Utah Admin. Code R426-2-900 - Nonemergency Secured Behavioral Health Transport Designation Applications
(1) A designated
nonemergency secured behavioral health transport provider shall provide to the
Department:
(a) name of the organization and
its principles;
(b) name of the
person or organization financially responsible for the service and
documentation from that entity accepting responsibility; and
(c) if the applicant is privately owned, they
shall submit certified copies of the document creating the entity.
(2) Provide a current plan of
operations, which shall include:
(a) a
description of operational procedures;
(b) description of how the designated
nonemergency secured behavioral health transport will interface with hospitals,
emergency receiving facilities, licensed mental health facilities, and EMS
providers;
(c) a list of current
insurance carriers and health facilities in which the designated provider has
current contracts;
(d) written
policies that address under what circumstances a transport will be declined for
medical or payment purposes;
(e) a
written protocol to activate 911 if an emergency medical situation arises;
and
(f) procedures for patient
care.
(3) Provide a
written policy of how the designated nonemergency secured behavioral health
transport will report patient care data to the Department.
(4) Provide a copy of its certificate of
insurance or if seeking application, provide proof of the ability to obtain
insurance to respond to damages due to operation of a vehicle in the and
following minimum amounts:
(a) liability
insurance in the amount of $1,000,000 for each individual claim; and
(b) liability insurance in the amount of
$1,000,000 for property damage from any one occurrence.
(5) A designated nonemergency secured
behavioral health transport provider shall obtain the insurance from an
insurance company authorized to write liability coverage in Utah or through a
self-insurance program and shall:
(a) provide
the Department with a copy of its certificate of insurance demonstrating
compliance with this section;
(b)
direct the insurance carrier or self-insurance program to notify the Department
of all changes in insurance coverage within 60 days; and
(c) provide the Department with a copy of its
certificate of insurance indicating coverage at or above $1,000,000 for
liability.
(6) Before
approval of the designation, all vehicles will be inspected and permitted by
the Department and shall meet the requirements in Subsection
R426-4-300(5).
Notes
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