Volume 43 - Issue 11 - March 14, 2024
State of Kansas
Board of Emergency Medical Services
Permanent Administrative Regulation
Article 2.—AMBULANCE SERVICES; PERMITS AND REGULATIONS
109-2-2. Application for ambulance service permit and ambulance license; permit renewal and license renewal. (a)(1) Any applicant for an ambulance service permit may apply for only one ambulance service permit for each ambulance service that the applicant seeks to operate.
(2) Any applicant for an ambulance license may apply for only one ambulance license for each ambulance that the applicant seeks to operate.
(3) Any operator may apply for a temporary license for an ambulance. Each temporary license shall be valid for 60 days. Any temporary license may be extended by the executive director.
(b) All initial and renewal applications for an ambulance service permit and for an ambulance license shall be submitted through the online license management system.
(c) Each applicant who submits an insufficient application for an ambulance service permit or ambulance license shall have 30 days to correct all identified deficiencies and submit a sufficient application. If the applicant or operator fails to correct the deficiencies and submit a sufficient application, the application may be considered by the board as withdrawn.
(d) Each application shall be deemed sufficient if both of the following conditions are met:
(1) The applicant or operator submits all requested information, and no additional information is required by the board to complete the processing of the application.
(2) The applicant or operator submits payment of the fee in the correct amount.
(e) Each initial application for an ambulance service permit shall meet the following requirements:
(1) Specify the name of the operator;
(2) specify the name of the ambulance service;
(3) designate an ambulance service director;
(4) designate a medical director;
(5) designate an office address where all ambulance service records will be maintained;
(6) state the primary territory for which the permit is sought;
(7) designate the type of ambulance service being requested as either ground ambulance service or air ambulance service;
(8) designate the levels of service intended to be provided;
(9) include a copy of all operational policies;
(10) include a copy of all approved medical protocols;
(11) include a listing of all EMS providers and health care providers affiliated with the ambulance service;
(12) include a listing of all station locations where an ambulance could be parked or stored;
(13) provide the location and physical description of the facility where calls for service will be received;
(14) provide a description of each vehicle being used by the ambulance service to include the year, make, and model of the vehicle, and the primary use of the vehicle; and
(15) if the type of ambulance service being requested is for an air ambulance service, provide evidence of an air safety training program and an informational publication that meets all requirements of K.A.R. 109-2-10a.
(f) Each initial application for a ground ambulance license shall include the following:
(1) A copy of the mechanical or safety inspection without deficiencies submitted on forms required by the board or documentation from the manufacturer indicating that the vehicle has undergone a predelivery inspection without deficiencies;
(2) proof of state vehicle registration; and
(3) a copy of the list of supplies and equipment carried on the ambulance as approved by the medical director.
(g) Each initial application for an air ambulance license shall include the following:
(1) A copy of the valid standard airworthiness certificate;
(2) proof of aircraft registration with the federal aviation administration; and
(3) a copy of the list of supplies and equipment carried on the ambulance as approved by the medical director.
(h) Each ambulance service permit and ambulance license that is not temporary shall expire on April 30 of each year. Any such permit or license may be renewed annually in accordance with this regulation.
(i) Each renewal application for an ambulance service permit shall meet the following requirements:
(1) The operator shall affirm that the following information is current and accurate:
(A) Name of the ambulance service;
(B) personnel affiliated with the ambulance service, including the service director, medical director, EMS providers, and health care providers;
(C) office address where all ambulance service records shall be maintained;
(D) levels of service being provided;
(E) ambulance service’s operational policies;
(F) ambulance service’s approved medical protocols;
(G) description of all vehicles being used by the ambulance service to include the year, make, and model of the vehicle, and the primary use of the vehicle;
(H) all station locations where the ambulance service’s ambulances could be parked or stored;
(I) location and physical description of the facility where calls for service will be received;
(J) the entry of all requests for service for the previous calendar year into the board’s data collection system; and
(K) for an air ambulance service, the ambulance service’s air safety training program and informational publication.
(2) The operator shall provide the following emergency medical service information to the board:
(A) The gross receipts received by the ambulance service during the previous calendar year from the provision of patient care;
(B) the ambulance service operating budget and, if any, the tax subsidy;
(C) the charge for emergency and nonemergency patient transports, including mileage fees;
(D) the number of full-time, part-time, and volunteer staff; and
(E) the odometer reading for each vehicle being used by the ambulance service.
(j) Each application for renewal of an ambulance license shall meet the following requirements:
(1) The operator shall affirm that the following information is current and accurate:
(A) List of supplies and equipment carried on the ambulance; and
(B) the primary location where the ambulance is parked or stored.
(2) For a ground ambulance, the application shall include both of the following:
(A) Proof of valid state vehicle registration if not permanently registered; and
(B) proof of a mechanical and safety inspection completed after November 1 indicating no deficiencies that would compromise the safe transport of patients.
(3) For an air ambulance, the application shall include proof of valid aircraft registration with the federal aviation administration.
(k) A mechanical and safety inspection for each ground ambulance shall be completed by a person doing business as or employed by a vehicle maintenance service or from a certified mechanic as defined in K.A.R. 109-1-1. Proof of this inspection shall be demonstrated by submitting one of the following:
(1) A completed mechanical and safety inspection form, as provided by the board; or
(2) documentation of regular service and preventative maintenance equivalent to or exceeding the requirements of the mechanical and safety inspection form provided by the board. (Authorized by K.S.A. 2023 Supp. 65-6110 and 65-6111; implementing K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6127, and K.S.A. 65-6128; effective May 1, 1985; amended July 17, 1989; amended Jan. 31, 1997; amended Dec. 29, 2000; amended Jan. 27, 2012; amended Jan. 3, 2014; amended April 29, 2016; amended March 29, 2024.)
Joseph House
Executive Director
Board of Emergency Medical Services
Doc. No. 051959
