Wisconsin Administrative Code › Department of Health Services › DHS 101-109 - Medical Assistance › Chapter DHS 105 - Provider Certification › Section DHS 105.39 - Specialized medical vehicle providers

Current through June 24, 2024
(1) For MA
				certification, a specialized medical vehicle provider shall meet the
				requirements of this section and shall sign the affidavit required under sub.
				(6) stipulating that the provider is in compliance with the requirements of
				this section as well as with the requirements of the department of
				transportation for human service vehicles under ss.
				110.05
				and
				340.01(23g),
				Stats., and ch. Trans 301, and shall provide proof of compliance when requested
				by the department.
(2) VEHICLES.
(a) Insurance of not less than $250,000
				personal liability for each person, not less than $500,000 personal liability
				for each occurrence and not less than $10,000 property damage shall be carried
				on each specialized medical vehicle used to transport a recipient.
(b) Each vehicle shall be inspected and the
				inspection documented at least every 7 days by an assigned driver or mechanic,
				to ensure:
1. The proper functioning of the
				vehicle systems including but not limited to all headlights, emergency flasher
				lights, turn signal lights, tail lights, brake lights, clearance lights,
				internal lights, windshield wipers, brakes, front suspension and steering
				mechanisms, shock absorbers, heater and defroster systems, structural integrity
				of passenger compartment, air conditioning system, wheelchair locking systems,
				doors, lifts and ramps, moveable windows and passenger and driver restraint
				systems;
2. That all brakes, front
				suspension and steering mechanisms and shock absorbers are functioning
				correctly;
3. That all tires are
				properly inflated according to vehicle or tire manufacturers' recommendations
				and that all tires possess a minimum of 1/8-inch of tread at the point of
				greatest wear; and
4. That
				windshields and mirrors are free from cracks or breaks.
(c) The driver inspecting the vehicle shall
				document all vehicle inspections in writing, noting any deficiencies.
(d) All deficiencies shall be corrected
				before any recipient is transported in the vehicle. Corrections shall be
				documented by the driver. Documentation shall be retained for not less than 12
				months, except as authorized in writing by the department.
(e) Windows, windshield and mirrors shall be
				maintained in a clean condition with no obstruction to vision.
(f) Smoking is not permitted in the
				vehicle.
(g) Police, sheriff's
				department and ambulance emergency telephone numbers shall be posted on the
				dash of the vehicle in an easily readable manner. If the vehicle is not
				equipped with a working two-way radio, sufficient money in suitable
				denominations shall be carried to enable not less than 3 local telephone calls
				to be made from a pay telephone.
(h) A provider shall maintain a list showing
				for each vehicle its registration number, identification number, license
				number, manufacturer, model, year, passenger capacity, insurance policy number,
				insurer, types of restraint systems for wheelchairs and whether it is fitted
				with a wheelchair lift or with a ramp. Attached to the list shall be evidence
				of compliance with ch. Trans 301.