Commercial Ambulance Licensing & Regulations

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For further information on Commercial Ambulance Services, please see Frequently Asked Questions or contact MIEMSS State Office of Commercial Ambulance Licensing & Regulation; phone: 410-706-8511 or via email: socalr@miemss.org.

* Commercial Ambulance Services are required to comply with all applicable local, State, and federal laws and regulations. The following web links are provided to assist you with the licensure process. Please note: the following resources are intended to serve as a reference, and do not represent all requirements for licensure.

Commercial Ambulance Applications & Forms

Service Applications

 TitleDescription
Commercial Ground Service Licensing ApplicationApplication for new commercial ground ambulance service.
Neonatal Service ApplicationApplication for a commercial ambulance service to become Neonatal licensed.
Optional/Pilot Program ApplicationApplication for the participation in the Optional/Pilot Program. (Updated 1/2022)
Specialty Care Transport ApplicationApplication for a commercial ambulance service to become Specialty Care licensed.

Equipment Checklists

 TitleDescription
ALS Equipment ListMIEMSS/SOCALR ALS Equipment List (Effective July 1, 2023 – June 30, 2024)
BLS Equipment ListMIEMSS/SOCALR BLS Equipment List (Effective July 1, 2023 – June 30, 2024)
Neonatal Equipment ListMIEMSS/SOCALR NEO Equipment List (Effective July 1, 2023 – June 30, 2024)
Specialty Care Transport Equipment ListMIEMSS/SOCALR SCT Equipment List (Effective July 1, 2023 – June 30, 2024)

Personnel Forms

 TitleDescription
5 & 35 Day Report (MS Word)
  • Medical Case Review
  • Patient Care Quality Assurance Incident Report (PCQA-IR)
  • 5-Day and 35-Day incident report.
5 & 35 Day Report (PDF)
  • Medical Case Review
  • Patient Care Quality Assurance Incident Report (PCQA-IR)
  • 5-Day and 35-Day incident report.
Commercial Officer Form Form to list all of the Officers of a commercial ambulance service.
Medical Director Agreement FormMedical Director agreement for a commercial ambulance service.
Medical Review Committee Membership FormForm to submit Medical Review Committee Membership
Non EMS licensed driver entry formForm to add Non EMS licensed driver to your approved SOCALR list
Quality Assurance Officer Designation FormForm to designate a QA Officer.
SCT Coordinator Designation FormForm to designate a service SCT Coordinator

Fees

 TitleDescription
Fee ScheduleSchedule of fees (Effective July 1, 2023 – June 30, 2024)

Vehicle Applications/Forms

 TitleDescription
Add Vehicle Application Application to add a vehicle to a commercial ambulance service’s fleet.
Drop Vehicle ApplicationApplication to remove a vehicle to a commercial ambulance service’s fleet.
Temporary Downgrade Request FormForm to request a temporary downgrade of a vehicle’s license level.
Temporary Upgrade Request FormForm to request a temporary upgrade of a vehicle’s license level.
Transfer Vehicle Application Application to transfer a vehicle’s license to another vehicle in a service’s fleet.
Upgrade/Downgrade Vehicle Application Application to request a permanent upgrade or downgrade of a vehicle’s license level.
Vehicle Collision & Personal Injury ReportForm to report a vehicle collision or personal injury.

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