Ohio Admin. Code 4766-4-18 - Incorporated by reference

(A) "1995 Emergency Vehicle Operators Course (Ambulance): National Standard Curriculum" can be found at http://www.nhtsa.gov/people/injury/ems/web%20site%20intro.htm.

(B) " 29 C.F.R. 1910.1030 " (April 3, 2012) covers exposure to blood or other potentially infectious materials.

(C) " 45 C.F.R. 164.512 " (January 6, 2016) specifies what information can be shared under the HIPAA laws.

(D) "Application for Ambulance or Mobile Intensive Care License" form or form "EMS 4001" (January, 2018) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(E) "Change in Level of Service Medical Transportation Organization" form or form "EMS 4011" (July, 2013) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(F) "Deletion of Vehicle" form or form "EMS 4012" (April, 2016) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(G) "Headquarters Change of Address" form or form "EMS 4004" (April, 2016) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(D) "Mobile Intensive Care Unit - Mobile Stroke Unit Inspection" form or form EMS 4054 (June 2022) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx .

(H)(E) "MoICU Inspection" form, or "Mobile Intensive Care Unit Inspection" form, or form "EMS 4022" (February, 2017) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(F) The MTLS online system collects and manages information in categories including service details; medical director; call volumes; communication equipment; service areas; contact information; insurance details; vehicle liability; company executives; satellite locations; vehicle information; and facility and vehicle inspection information. MTOs register and create an account to access the MTLS online system and use it to apply for, renew, and manage a medical transportation license.

(I)(G) "Non-transport Vehicle Inspection" form or form "EMS 4026" (January, 2017 July 2021) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(J)(H) "Periodic Mechanical Safety Report" form or form "EMS 4039" (June, 2017 July 2021) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(K) "Renewal Application for Ambulance or Mobile Intensive Care License" form or form "EMS 4040" (May, 2018) can be viewed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(L) "Temporary Ambulance / MOICU / Non-transport Vehicle" form or form "EMS 4009" (April, 2016) can be accessed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

(M)(I) "Violation Notification" form or form "EMS 4029" (July, 2018 July 2021) is issued by the board to a MTO that is in violation of Chapter 4766. of the Revised Code and agency 4766 of the Administrative Code and a sample of the form can be viewed at the division's website at http://www.ems.ohio.gov/medical-transportation-forms.aspx.

Notes

Ohio Admin. Code 4766-4-18

Effective: 6/15/2022
Five Year Review (FYR) Dates: 3/23/2022 and 03/01/2027
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.03
Prior Effective Dates: 08/01/2017, 02/01/2020