Licensing for Air Ambulance

A. Licensure as an air ambulance service shall only be granted to a person or entity that directs and controls the integrated activities of both the medical and aviation components.

Note: Air ambulance requires the teaming of medical and aviation functions. In many instances, the entity that is providing the medical staffing, equipment and control is not the certificate aircraft operator but has an arrangement with another entity to provide the aircraft. Although the aircraft operator is directly responsible to the FAA for the operation of the aircraft, one organization, typically the one in charge of the medical functions, directs the combined efforts of the aviation and medical components during patient transport operations.

B. No person or organization may operate an air ambulance service unless such person or organization has a valid license issued by DEMS. Any person desiring to provide air ambulance services shall, prior to operation, obtain a license from DEMS. To obtain such license, each applicant for an air ambulance license shall pay the required fee and submit an application on the prescribed air ambulance licensure application forms. The license shall automatically expire at the end of the licensing period.

C. Prior to operation as an air ambulance, the applicant shall obtain a permit for each aircraft it uses to provide its service.

D. Each licensee shall be able to provide air ambulance service within 90 days after receipt of its license to operate as an air ambulance from the licensing authority.

E. Each aircraft configured for patient transport shall meet the structural, equipment and supply requirements set forth in these regulations.

F. An air ambulance license is dependent on, and concurrent with, proper FAA certification of the aircraft operator(s) to concurrent with proper FAA certification of the aircraft operator(s) to conduct operations under the applicable parts of the Federal Aviation Regulations (included are Parts 1, 43, 61, 67, 91, 135).

G. Current, full accreditation by the Commission on Accreditation of Air Medical Services (CAAMS) or equivalent program will be accepted by DEMS as compliance with the requirements set forth.

H. A provider's license will be suspended or revoked for failure to comply with the requirements of these regulations.

I. No licensee shall operate a service if their license has been suspended or revoked.

J. Any provider that maintains bases of operation in more than one state jurisdiction shall be licensed at each base by DEMS having jurisdiction.