# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 09 — Commercial Ambulance Services

### Chapter 11 — ALS Service

#### Regulation .05 Specialty Care Transport Restrictions.

*COMAR 30.09.11.05*

A licensed commercial ambulance service may not provide specialty care transport unless:

A. Licensed as a specialty care transport ambulance service; or

B. No more than ten times a year, if a licensed specialty care transport ambulance service is not available within a clinically reasonable time as determined by the referring physician:

  (1) The sending facility provides health care personnel authorized by law to provide the level of care required by the patient during transport, which may include a nurse meeting the requirements of COMAR 10.27.09.04C(2);

  (2) Required specialty equipment is available;

  (3) The ambulance used is licensed as at least an ALS ambulance;

  (4) Notice is made to SOCALR within 24 hours of the transport; and

  (5) A report, reviewed and signed by the medical director, is submitted to SOCALR within 7 days of the transport, documenting the patient’s condition, the care rendered, crew configuration and efforts made by the referring physician, and the service to secure appropriate SCT resources.