Montana Administrative Code

37.104.201 COMMUNICATIONS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.202 SAFETY: GENERAL REQUIREMENTS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.203 EQUIPMENT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2010 MAR p. 535, Eff. 2/26/10; REP, 2023 MAR p.…

37.104.204 BASIC EQUIPMENT KIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.205 SAFETY AND EXTRICATION KIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.206 TRANSPORTATION EQUIPMENT KIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.208 SANITATION (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.212 RECORDS AND REPORTS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; AMD, 1997 MAR p. 1201, Eff. 7/8/97; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2…

37.104.213 PERSONNEL REQUIREMENTS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2010 MAR p. 535, Eff. 2/26/10; REP…

37.104.218 OFFLINE AND ONLINE MEDICAL DIRECTION (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2006 MAR p. 2420, Ef…

37.104.219 MEDICAL CONTROL: EMT-DEFIBRILLATION (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; AMD, 1997 MAR p. 1201, Eff. 7/8/97; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. …

37.104.220 MEDICAL CONTROL: EMT-INTERMEDIATE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05.

37.104.221 MEDICAL CONTROL: ADVANCED LIFE SUPPORT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2006 MAR p. 2420, …

37.104.3001 DEFINITIONS In addition to the definitions in 50-6-401, MCA, the following definitions apply to this subchapter: "Application" means the submission of written information by a health care facility, on forms required by the department, requesting designation as a speci…

37.104.3002 TRAUMA REGIONS The following regions are designated as trauma regions: the western trauma region, consisting of Beaverhead, Deer Lodge, Flathead, Granite, Lake, Lincoln, Mineral, Missoula, Powell, Ravalli, Sanders, and Silver Bow counties; the central trauma region, c…

37.104.3006 REGIONAL TRAUMA CARE ADVISORY COMMITTEES In addition to the requirements specified in 50-6-412, MCA, each Regional Trauma Care Advisory Committee must do the following: meet quarterly to identify specific regional trauma needs and to define corrective strategies; prop…

37.104.3007 STATE TRAUMA CARE COMMITTEE The State Trauma Care Committee shall: meet quarterly to identify specific statewide trauma needs and to define corrective strategies; keep minutes and provide copies of those minutes to each Regional Trauma Care Advisory Committee; advise …

37.104.301 AMBULANCE PERMITS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; AMD, 2000 MAR p. 1653, Eff. 6/30/00; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.3012 LEVELS OF TRAUMA FACILITIES The department may designate a health care facility as belonging to one of the following levels of trauma facilities: comprehensive trauma center; regional trauma center; area trauma hospital; community trauma facility; or trauma receiving …

37.104.3013 TRAUMA FACILITY REQUIREMENTS A designated trauma facility must: adhere to these rules; continue to be a health care facility; and continue to provide the resources required for its designated level of trauma facility, as described in the Montana Trauma Facility Design…

37.104.3014 TRAUMA REGISTRIES AND DATA REPORTING For the purpose of improving the quality of trauma care, all Montana health care facilities, as defined in 50-6-401, MCA, must participate in the state trauma register by collecting and reporting to the department the data listed i…

37.104.3020 COMPOSITION OF SITE REVIEW TEAMS The site review team for comprehensive trauma centers, regional trauma centers,area trauma hospitals, and community trauma facilities must be composed of either out-of-state or in-state surveyors from a trauma center that is not owned …

37.104.3021 DESIGNATION PROCEDURES FOR FACILITIES NOT VERIFIED BY AMERICAN COLLEGE OF SURGEONS A Montana health care facility that is not currently verified by the American College of Surgeons as meeting the American College of Surgeons' criteria to qualify for verification as a …

37.104.3022 DESIGNATION PROCEDURES FOR FACILITIES VERIFIED AS A TRAUMA FACILITY BY THE AMERICAN COLLEGE OF SURGEONS A health care facility with a current certificate of verification from the American College of Surgeons as a trauma facility qualifies as one of the following types…

37.104.3025 DESIGNATION PERIOD When a trauma facility is designated as such pursuant to ARM 37.104.3021, the period of designation is for three years beginning from the date the notice of designation is issued. When a trauma facility is designated as such pursuant to ARM 37.104.3…

37.104.3030 COMPLAINT INVESTIGATION, REVOCATION, OR EMERGENCY SUSPENSION The department may review, inspect, evaluate, and audit trauma patient medical records, inpatient logs, hospital emergency department logs, trauma performance improvement documentation, and any other documen…

37.104.3031 DENIAL MODIFICATION, SUSPENSION, OR REVOCATION OF DESIGNATION, AND APPEAL If the department proposes to deny, modify, suspend, or revoke a facility's trauma designation, the department shall notify the health care facility of that fact by registered or certified mail …

37.104.3034 REAPPLICATION FOR DESIGNATION Six months after the denial of its request for designation, a health care facility may reapply for trauma facility designation pursuant to ARM 37.104.3021 or 37.104.3022. If a health care facility's trauma designation has been revoked, on…

37.104.305 AMBULANCE SPECIFICATIONS: GENERAL (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.306 AMBULANCE SPECIFICATIONS: GROUND AMBULANCES (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1…

37.104.307 AMBULANCE SPECIFICATIONS: AIR AMBULANCE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020,…

37.104.311 SAFETY: GROUND AMBULANCE SERVICES (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. …

37.104.312 SAFETY: AIR AMBULANCE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.316 PERSONNEL REQUIREMENTS: BASIC LIFE SUPPORT GROUND AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/2…

37.104.317 PERSONNEL: EMT-DEFIBRILLATION GROUND AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05.

37.104.318 PERSONNEL: EMT-INTERMEDIATE GROUND AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05.

37.104.319 PERSONNEL: ADVANCED LIFE SUPPORT GROUND AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD,…

37.104.320 AUTHORIZATION (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.321 PERSONNEL: AEMT LIFE SUPPORT AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2010 MAR p. 535, Eff. 2/26/10; AMD, 2014 MAR p. 122, Eff. 1/17/14; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.325 PERSONNEL: AIR AMBULANCE, GENERAL (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.326 PERSONNEL: BASIC LIFE SUPPORT AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.327 PERSONNEL: EMT-DEFIBRILLATION LIFE SUPPORT AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/0…

37.104.328 PERSONNEL: EMT-INTERMEDIATE LIFE SUPPORT AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05.…

37.104.329 PERSONNEL: ADVANCED LIFE SUPPORT AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 20…

37.104.330 ECP LEVEL OF CARE LIMITATIONS (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2014 MAR p. 122, Eff. 1/17/14; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.335 OTHER REQUIREMENTS: AMBULANCE SERVICES (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2023 MAR p. 1020, Eff. 9/9/23.

37.104.336 OTHER REQUIREMENTS: AIR AMBULANCE SERVICE (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; REP, 2023 MAR p. 102…

37.104.401 PERSONNEL: BASIC LIFE SUPPORT NONTRANSPORTING UNIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/23/05; AMD, 2014 M…

37.104.402 PERSONNEL: EMT-DEFIBRILLATION LIFE SUPPORT NONTRANSPORTING UNIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05…

37.104.403 PERSONNEL: EMT-INTERMEDIATE LIFE SUPPORT NONTRANSPORTING UNIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305; REP, 2005 MAR p. 2681, Eff. 12/23/05.…