R426-3-800. Ground Ambulance or Paramedic Service Provider Aid Agreements

  (1) All licensed ground ambulance providers are expected to render mutual aid support for adjoined geographical service areas. Mutual aid support means that they may be called upon to provide assistance during times of unusual demand. Exceptions for this expectation should be submitted as part of a license application.

  (2) Other types of aid agreements shall be in writing, signed by both parties, and detail the:

  (a) purpose of the agreement;

  (b) type of assistance required;

  (c) circumstances under which the assistance would be given; and

  (d) duration of the agreement.

  (3) The parties shall provide a copy of any aid agreement(s) except for mutual aid support to the Department and to the designated emergency medical dispatch center(s) that dispatch the licensed ground ambulance providers.

  (4) When mutual aid support is given the licensed ground ambulance provider rendering support will be responsible for the following, unless otherwise stated in writing, and approved by the Department prior to the event:

  (a) billing or other financial reimbursements;

  (b) liability for EMS operations related to staff and patient care; and

  (c) patient care protocols for licensure level.