15 Miss. Code. R. 12-31-3.2.6
An air ambulance license is dependent on, and concurrent with, proper FAA certification of the aircraft operator(s) to concurrent with proper FAA certification of the aircraft operator(s) to conduct operations under the applicable parts of the Federal Aviation Regulations. Certificate holder must meet all national authority regulations specific to the operations of the medical service in the country of residence, as applicable. This includes a national authority regulator's certificate (public service medical transport agencies are included in this requirement) and Ambulance Operations Specifications specific to EMS operations. The transport service demonstrates compliance with the legal requirements and regulations of all local, state, and federal agencies under whose authority it operates.
15 Miss. Code. R. 12-31-3.2.6