R426-3-500. Minimum Licensure Requirements Ground Ambulance and Paramedic Services

  A licensed provider shall meet the following minimum requirements:

  (1) sufficient ground ambulances, emergency response vehicle(s), equipment, and supplies that meet the requirements of this rule and as may be necessary to carry out its responsibilities under its license or proposed license without relying upon aid agreements with other licensed provider;

  (2) locations or staging areas for stationing its vehicles;

  (3) a current written dispatch agreement with a designated emergency medical dispatch center;

  (4) ground ambulances may have current written aid agreements with other ground ambulance licensed providers to give assistance in times of unusual demand;

  (5) a Department certified EMS training officer that is responsible for continuing education;

  (6) a current plan of operations;

  (7) a description of how the licensed provider or applicant proposes to interface with other licensed and designated EMS providers;

  (8) demonstrate fiscal viability;

  (9) medical personnel roster which includes level of licensure to ensure there is sufficient trained and licensed staff for operational procedures;

  (10) all proposed permitted vehicles;

  (11) a current written agreement with a Department-certified off-line medical director or a medical director certified in the state where the service is based;

  (12) provide a copy of its certificate of insurance or if seeking application, provide proof of the ability to obtain insurance to respond to damages due to operation of a vehicle in the manner and following minimum amounts:

  (a) liability insurance in the amount of $1,000,000 for each individual claim; and

  (b) liability insurance in the amount of $1,000,000 for property damage from any one occurrence;

  (c) obtain the insurance from an insurance company authorized to write liability coverage in Utah or through a self-insurance program and shall:

  (i) provide the Department with a copy of its certificate of insurance demonstrating compliance with this section; and

  (ii) direct the insurance carrier or self-insurance program to notify the Department of all changes in insurance coverage within 60 days;

  (13) not be disqualified for disciplinary action relating to an EMS license, permit, designation, or certification in this or any other state;

  (14) a paramedic tactical service shall be a public safety agency or have a letter of recommendation from a county or city law enforcement agency within the paramedic tactical service's geographic service area;

  (15) applicable fees and application on Department-approved forms to the Department;

  (16) a detailed description and detailed map of the exclusive geographical areas that will be served;

  (17) if the requested geographical service area is for less than all ground ambulance or paramedic services, the applicant shall include a written description and detailed map showing how the areas not included will receive ground ambulance or paramedic services;

  (18) if an applicant is responding to a public bid, the applicant shall include detailed maps and descriptions for all geographical areas served;

  (19) documentation showing that the applicant meets all local zoning and business licensing standards within the exclusive geographical service area that it will serve;

  (20) a written description of how the applicant will communicate with dispatch centers, law enforcement agencies, on-line medical control, and patient transport destinations;

  (21) patient care protocols, medications, and equipment approved by the provider's medical director based on licensure level according to Department policies;

  (22) applicant's plans for operations during times of unusual demand;

  (23) a written assessment of field performance from the applicant's off-line medical director;

  (24) other information that the Department determines necessary for the processing of the application and the oversight of the licensed entity.

  (25) written cost, quality, and access goals as described in R426-3-600, if available;

  (26) response to a request for proposal;

  (27) if, upon Department review, the application for a new license is complete and meets all the requirements, the Department shall issue a notice of approved application;

  (28) award of a new license or a renewal license is contingent upon the applicant's demonstration of compliance with all applicable statute and rules and a successful Department quality assurance review;

  (29) after review and before issuing a license to a new service, the Department will inspect the ground vehicle(s), equipment, and required documentation; and

  (30) a license may be issued for up to a four-year period unless revoked or suspended by the Department. The Department may alter the length of the license to standardize renewal cycles.