Section DHS 110.35 - License and application requirements To apply for a license as an ambulance service provider, a non-transporting emergency medical service provider, or an emergency medical responder service provider, a person shall do all of the following:
(1) FEASIBILITY STUDY. Complete a feasibility study and submit it to the department for approval. First responder service providers are not required to do a feasibility study.(2) APPLICATION AND OPERATIONAL PLAN. Upon the department's approval of the feasibility study required under sub. (1), complete and submit an application and an operational plan to the department in the manner specified by the department. The operational plan and its addendums shall include all of the following:(a) Signed patient care protocols approved by the service medical director.(b) A formulary list of medications the emergency medical service provider will use.(c) A list of the advanced skills and procedures the applicant intends to use to provide services within the Wisconsin scope of practice of the level of care for which licensure is sought.(d) Proof of professional liability or medical malpractice insurance, and, if the emergency medical service provider is an ambulance service provider, proof of vehicle insurance.(e) Operational policies for all of the following:1. Response cancellation, describing how the emergency medical service provider will handle a cancellation of a response while en route to the scene.2. Use of lights and sirens in responding to a call.3. Dispatch and response, describing how EMS professionals are dispatched and how the emergency medical service provider acknowledges to the dispatcher that it is responding.4. Refusal of care, describing the procedure for accepting a refusal of care from a patient.5. Destination determination, describing how the transport destination of the patient is determined if the provider is an ambulance service provider.6. Emergency vehicle operation and driver safety training.7. Controlled substances and how the service provider will obtain, store, secure, exchange, and account for any and all controlled substances used to provide patient care.8. Continuous quality assurance and improvement program describing the components of the program, including how patient care and documentation will be reviewed, by whom, and how the results will be shared with practitioners and incorporated into continuing education.9. Multiple patient incidents describing how the service will handle the response to the incident including triage, care, transportation and patient tracking.(f) Written letters or other documentation of endorsement from the local hospital and government within the proposed primary service area, if the application is for licensure as a 9-1-1 ambulance service provider or non-transporting emergency medical service provider, whether the application is for initial licensure or a service level upgrade.(g) When a service provider is required to submit an update to its operational plan, the update to the operational plan must be submitted on the form or in the manner approved by the department indicating:1. The section of the operational plan being updated or revised.2. Description detailing the change and intended impact on the service.3. Approval of the update or revision by the service director and when involving patient care or patient care equipment, the service medical director.4. Other information as determined by the department.(3) DEPARTMENT DECISIONS ON APPLICATION. (a)Complete application. The department shall review and make a determination on an application that has been completed in accordance with all of the department's instructions for completion within 60 business days of receiving the application. If the department approves the application, the department will notify the applicant and issue a license. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.(b)Incomplete application. When an incomplete application is received, the department will notify the applicant of any deficiencies within 60 business days. If the applicant fails to respond to the notice and fails to complete the application within 6 months from the date of initial submission to the department, the application is void. The department will not take any further action on the incomplete application. To be considered further by the department, the applicant shall meet the eligibility requirements and submit a new application as required under this subchapter.Wis. Admin. Code Department of Health Services DHS 110.35
CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11.Amended by, CR 20-028: am. (intro.), (2) (e) 3., cr. (2) (e) 7. to 9., am. (2) (f), cr. (2) (g) Register September 2021 No. 789, eff. 10/1/2021