Verification of Compliance

10.1.3 - Verification of Compliance (Rev. 1, 10-01-03) B3-2120.1.C, B3-2120.1.C, HO-236.1 In determining whether the vehicles and personnel of each supplier meet all of the above requirements, A/B MACs (B) may accept the supplier’s statement (absent information to the contrary) that its vehicles and personnel meet all of the requirements if: 1. The statement describes the first aid, safety, and other patient care items with which the vehicles are equipped; 2. The statement shows the extent of first aid training acquired by the personnel assigned to those vehicles; 3. The statement contains the supplier’s agreement to notify the A/B MAC (B) of any change in operation which could affect the coverage of ambulance services; and 4. The information provided indicates that the requirements are met. The statement must be accompanied by documentary evidence that the ambulance has the equipment required by State and local authorities. Documentary evidence could include a letter from such authorities, a copy of a license, permit, certificate, etc., issued by the authorities. The A/B MAC (B) will keep the statement and supporting documentation on file. When a supplier does not submit such a statement or whenever there is a question about a supplier’s compliance with any of the above requirements for vehicle and crew (including suppliers who have completed the statement), A/B MACs (B) will take appropriate action including, where necessary, on-site inspection of the vehicles and verification of the qualifications of personnel to determine whether the ambulance service qualifies for reimbursement under Medicare. Since the requirements described above for coverage of ambulance services are applicable to the overall operation of the ambulance supplier’s service, information regarding personnel and vehicles need not be obtained on an individual trip basis.