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

## Subtitle 09 — Commercial Ambulance Services

### Chapter 13 — Air Ambulance Service

#### Regulation .02 In General.

*COMAR 30.09.13.02*

A. To be licensed as a commercial care air ambulance service, a commercial air ambulance service shall comply with the requirements of this chapter in addition to the other applicable requirements of this subtitle.

B. An applicant for a commercial air ambulance service license shall submit an application to SOCALR on the required form.

C. An applicant for a commercial air ambulance service license shall:

  (1) Be accredited by CAMTS; or

  (2) If ineligible to apply for CAMTS accreditation, because it has been in service for less than 1 year:

    (a) Submit to SOCALR a CAMTS consultation report indicating compliance with the CAMTS standards; and

    (b) Apply for and receive full CAMTS accreditation within 18 months of being licensed by SOCALR.

D. A licensed commercial air ambulance service shall notify SOCALR within 24 hours of any change in CAMTS accreditation status and the reason for the change.

E. A licensed commercial air ambulance service may provide ALS, critical care, or neonatal transport service, or any combination of these, if:

  (1) The equipment and personnel requirements of this subtitle are met for the specific type of transport;

  (2) The submitted service license application includes the information required, demonstrating compliance for the specific type of transport; and

  (3) The service is accredited by CAMTS at that level.

F. A licensed commercial air ambulance service may not provide services with an unlicensed air ambulance unless:

  (1) The unlicensed air ambulance is used as a temporary replacement for a licensed air ambulance that is out of service for routine maintenance or repair;

  (2) The temporary replacement air ambulance meets all FAA requirements;

  (3) The temporary replacement air ambulance has all required staffing and equipment; and

  (4) It has notified SOCALR of the use of the replacement air ambulance and provided the following information:

    (a) The unit designation number assigned for operational purposes;

    (b) The FAA registration number; and

    (c) The make, model, and year of manufacture.

G. A licensed commercial air ambulance service that provides services with an unlicensed air ambulance shall notify SOCALR when the licensed air ambulance is returned to service.