Current through Register Vol. 48, No. 9, September 27, 2024
A.
Application. Applicants for licensure as an EMS Agency shall submit to the
Department a complete and accurate application on a form prescribed and
furnished by the Department prior to initial licensing. The EMS Agency shall
ensure the application is signed by the owner(s) if an individual or
partnership; by two (2) officers if a corporation; or by the head of the
governmental department having jurisdiction if a governmental unit.
Corporations or limited partnerships, limited liability companies, or any other
organized business entity shall be registered with the South Carolina Secretary
of State's Office if required to do so by state law.
B. The EMS Agency shall include the following
with the application:
1. The name and address
of the owner of the EMS Agency or proposed EMS Agency;
2. The name under which the EMS Agency
applicant is doing business or proposes to do business;
3. A copy of the business license, if
applicable, of the EMS Agency or proposed EMS Agency for the location of the
service;
4. The number of
Ambulances and/or emergency medical responder service vehicles and a
description of each vehicle including the make, Vehicle Identification Number
(VIN), aircraft tail number, model, year of manufacture, and other
distinguishing characteristics to be used to designate the applicant's
vehicles;
5. The location and
description of the place or places, including substations, from which the EMS
Agency is intending to operate;
6.
Personnel roster representing all employees, members, volunteers, and
affiliates associated with the service including, but not limited to,
EMT-basics, AEMTs, Paramedics, Drivers, pilots, registered nurses,
certification numbers, and expiration dates of their South Carolina and NREMT
credentials, if applicable;
7. EMS
Agency type(s) and the levels of capability for each type pursuant to Sections
504 and 505 to be provided at each location;
8. Name, email address, and phone number of
the following, if applicable;
a. EMS
Director;
b. EMS Assistant
Director;
c. Training
Officer;
d. Data Manager;
e. Infection Control Officer;
f. Pediatric Emergency Care Coordinator, if
applicable; and g. Medical Control Physician.
9. A copy of current Protocols and an
authorized medication list both signed and dated by the Medical Control
Physician;
10. Records for each
Driver, pursuant to Section 503;
11. Liability insurance information, to
include name of insurance company, agent, phone number, and type of coverage. A
copy of insurance policies shall be furnished to the Department upon request.
The minimum limits of coverage shall be six hundred thousand dollars
($600,000.00) liability and three hundred thousand dollars ($300,000.00)
malpractice per occurrence. Applicants that claim "self-insured" status shall
provide documentation showing the specific coverages as outlined
above;
12. A copy of the EMS
Non-Dispensing Drug Outlet Permit from the South Carolina Board of Pharmacy,
when applicable;
13. A copy of the
EMS Agency's current registration Certificate from the Department's Bureau of
Drug Control and registration Certificate from the United States Drug
Enforcement Administration, when applicable;
14. A copy of the EMS Agency's Clinical
Laboratory Improvement Amendments (CLIA) Certificate of Waiver from the federal
Centers for Medicare and Medicaid Services (CMS), when applicable;
15. A copy of the EMS Agency's Infectious
Waste Generator Registration issued by the Department, or if an out of state
EMS Agency, the respective home state equivalent; and
16. Additional information if requested by
the Department, such as affirmative evidence of the applicant's ability to
comply with this regulation.
C. License Renewal. The EMS Agency shall
submit a complete and accurate application on a form prescribed and furnished
by the Department prior to the License expiration date and shall not have
pending enforcement actions by the Department. If the License renewal is
delayed due to enforcement actions, the renewal License shall be issued only
when the matter has been resolved by the Department, or when the adjudicatory
process is completed, whichever is applicable.
