DHS 105.39(3)(a)(a) The vehicle shall be equipped at all times with a flashlight in working condition, a first aid kit and a fire extinguisher. The fire extinguisher shall be periodically serviced as recommended by the local fire department.

DHS 105.39(3)(b)(b) The vehicle shall be equipped with a lift or ramp for loading wheelchairs. The vehicle shall also be equipped with passenger restraint devices for each passenger, including restraint devices for recipients in wheelchairs or on cots or stretchers as defined in s. DHS 107.23 (1) (c) 4. Both a recipient and the recipient’s wheelchair, cot or stretcher shall be secured.

DHS 105.39(3)(c)(c) Provision shall be made for secure storage of removable equipment and passenger property in order to prevent projectile injuries to passengers and the driver in the event of an accident.

DHS 105.39(4)(a)(a) Each driver shall possess a valid regular or commercial operator’s license which shall be unrestricted, except that the vision restrictions may be waived if the driver’s vision is corrected to an acuity of 20/30 or better by the use of corrective lenses. In this event, the driver shall wear corrective lenses while transporting recipients.

DHS 105.39(4)(b)1.1. Each driver before driving a vehicle or serving as an attendant shall have received all of the following:

DHS 105.39(4)(b)1.a.a. Basic Red Cross or equivalent training in first aid and cardiopulmonary resuscitation (CPR);

DHS 105.39(4)(b)1.c.c. Specific instructions in the use of all ramps, lift equipment and restraint devices used by the provider.

DHS 105.39(4)(b)2.2. Each driver shall receive refresher training in first aid at least every 3 years and shall maintain CPR certification. A driver who is an emergency medical services practitioner licensed under ch. DHS 110, a licensed practical nurse, a registered nurse or a physician assistant shall be considered to have met these requirements by completion of continuing education which includes first aid and CPR.

DHS 105.39(4)(c)(c) The provider shall maintain a current list of all drivers showing the name, license number and any driving violations or license restrictions of each and shall keep that list current.

DHS 105.39(5)(a)(a) Compliance with state and local laws governing the conduct of businesses, including ch. Trans 301.

DHS 105.39(5)(b)(b) Establishment and implementation of scheduling policies that assure timely pick-up and delivery of passengers going to and returning from medical appointments;

DHS 105.39(5)(c)(c) Documentation that transportation services for which MA reimbursement is sought are:

DHS 105.39(5)(c)1.1. For medical purposes only;

DHS 105.39(5)(c)2.2. Ordered by the attending provider of medical service; and

DHS 105.39(5)(c)3.3. Provided only to persons who require this transportation because they lack other means of transport, and who are also physically or mentally incapable of using public transportation;

DHS 105.39(5)(d)(d) Maintenance of records of services for 5 years, unless otherwise authorized in writing by the department; and

DHS 105.39(5)(e)(e) On request of the department, making available for inspection records that document both medical service providers’ orders for services and the actual provision of services.

DHS 105.39(6)(6) Affidavit. The provider shall submit to the department a notarized affidavit attesting that the provider meets the requirements listed in this section. The affidavit shall be on a form developed by and available from the department, and shall contain the following:

DHS 105.39(6)(c)(c) The provider’s business name, address, telephone number and type of ownership;

DHS 105.39(6)(d)(d) The name and signature of the provider or a person authorized to act on behalf of the provider; and