Current through Register Vol. 50, No. 9, September 20, 2024
A. All requirements of the application
process for licensing shall be completed by the applicant before the
application will be processed by the department.
1. No application will be reviewed until the
application fee is paid.
B. An application packet shall be obtained
electronically from the department's Bureau of EMS website.
1. A completed application packet for an
ambulance service shall be submitted to, and approved by, the department prior
to an applicant providing patient care services.
C. The license application shall be submitted
to the department on forms provided for that purpose.
1. The application shall provide
documentation that the applicant meets the appropriate requirements for an
ambulance service/provider as specified by regulations established by the
department.
a. An incomplete application shall
be returned to the applicant.
D. An applicant seeking a license as an
ambulance service/provider shall indicate the:
1. type of license requested;
a. ground ambulance service;
b. air ambulance service;
2. the highest level of care, as
listed below, that the service may provide must be consistent with its
equipment and personnel and in accordance with Louisiana Scope of Practice as
defined by the EMS Certification Commission:
a. emergency medical response vehicle (EMRV,
sprint vehicles, etc.);
b. basic
level service ambulance;
c.
advanced level service ambulance;
d. air ambulance:
i. fixed-wing; and/or
ii. rotary aircraft.
E. An applicant seeking
a license as an ambulance service/provider shall:
1. provide at least one unit for 24 hours a
day, 365 days a year at the highest level of care for which the service applies
for and becomes licensed to provide;
2. for ambulance services that serve more
than one parish, provide at least one unit at the highest level of care for 24
hours a day, 365 days a year in each parish served;
3. in the initial application only, petition
the department for hours of operation other than 24 hours a day, 365 days a
year;
4. for an air ambulance
service, provide the level of care at the licensed paramedic level.
a. The department may require the submission
of work schedules and individual credentials to verify;
F. The completed application shall
be submitted with the required information and the following supporting
documentation:
1. a certificate of insurance
verifying proof of required commercial automobile or aircraft liability
insurance;
2. Proof that the
ambulance service/provider has a medical director and that such director is a
physician licensed to practice medicine by the Louisiana State Board of Medical
Examiners and who has responsibility and authority to ensure quality of care
and provide guidance for all medical aspects of EMS;
3. all medical protocols signed by the
physician/medical director with their prescribed approvals by the parish or
component medical society, and/or LERN as applicable;
4. copies of key personnel certifications and
professional license(s), inclusive of the director of operations, the
administrator and the medical director;
5. for ambulance services/providers of
advanced life support, verification that the ambulance service/provider
possesses a Louisiana controlled substance license and a U.S. Drug Enforcement
Administration controlled substance registration;
6. the unit number, vehicle identification
numbers and other identifying vehicle registration information for each unit
assigned to the area or each aircraft in service;
a. for ground transportation ambulance
services/providers, a copy of the certificate of registration from the Office
of Motor Vehicles;
b. for air
ambulance services/providers, a copy of the Federal Aviation Administration
(FAA) part 135 commercial air taxi certificate:
7. proof that the ambulance service holds a
Clinical Laboratory Improvement Act (CLIA) certificate commensurate with the
level of testing performed;
8.
documentation that the applicant seeking licensure as an ambulance
service/provider is in compliance with the criminal history check requirements
of R.S.
40:1203.1-1203.5;
9. a copy of all necessary local permits and
licenses to operate in a service area.
G. Service Area. An applicant for an
ambulance service/provider license shall declare his service area in writing.
The department may require the applicant to provide a map of the service
area.
H. The applicant shall be
prepared to be fully operational for an initial inspection within 90 days after
payment of the application fee. If the applicant is unable to do so, the
application may be closed.
1. If the
application is closed and the applicant is still interested in becoming an
ambulance service/provider, he/she shall submit a new initial application
packet, including a new initial fee to start the licensing process.
I. Prior to the initial license
being issued to the provider, an initial licensing inspection shall be
conducted to assure compliance with licensing standards and applicable federal,
state, or local statutes, laws, ordinances, rules, and regulations.
J. Until the initial license is issued to the
ambulance service/provider by the department, the applicant shall not provide
EMS care to any individual.
AUTHORITY
NOTE: Promulgated in accordance with R.S. 1135.3,
R.S.
40:1135.8
