Section R. 325.22171 - Ambulance operation upgrade license; application processRule 171. An ambulance operation described in sections 20920(7) to (12) of the code that applies for an ambulance operation upgrade license shall do all of the following:
(a) Have been a licensed ambulance operation at the transporting basic life support or transporting limited advanced life support on or before July 22, 1997.(b) Have been owned, operated, or under contract to a local unit of government and providing first line emergency medical response to that local unit of government on or before July 22, 1997. Emergency services provided under an upgraded license shall be provided only to the local unit of government and only in response to a 9-1-1 call or other call for emergency transport within jurisdiction of local unit of government.(c) A transporting basic ambulance operation shall staff and equip 1 or more ambulances for the transport of emergency patients at a life support level higher than basic life support.(d) A transporting limited advanced ambulance operation shall staff and equip 1 or more ambulances for the transport of emergency patients at the advanced life support level.(e) Make application for licensure to the department on forms prescribed by the department. Included with the application shall be the required $100.00 fee and identification of the current level of life support of the operation and the higher level of life support being sought. The application shall include verification of all of the following: (i) The ambulance operation was licensed on, or before, July 22, 1997.(ii) The ambulance operation was licensed, at a minimum, as a basic transporting ambulance operation on, or before, July 22, 1997.(iii) The ambulance operation is owned, operated by, or under contract with a local unit of government.(iv) Services described in the application shall be provided only to the local unit of government and only in response to 9-1-1 calls or other calls for emergency transport within the jurisdiction of the local unit of government.(v) The ambulance operation complies with all patient care and radio equipment requirements for the level of upgrade requested.(vi) The ambulance operation provides a description of the staffing for each vehicle under the upgrade provision.(vii) The ambulance operation provides a 2-year plan of action to upgrade, on a full-time basis, to the higher level. A letter of commitment by the local unit of government supporting this plan of action shall be part of the plan.(viii) The ambulance operation provides patient care protocols and a formal recommendation from the medical control authority under which the ambulance operation operates.(ix) Quality monitoring procedures and use and protection of equipment protocols have been developed and approved by the medical control authority. Use and protection equipment protocols shall describe procedures the operation will use to limit access to the limited advanced or advanced, or both, equipment and supplies when not operating at the higher level.(f) Provide additional information as prescribed by the department to process the application.Mich. Admin. Code R. 325.22171