DHS 110.34(1) (1) Comply with the requirements of this chapter and ch. 256, Stats.

DHS 110.34(2) (2) Advertise and provide only those services it is authorized to provide under this subchapter and ch. 256, Stats.

DHS 110.34(3) (3) Identify on-line medical direction that will provide day-to-day medical consultation.

DHS 110.34(4) (4) Designate the primary service area in which it will operate.

DHS 110.34(5) (5) Assure response to 9-1-1 emergency response requests 24 hours-a-day, 7 days-a-week, in its primary service area unless it is not licensed to do so. Emergency medical responder services are exempt from this requirement but should assure every effort is made to respond to 9-1-1 requests.

DHS 110.34(6) (6) Meet the staffing requirements identified in s. 256.15 (4), Stats., and s. DHS 110.50.

DHS 110.34(7) (7) If the emergency medical services provider is an ambulance service provider, submit a written report to the receiving healthcare facility upon delivering a patient and a complete patient care report within 24 hours of patient delivery. A written report may be a complete patient care report or other documentation approved by the department and accepted by the receiving hospital. A non-transporting emergency medical service provider or emergency medical responder service provider shall provide a written or electronic report to the ambulance service provider at the time of the patient care transfer.

DHS 110.34(8) (8) If the emergency medical service provider is an ambulance service provider or non-transporting emergency medical service provider, submit patient care report data electronically to the department through Wisconsin Ambulance Run Data System (WARDS) using direct web-based input to WARDS or uploading patient care report data to WARDS within 7 days of the patient transport. If the emergency medical service provider is an emergency medical responder service provider, submit a patient care report to WARDS only if advanced skills are used in caring for the patient.

DHS 110.34 Note Note: An abbreviated emergency medical responder report is available in WARDS to eliminate duplicate entry and facilitate quick entry of this information. The WARDS system can be accessed via the internet at www.emswards.org/elite/Organizationwisconsin.

DHS 110.34(9) (9) Comply with the data system guidelines published by the department. The emergency medical service provider shall only utilize third party software that is approved by and compliant with NEMSIS for the current standard specified by the department when submitting/uploading a patient care report to WARDS.

DHS 110.34(9m) (9m) If the emergency medical service provider crosses state boundaries during an emergency response or patient transport, the emergency medical service provider shall submit patient care report data to WARDS if any two of the following apply:

DHS 110.34(9m)(a) (a) The emergency medical provider responds from this state.

DHS 110.34(9m)(b) (b) The patient is picked up from a location in this state.

DHS 110.34(9m)(c) (c) The patient is transported to a hospital or health care facility within this state.

DHS 110.34(10) (10) Maintain written mutual aid and coverage agreements with ambulance service providers operating within or adjacent to its primary service area.

DHS 110.34(11) (11) Designate and maintain affiliation with a regional trauma advisory council.

DHS 110.34(12) (12) Maintain a communication system that allows communication between medical control and EMS professionals and complies with the Wisconsin Emergency Medical Services Plan.

DHS 110.34(13) (13) Designate and maintain affiliation with a training center to provide required training.

DHS 110.34(14) (14) Maintain a quality assurance program that provides continuing education and assures continuing competency of EMS professionals.

DHS 110.34(15) (15) If the emergency medical services provider is an ambulance service provider, maintain at least one ambulance vehicle in good operating condition as required under ch. Trans 309.

DHS 110.34(16) (16) Refuse to respond to an interfacility transport request by a hospital for an emergency transfer that is dispatched through a 9-1-1 center, if not licensed to provide interfacility transports.

DHS 110.34 Note Note: Data system guidelines can be found on the department’s website at www.dhs.wisconsin.gov/ems.

DHS 110.34 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (intro.), (2), (3), (5), (7) to (9), cr. (9m), am. (12), (14) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.35 DHS 110.35 License and application requirements. To apply for a license as an ambulance service provider, a non-transporting emergency medical service provider, or an emergency medical responder service provider, a person shall do all of the following:

DHS 110.35(1) (1) Feasibility study. Complete a feasibility study and submit it to the department for approval. First responder service providers are not required to do a feasibility study.

DHS 110.35(2) (2) Application and operational plan. Upon the department’s approval of the feasibility study required under sub. (1), complete and submit an application and an operational plan to the department in the manner specified by the department. The operational plan and its addendums shall include all of the following:

DHS 110.35(2)(a) (a) Signed patient care protocols approved by the service medical director.

DHS 110.35(2)(b) (b) A formulary list of medications the emergency medical service provider will use.

DHS 110.35(2)(c) (c) A list of the advanced skills and procedures the applicant intends to use to provide services within the Wisconsin scope of practice of the level of care for which licensure is sought.