Memorandum of Agreement for ALS-level EFR Services

(A) An ALS-level EFR service must maintain a current memorandum of agreement with either: (1) the primary ambulance service designated in its service zone, provided that it is at the same level of ALS licensure or higher; or (2) another transporting ALS ambulance service at the same or higher level of ALS licensure, provided that the agreement is coordinated through the primary ambulance service. (B) The memorandum of agreement shall establish protocols for: (1) medical control and medical direction that include, at a minimum, confirmation of the ALS-level EFR service’s current affiliation agreement that complies with 105 CMR 170.300; (2) interaction of EMS personnel; (3) direct communication between the EFR vehicle and the transporting ambulance and its dispatch center; and (4) assuring continuity of ALS care, begun at the scene, throughout transport.