6 Colo. Code Regs. § 1015-3-4-5

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1015-3-4-5 - Complaints

5.1 The Department may investigate a complaint regarding the alleged violation by a licensed ambulance service of the provisions of:

5.1.1 Sections 25-3.5-301, C.R.S., et seq.;

5.1.2 These ground ambulance licensing rules;

5.1.3 Rules set forth in 6 CCR 1015-3:

A) Chapter One - Rules Pertaining to EMS and EMR Education, EMS Certification or Licensure, and EMR Registration;

B) Chapter Two - Rules Pertaining to EMS Practice and Medical Director Oversight; and

C) Chapter Three - Rules Pertaining to Emergency Medical Services Data and Information Collection and Record Keeping.

5.1.4 Regulations set forth in 6 CCR 1015-4, Chapter One, State Emergency Medical and Trauma Care System Standards and Chapter Four, Regional Emergency Medical and Trauma Services Advisory Councils.

5.2 The Department may also initiate a complaint investigation concerning any act or event that a licensed ambulance service must report to the Department pursuant to Section 9 of these rules - Mandatory Incident Reporting.

5.3 Complaints or referrals relating to the quality and conduct of an ambulance service may be made by any person or entity and may be initiated by the Department.

5.4 The Department does not have jurisdiction over billing disputes.

5.5 Upon receipt of a complaint,the Department may make inquiry as to the validity of such complaint prior to initiating an investigation. If the Department determines that a complaint warrants a more extensive review, it may initiate an investigation to determine if a violation occurred.

5.6 Complaints concerning EMS medical directors regulated by the Department pursuant to 6 CCR 1015-3, Chapter Two, shall be reviewed by the Department.

5.7 Complaints concerning matters outside of the Department's jurisdiction may be referred to the appropriate entity.

5.8 If the Department determines that the complaint does not warrant further review or determines that the complaint is outside of the Department's authority to investigate, the Department will notify the complainant.

5.9 Nothing in this section prohibits the Department from conducting a complaint investigation under circumstances it deems necessary.

5.10 When the Department has completed its complaint investigation, it shall notify, in writing, the complainant and the licensed ambulance service of the results of any alleged violation of the relevant rules.

5.11 When, at the completion of the Department's complaint investigation, it determines that one or more violations of any of the rules set forth in Section 5.1 or of the governing statutes may result in the initiation of an administrative action or a referral to a law enforcement agency or to other regulatory bodies, the Department shall notify in writing:

5.11.1 The primary medical director of the licensed ambulance service of any known violation of the ambulance licensing rules by the ambulance service or knownviolations of the ambulance licensing rules by individual medical providers operating on an ambulance service; and

5.11.2 The county or city-and-county in which the complaint arose, and any other county or city-and-county in which the licensed ambulance service is authorized to operate.

6 CCR 1015-3-4-5

37 CR 12, June 25, 2014, effective 5/21/2014

37 CR 12, June 25, 2014, effective 7/15/2014

37 CR 22, November 25, 2014, effective 12/15/2014

38 CR 24, December 25, 2015, effective 1/14/2016

40 CR 10, May 25, 2017, effective 7/1/2017

40 CR 20, October 25, 2017, effective 1/1/2018

40 CR 21, November 10, 2017, effective 1/1/2018

41 CR 23, December 10, 2018, effective 1/14/2019

43 CR 22, November 25, 2020, effective 1/1/2021

44 CR 23, December 10, 2021, effective 12/30/2021

45 CR 10, May 25, 2022, effective 6/14/2022

47 CR 02, January 25, 2024, effective 2/14/2024