Wis. Admin. Code Department of Health Services DHS 105.39 - Specialized medical vehicle providers
(1) For MA
certification, a specialized medical vehicle provider shall meet the
requirements of this section and shall sign the affidavit required under sub.
(6) stipulating that the provider is in compliance with the requirements of
this section as well as with the requirements of the department of
transportation for human service vehicles under ss.
110.05 and
340.01(23g),
Stats., and ch. Trans 301, and shall provide proof of compliance when requested
by the department.
(2) VEHICLES.
(a) Insurance of not less than $250,000
personal liability for each person, not less than $500,000 personal liability
for each occurrence and not less than $10,000 property damage shall be carried
on each specialized medical vehicle used to transport a recipient.
(b) Each vehicle shall be inspected and the
inspection documented at least every 7 days by an assigned driver or mechanic,
to ensure:
1. The proper functioning of the
vehicle systems including but not limited to all headlights, emergency flasher
lights, turn signal lights, tail lights, brake lights, clearance lights,
internal lights, windshield wipers, brakes, front suspension and steering
mechanisms, shock absorbers, heater and defroster systems, structural integrity
of passenger compartment, air conditioning system, wheelchair locking systems,
doors, lifts and ramps, moveable windows and passenger and driver restraint
systems;
2. That all brakes, front
suspension and steering mechanisms and shock absorbers are functioning
correctly;
3. That all tires are
properly inflated according to vehicle or tire manufacturers' recommendations
and that all tires possess a minimum of 1/8-inch of tread at the point of
greatest wear; and
4. That
windshields and mirrors are free from cracks or breaks.
(c) The driver inspecting the vehicle shall
document all vehicle inspections in writing, noting any deficiencies.
(d) All deficiencies shall be corrected
before any recipient is transported in the vehicle. Corrections shall be
documented by the driver. Documentation shall be retained for not less than 12
months, except as authorized in writing by the department.
(e) Windows, windshield and mirrors shall be
maintained in a clean condition with no obstruction to vision.
(f) Smoking is not permitted in the
vehicle.
(g) Police, sheriff's
department and ambulance emergency telephone numbers shall be posted on the
dash of the vehicle in an easily readable manner. If the vehicle is not
equipped with a working two-way radio, sufficient money in suitable
denominations shall be carried to enable not less than 3 local telephone calls
to be made from a pay telephone.
(h) A provider shall maintain a list showing
for each vehicle its registration number, identification number, license
number, manufacturer, model, year, passenger capacity, insurance policy number,
insurer, types of restraint systems for wheelchairs and whether it is fitted
with a wheelchair lift or with a ramp. Attached to the list shall be evidence
of compliance with ch. Trans 301.
(3) VEHICLE EQUIPMENT.
(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.
(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.
(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.
(4) DRIVERS.
(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.
(b)
1. Each
driver before driving a vehicle or serving as an attendant shall have received
all of the following:
a. Basic Red Cross or
equivalent training in first aid and cardiopulmonary resuscitation
(CPR);
b. Specific instructions on
care of passengers in seizure; and
c. Specific instructions in the use of all
ramps, lift equipment and restraint devices used by the provider.
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.
(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.
(5) COMPANY
POLICY. Company policies and procedures shall include:
(a) Compliance with state and local laws
governing the conduct of businesses, including ch. Trans 301.
(b) Establishment and implementation of
scheduling policies that assure timely pick-up and delivery of passengers going
to and returning from medical appointments;
(c) Documentation that transportation
services for which MA reimbursement is sought are:
1. For medical purposes only;
2. Ordered by the attending provider of
medical service; and
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;
(d)
Maintenance of records of services for 5 years, unless otherwise authorized in
writing by the department; and
(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.
(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:
(a) A statement of the requirements listed in
this section;
(b) The date the form
is completed by the provider;
(c)
The provider's business name, address, telephone number and type of
ownership;
(d) The name and
signature of the provider or a person authorized to act on behalf of the
provider; and
(e) A notarization.
Note: For covered transportation services, see s. DHS 107.23.
(7) DENIAL OF RECERTIFICATION. If a provider
violates provisions of this chapter, s.
DHS
106.06,
107.23 or any other instruction in MA
program manuals, handbooks, bulletins or letters on provision of SMV services 3
times in a 36-month period, the department may deny that provider's request for
re-certification.
Notes
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