105 CMR 173.060
Community EMS Program Approval
(A) Any Community EMS Applicant seeking a valid Certificate of Approval for public health
service(s) as defined in Department guidelines issued pursuant to 105 CMR 173.060(B) shall be
required to provide notification, in the form and manner as determined by the Department, at
least 30 calendar days prior to anticipated commencement of Community EMS Program
operations.
(B) The Department shall not issue a Certificate of Approval to authorize a Community EMS
Program to provide any services other than those evidence-based illness and injury prevention
services, such as falls prevention, concussion training, certain vaccinations under local public
health authority direction, blood pressure screenings and health promotion screening programs,
pursuant to 105 CMR 180.000:
The Operation, Approval and Licensing of Clinical
Laboratories, that are deemed high-value public health services with low-risk potential to
patients as defined by the Department in guidelines and are consistent with identified community
health needs. Persons may submit to the Commissioner for consideration by the Department a
written request with appropriate supplemental evidence supporting the future inclusion in, or
exclusion from, said guidelines of certain evidence-based illness and injuryprevention service(s).
(C) All EMS Personnel training and activities related to the Community EMS Program must
be approved by the local public health agency and the primary ambulance service's affiliate
hospital medical director.
(D) The designated primary ambulance service's affiliate hospital medical director shall:
Ensure all EMS Personnel providing services in a Community EMS Program
successfully complete additional training tailored to meet the specific needs of the particular
Community EMS Program;
(2) Review the quality of the EMS Personnel's delivery of services; and
(3) Ensure EMS Personnel provide services only within their scope of practice.