Additional Eligibility and Minimum Requirements for MIH Applicant with ED Avoidance

Component (A) An MIH Applicant must include each designated primary ambulance service(s) in the applicable local jurisdiction(s) in order to be eligible to apply for a Certificate of Approval to operate an MIH Program that includes an ED Avoidance component. (B) A complete application for MIH Program with ED Avoidance Component shall, at a minimum: (1) Meet the minimum requirements set forth at 105 CMR 173.040(A); (2) Include appropriate clinical and triage protocols and advanced training for paramedics who will operate under the proposed ED Avoidance programming in accordance with 105 CMR 173.050 and protocols established by the Department pursuant to M.G.L. c. 111O; and (3) Describe the coordination and management of any 911 EMS patient who the responding paramedic finds, after assessment and consultation with online medical direction, may be more appropriately managed as an MIH patient, in accordance with the provisions of 105 CMR 173.100(B) and Department guidelines. (C) Upon receipt of a complete initial or renewal application for a Certificate of Approval to operate an MIH Program with ED Avoidance Component, the Department shall evaluate the application, and any other information requested by the Department, and determine approval based on the applicant's satisfaction of the minimum requirements set forth in 105 CMR 173.050(A).