights
				  or interstate flights originating in this state. The records must be available
				  to the department and the medical control authority of the originating scene,
				  when requested.
(c) Meet department
				  licensure requirements and follow department-approved medical control authority
				  protocols when providing on-scene emergency care.
(d) Meet department licensure requirements
				  when providing interfacility transfers.
(e) Provide verification of Medicaid
				  participation. A new provider not currently enrolled in Medicaid shall certify
				  that proof of Medicaid participation is provided to the department within 6
				  months after the new provider begins offering services.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22136 - Life support agency; issuance of license

Current through Vol. 24-12, July 15, 2024
Rule 136. Receipt of the completed application by the
					 department serves as attestation by the life support agency that the agency and
					 life support vehicles being licensed comply with the minimum standards required
					 by the department. Upon approval of the application, the department shall issue
					 a license to the life support agency.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22137 - Ambulance operation; false advertising; conflict of interest

Current through Vol. 24-12, July 15, 2024
Rule 137. An ambulance operation may not do any of the
					 following:
(a) Induce or seek to induce
				  any person engaging an ambulance to patronize a long-term care facility,
				  mortuary, or hospital.
(b)
				  Advertise, or allow advertising of, within or on the premises of the ambulance
				  operation or within or on an ambulance, the name or the services of an
				  attorney, accident investigator, nurse, physician, long-term care facility,
				  mortuary, or hospital. If 1 of those persons or facilities owns or operates an
				  ambulance operation, then the person or facility may use its business name in
				  the name of the ambulance operation and may display the name of the ambulance
				  operation within or on the premises of the ambulance operation or within or on
				  an ambulance.
(c) Advertise or
				  disseminate information for the purpose of obtaining contracts under a name
				  other than the name of the person holding an ambulance operation license, the
				  trade, or assumed name of the ambulance operation.
(d) Use the terms "ambulance" or "ambulance
				  operation" or a similar term to describe or refer to the person unless the
				  department licenses the person under section
				  20920 of the code, MCL
				  333.20920.
(e) Advertise or disseminate information
				  leading the public to believe that the person provides an ambulance operation,
				  unless that person does in fact provide that service and is licensed by the
				  department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22138 - Life support agency; renewal

Current through Vol. 24-12, July 15, 2024
Rule 138.
(1) A
				  life support agency shall complete an application for renewal and return the
				  completed application to the department before the date of license expiration.
				  Failure to receive a notice for renewal from the department does not relieve
				  the licensee of the responsibility to apply for renewal.
(2) The license of a life support agency and
				  its life support vehicles expire on the same date.
(3) An application for licensure renewal
				  received by the department after the license expiration date, but within 60
				  calendar days after the expiration date requires the life support agency to
				  comply with section
				  20936 of the code, MCL
				  333.20936.
(4) A life support agency may provide
				  emergency medical services during the 60 days following its license expiration
				  date, whether or not the department has received an application for
				  renewal.
(5) An application for
				  licensure renewal not received by the department within 60 calendar days after
				  the license expires must be considered revoked.
(6) Reinstatement of the life support agency
				  and life support vehicle licenses require completion of a new application for
				  licensure, including all fees prescribed in section
				  20936(1) and
				  (2) of the code, MCL
				  333.20936.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 3 - LIFE SUPPORT AGENCIES › Section R. 325.22139 - Aircraft transport operations; additional licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 139.
(1) In
				  addition to meeting other licensure requirements of the code and these rules,
				  an aircraft transport operation shall do all the following:
(a) Meet all equipment requirements of the
				  Federal Aviation Administration for the specific type of aircraft and flying
				  conditions under which the aircraft will operate, as specified by the air taxi
				  certificate of operation of the aircraft transport provider.
(b) Maintain accurate medical flight records
				  concerning the transportation of each emergency patient in intrastate flights
				  or interstate flights originating in this state. The records must be available
				  to the department and the medical control authority of the originating scene,
				  when requested.
(c) Meet department
				  licensure requirements when providing interfacility transfers.
(d) Provide verification of Medicaid
				  participation. A new provider not currently enrolled in Medicaid shall certify
				  that proof of Medicaid participation is provided to the department within 6
				  months after the new provider begins offering services.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 4 - NONTRANSPORT PREHOSPITAL LIFE SUPPORT OPERATIONS › Section R. 325.22141 - Nontransport prehospital life support operation; initial application for licensure

Current through Vol. 24-12, July 15, 2024
Rule 141. A nontransport prehospital life support operation
					 and its vehicles shall be licensed by the department in accordance with section
					 20926 of the code. Application for initial licensure shall include all of the
					 following:
(a) Be on forms provided by
				  the department and include the required fees and identification of level of
				  life support of the operation.
(b)
				  Specify each vehicle to be operated, the level of life support being provided
				  by that vehicle, and include a certificate of insurance covering each vehicle
				  as identified in subrule (5) of this rule.
(c) Provide as part of the application, the
				  name and address of each medical control authority under which the life support
				  agency is operating. The agency shall complete an application for licensure, as
				  prescribed by the department, for each medical control authority in which it
				  operates. Signature on the application of the emergency medical services
				  medical director, from each medical control authority, shall be proof that the
				  medical control authority agrees to provide medical control to the life support
				  agency.
(d) Attest, as evidenced by
				  signing the application, to all of the following:
(i) Radio communications for each vehicle are
				  in compliance with the medcom requirements.
(ii) Each vehicle meets minimum equipment
				  requirements.
(iii) Minimum staff
				  requirements will be met in order to operate at least 1 vehicle on a 24
				  hour-a-day, 7 day-a-week basis, consistent with section 20927(3) of the
				  code.
(iv) Verification of
				  compliance with subrules (3) and (4) of this rule, shall be available to the
				  department upon request.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 4 - NONTRANSPORT PREHOSPITAL LIFE SUPPORT OPERATIONS › Section R. 325.22143 - Nontransport prehospital life support operation; licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 143. A nontransport prehospital life support operation
					 shall comply with all of the following:
(a) Provide not less than 1 staffed
				  nontransport prehospital life support vehicle as defined in section 20921(3) of
				  the code, at the agency licensure level, available for response to requests for
				  emergency assistance 24-hours-a-day, 7-days-a-week.
(b) Respond or ensure a response is provided
				  to each request for emergency assistance from within its service
				  area.
(c) Ensure compliance with
				  the code and these rules.
(d)
				  Immediately advise the department of any changes that would alter the
				  information contained on its licensure application, including any of the
				  following:
(i) Change of ownership.
(ii) Change of facility name.
(iii) Change in vehicle status.
(iv) Circumstances which preclude the
				  nontransport prehospital life support operation from complying with subrule (1)
				  of this rule or minimum equipment requirements.
(v) Change in ability to comply with medcom
				  requirements.
(vi) Change in
				  service area.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 4 - NONTRANSPORT PREHOSPITAL LIFE SUPPORT OPERATIONS › Section R. 325.22144 - Nontransport prehospital life support operations operating at limited advanced or advanced life support level; additional licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 144. In addition to meeting the other licensure
					 requirements of the code and these rules, a nontransport prehospital life
					 support agency at the limited advanced or advanced life support level shall do
					 all of the following:
(a) Comply with
				  the procedures of drug acquisition, storage, security, dispensing, and
				  accountability in accordance with the criteria established by the medical
				  control authority, in compliance with federal and state law, and approved by
				  the department and
				  R 325.22207(1)(k)
				  and 325.22207(3).
(b) Comply with
				  the acquisition, storage, security, dispensing and accountability procedures of
				  intravenous solutions, tubing and related apparatus in accordance with medical
				  control authority protocols and in compliance with the federal and state
				  law.
(c) Ensure storage areas are
				  locked and secured as required by federal and state law.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 4 - NONTRANSPORT PREHOSPITAL LIFE SUPPORT OPERATIONS › Section R. 325.22145 - Nontransport prehospital life support operation; issuance of nontransport prehospital life support license

Current through Vol. 24-12, July 15, 2024
Rule 145. Receipt of the completed application by the
					 department serves as attestation that the operation and vehicles being licensed
					 comply with the minimum standards required by the department. Upon approval of
					 the application, the department shall issue a license to the nontransport
					 prehospital life support operation. The license shall identify each vehicle
					 being licensed. The license may be renewed on an annual
					 basis.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 4 - NONTRANSPORT PREHOSPITAL LIFE SUPPORT OPERATIONS › Section R. 325.22146 - Nontransport prehospital life support operation; relicensure

Current through Vol. 24-12, July 15, 2024
Rule 146.
(1) A
				  nontransport prehospital life support operation shall complete an application
				  for relicensure and return the completed application to the department before
				  the date of license expiration. Failure to receive a notice for relicensure
				  from the department does not relieve the licensee of the responsibility to
				  apply for relicensure.
(2) The
				  license of a nontransport prehospital life support operation and its vehicles
				  shall expire on the same date.
(3)
				  An application for licensure renewal received by the department after the
				  license expiration date, but within 60 calendar days after the expiration date
				  of the license, shall require the nontransport prehospital life support
				  operation to comply with section 20936 of the code.
(4) A nontransport prehospital life support
				  operation may provide emergency medical services during the 60 days following
				  its license expiration date, whether or not the department has received an
				  application.
(5) An application for
				  licensure renewal not received by the department within 60 calendar days
				  following the date of license expiration shall be considered revoked, effective
				  on the sixty-first day.
(6)
				  Reinstatement of the nontransport prehospital life support operation and
				  vehicle licenses shall require completion of a new application for licensure,
				  including all fees prescribed in section 20936(1) and (2) of the
				  code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22151 - Aircraft transport operation; fixed wing; initial application for licensure

Current through Vol. 24-12, July 15, 2024
Rule 151. An aircraft transport operation and its vehicles
					 shall be licensed by the department in accordance with section 20931 of the
					 code. Application for initial licensure shall do all of the following:
(a) Be on forms provided by the department
				  and include the required fees and identification of level of life support of
				  the operation.
(b) Specify each
				  aircraft transport vehicle to be operated, the level of life support being
				  provided by the vehicle, and include a certificate of insurance covering each
				  vehicle as prescribed in subrule (6) of this rule.
(c) Provide as part of the application, the
				  name and address of each medical control authority under which the life support
				  agency is operating. The agency shall complete an application for licensure, as
				  prescribed by the department, for each medical control authority in which it
				  operates. Signature on the application of the emergency medical services
				  medical director, from each medical control authority, shall be proof that the
				  medical control authority is in agrees to provide medical control to the life
				  support agency.
(d) Attest, as
				  evidenced by signing the application, to all of the following:
(i) Radio communications for each aircraft
				  transport vehicle are in compliance with the medcom requirements.
(ii) Each vehicle meets minimum equipment
				  requirements.
(iii) Minimum staff
				  requirements will be met to operate each vehicle consistent with section
				  20932(2) of the code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22152 - Aircraft transport operation; operating requirements

Current through Vol. 24-12, July 15, 2024
Rule 152. In addition to requirements prescribed in the
					 code and these rules, an aircraft transport operation shall do all of the
					 following:
(a) Establish and maintain
				  a written procedure that explains the steps that will be followed when a
				  complaint is received by the operation. This procedure shall be maintained by
				  the operation and shall be available to the department upon request.
(b) Maintain evidence which may show
				  participation in the county, local, or regional disaster plan and response.
				  Approved protocols may be used to satisfy this requirement. These documents
				  shall be maintained by the operation and shall be available to the department
				  upon request.
(c) Comply with
				  medical record keeping requirements in accordance with
				  R
				  325.22117.
(d) Maintain written policies and procedures
				  to address safety and accident reduction and comply with all applicable state
				  and federal health and safety laws as prescribed on the department-approved
				  agency inspection form. These procedures shall be maintained by the operation
				  and shall be available to the department upon request.
(e) Require that each individual staffing an
				  aircraft transport vehicle complies with the code and applicable medical
				  control authority protocols.
(f)
				  Require that an aircraft transport vehicle is not operated while transporting a
				  patient unless the ambulance is staffed in accordance with section 20932(2) of
				  the code.
(g) Ensure compliance
				  with additional staffing requirements established by local medical control
				  authority, and approved by the department, or as needed, and for life support
				  during that transportation according to the written orders of the patient's
				  physician.
(h) Maintain evidence of
				  an orientation process for emergency medical services personnel to familiarize
				  them with the agency's policies and procedures and are trained in the use and
				  application of all the equipment carried in the vehicle. At a minimum, the
				  evidence shall include an introduction to the duties to be performed as well as
				  medical control authority protocols.
(i) Maintain a copy of all applicable
				  protocols for each medical control authority under which the agency
				  operates.
(j) Participate in data
				  collection and quality improvement activities authorized under medical control
				  authority protocols.
(k) Ensure
				  that aircraft transport vehicles licensed by the operation meet all applicable
				  vehicle standards, state equipment requirements as established by the
				  department and department-approved medical control authority
				  protocols.
(l) Require compliance
				  with medcom requirements.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22153 - Aircraft transport operation; licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 153. An aircraft transport operation shall comply with
					 section 20932 of the code and all of the following:
(a) Provide an aircraft transport vehicle for
				  patient transportation between health facilities, as needed, and for life
				  support during that transportation according to the written orders of the
				  patient's physician.
(b) Operate in
				  accordance with the code, rules, and orders established by the patient's
				  physician. The operation shall not provide life support at a level that exceeds
				  its license, department approved medical control authority protocols, or
				  violates those orders established by the patient's physician.
(c) Ensure compliance with the
				  R
				  325.22111(1)(4)(5) and
				  325.22113.
(d) Immediately advise
				  the department of any changes that would alter the information contained on its
				  licensure application, including any of the following:
(i) Change of ownership.
(ii) Change of facility name.
(iii) Change in vehicle status.
(iv) Circumstances which preclude the
				  operation from providing patient transportation between health facilities, as
				  needed, or for not being capable of meeting minimum staffing or equipment
				  requirements.
(v) Change in ability
				  to comply with medcom requirements.
(vi) Change in service area.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 5 - AIRCRAFT TRANSPORT OPERATIONS › Section R. 325.22154 - Aircraft transport operations operating at limited advanced life support or advanced life support levels; additional licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 154. In addition to meeting licensure requirements of
					 the code and these rules, an aircraft transport operation licensed at the
					 limited advanced or advanced life support level shall do all of the
					 following:
(a) Comply with the
				  procedures of drug acquisition, storage, security, dispensing, and
				  accountability in accordance with the criteria established by the medical
				  control authority, federal and state law, and approved by the department and
				  R 325.22207(1)(k)
				  and 325.22207(3).
(b) Comply with
				  the acquisition, storage, security, dispensing and accountability procedures of
				  intravenous solutions, tubing, and related apparatus in accordance with medical
				  control authority protocols and federal and state law.
(c) Ensure storage areas are locked and
				  secured as required by federal and state law.