1 Del. Admin. Code § 710-15.0

Current through Reigster Vol. 28, No. 6, December 1, 2024
Section 710-15.0 - Fixed-Site Provider License Requirements
15.1 Administrative Requirements
15.1.1 Procedures for securing a fixed-site license include:
15.1.1.1 The owner or registered agent must apply to the Commission upon forms provided and according to procedures established by the Commission.
15.1.1.2 The fixed-site provider may either be based in the State or out.
15.1.1.3 All requirements set forth in this regulation must be met before issuance of a license.
15.1.1.4 The fixed-site provider must provide proof of liability insurance in the amount of $1 million blanket liability coverage.
15.1.1.5 Provide a copy of a contract, letter, or agreement from an individual, organization, company, site location, complex, or other entity for N fixed-site provider service.
15.1.2 Procedure for securing fixed-site provider license include:
15.1.2.1 A fixed-site provider license must be applied for upon forms provided and according to procedures established by the Commission.
15.1.2.2 The fixed-site provider must schedule an inspection with the Commission or its designee if determined to be necessary by the Commission prior to issuance of the permit.
15.1.2.3 Once all requirements set forth in this regulation are met, a permit will be issued and a Commission permit shall be displayed in an office, aid station, operations center, or a location approved by the Commission. Permit or permits issued shall be valid until December 31st of that year. Renewal period begins October 1st annually and must meet all requirements established by the Commission.
15.1.3 On an on-going basis throughout the term of the license and or permit or permits, the owner or individual in responsible charge shall be available upon reasonable notification for the purpose of providing documentation on any provisions of this regulation and permitting physical inspection of all facilities and vehicles.
15.2 Operational Requirements
15.2.1 All fixed-site providers shall have a fixed office, aid station, medical area, mobile aid station, or other area to work out of. The fixed office area shall not be a private dwelling and shall meet the approval of the Commission.
15.2.2 Any vehicles used to provide care shall be approved by the Commission and marked in such a manner as to make it clear that the vehicle is capable of giving medical care.
15.2.3 All EMTs providing care shall meet the requirements as set forth in this regulation for being a certified EMT in the State of Delaware.
15.2.4 All fixed-site providers shall have a medical control doctor familiar with the State of Delaware standing orders and protocols.
15.2.5 All-fixed site providers shall have a means of providing and documenting patient care reports into the Commission approved patient care data system.
15.2.6 Equipment Standards
15.2.6.1 Every commercial BLS ambulance shall maintain the required equipment and supplies as specified by the Commission.
15.2.6.2 Required equipment must be reviewed annually following recommendations from the Commission's designee and the Commission's Medical Director.
15.2.7 Staffing Requirements. Required staffing shall be determined by the BLS fixed-site provider, or head of the venue being served. Staffing shall consist of a written staffing plan indicating how the BLS non-transport provider will staff the venue to provide adequate BLS care. The person or persons making the written staffing plan shall have a background and understanding in basic BLS care or prehospital care. The written staffing plan may have changes or additions, or deletions as required by the Commission's Medical Director.
15.2.8 Communications Requirements. All commercial BLS ambulances shall be equipped with reliable communication that is capable of interfacing with the State of Delaware 800 MHz radio systems. Systems are required to be connected with PSAP and all medical control facilities. This needs to be coordinated with the State of Delaware Division of Communication to provide connectivity.
15.2.9 AED Requirements. Upon placing an AED on any ambulance, the commercial BLS ambulance service provider or site of venue being served by a BLS ambulance service shall comply with the Delaware Early Defibrillation Program administrative policies as established by the Office of Emergency Medical Services.
15.2.10 Infection Control. All N commercial ambulance service providers shall comply with the infection control requirements in Chapter 12A, Title 16 of the Delaware Code.
15.2.11 Center for Medicare Medicaid Services (CMS). All non-emergency ambulance service providers shall comply with the Final Rule in the Federal Register (64 F.R. 3637) revising the Medicare policies for ambulance services adopted February 24, 1999, or the most current edition.
15.2.12 All non-emergency ambulance service providers will comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), or most current version.

1 Del. Admin. Code § 710-15.0

17 DE Reg. 982 (4/1/2014)
24 DE Reg. 471 (11/1/2020)
28 DE Reg. 40 (7/1/2024)
28 DE Reg. 41 (7/1/2024) (Final)