Montana Administrative Code

37.104.404 PERSONNEL: ADVANCED LIFE SUPPORT NONTRANSPORTING UNIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305;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, 201…

37.104.405 PERSONNEL: AEMT LIFE SUPPORT NONTRANSPORTING UNIT (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 2010 MAR p. 535, Eff. 2/26/10; AMD, 2014 MAR p. 122, Eff. 1/17/14;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.

37.104.410 OTHER REQUIREMENTS: NONTRANSPORTING SERVICES (REPEALED) Authorizing statute(s): 50-6-323, MCA Implementing statute(s): 50-6-323, MCA History: NEW, 1989 MAR p. 2212, Eff. 1/1/90; TRANS, from DHES, 2001 MAR p. 2305;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.

37.104.501 DEFINITIONS As used in this subchapter, the following definitions apply: "Accrediting body" means a national or international organization which: reviews the facilities, vehicles, equipment, and operations of an ambulance service; uses trained site-surveyors with exper…

37.104.504 EMS AGENCY SERVICE MANAGER DUTIES The service manager of an emergency medical service must ensure: when the service is a BLS service, the care provided by ECP conforms to the general standard of care promulgated by the board; when the service is an ALS service, the ser…

37.104.505 EMS AGENCY SERVICE MEDICAL DIRECTOR DUTIES The service medical director must: perform all duties and responsibilities consistent with ARM 24.156.2732 and offline medical direction under 50-6-302, MCA; ensure that care provided by ECP staff conforms to the service's boa…

37.104.506 EMS AGENCY RECORDS AND REPORTS Each emergency medical service must maintain a patient care record for every emergency medical service incident. In incidents where more than one patient is encountered, one patient care record shall be completed for each patient. In the …

37.104.507 EMS AGENCY GENERAL SERVICE REQUIREMENTS Except as otherwise specifically provided in this subchapter, no person may: advertise the provision of an emergency medical service without first having obtained a license from the department; or advertise, allow advertisement o…

37.104.508 EMS AGENCY MINIMUM STAFFING REQUIREMENTS Except as provided in (a) through (d), ambulance services shall adhere to the minimum staffing requirements set forth in Table 1 of the Emergency Medical Services Rule Appendix when responding to a request for service that has n…

37.104.509 EMS AGENCY LICENSE TYPES AND LEVELS A license will be issued for, and authorize performance of, emergency medical services for the following types of service: air ambulance fixed wing; air ambulance rotor wing; ground ambulance; or nontransporting medical unit. A licen…

37.104.510 EMS AGENCY LICENSE APPLICATION REQUIREMENTS Applications for licensing and renewal of licensing must be made using department-approved electronic forms.Except as provided under (10), the term of an EMS license is two years.Applications must be accompanied by the licens…

37.104.513 NONTRANSPORTING MEDICAL UNIT SERVICE REQUIREMENTS A nontransporting medical unit must have an agreement with a licensed ambulance service to ensure continuity of care and adequate transportation for its patients.An ambulance service is not required to approve of, or en…

37.104.514 GROUND AMBULANCE SERVICE REQUIREMENTS The interior of an ambulance, including all storage areas, must be kept clean and free from dirt, grease, and other contaminants. Persons utilized as drivers of ambulances must have a valid driver's license and have completed the s…

37.104.515 GROUND AMBULANCE SPECIFICATIONS All ground ambulances must have or meet the following specifications: the word "ambulance" must be affixed in mirror image in reflectorized lettering at least four inches tall, centered above the grill on the front of the vehicle; and th…

37.104.516 AMBULANCE PERMITS Except as provided in (7), no ambulance may be utilized by an ambulance service until the department has found it is, at the time of inspection, in compliance with these rules and issued a permit to the ambulance service for the ambulance. The departm…

37.104.517 GROUND AND AIR AMBULANCE INSPECTIONS Each ambulance must be inspected every 24 months unless: the ambulance service has current and valid ambulance accreditation without variance or limitations from an accrediting body and provides the department with documentation of …

37.104.518 ADVISORY COMMITTEE The purpose of the advisory committee is to advise the department consistent with 50-6-323, MCA, on matters including: the equipment and materials required for an emergency medical service; the data to be collected and submitted to the department; th…

37.104.601 DEFINITIONS (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-501, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08; AMD, 2020 MAR p. 2146, Eff. 11/21/20; RE…

37.104.604 WRITTEN PLAN (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-501, 50-6-503, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08; AMD, 2020 MAR p. 2146, Eff. 1…

37.104.605 WRITTEN NOTICE (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-502, 50-6-503, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; REP, 2026 MAR, Notice No. 2025-175, Eff. 1/24/26.

37.104.606 REPORTS (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-502, 50-6-503, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08; AMD, 2020 MAR p. 2146, Eff 11/21/2…

37.104.610 TRAINING (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-502, 50-6-503, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08; REP, 2026 MAR, Notice No. 2025-17…

37.104.615 MEDICAL PROTOCOL (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-502, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08; AMD, 2020 MAR p. 2146, Eff. 11/21/2…

37.104.616 REQUIREMENTS OF AUTOMATED EXTERNAL DEFIBRILLATORS (AED) (REPEALED) (REPEALED) Authorizing statute(s): 50-6-503, MCA Implementing statute(s): 50-6-503, MCA History: NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2005 MAR p. 2681, Eff. 12/2…

37.104.801 TRANSMITTABLE INFECTIOUS DISEASES The following infectious diseases are designated as having the potential of being transmitted to emergency services providers through an exposure described in ARM 37.104.804: human immunodeficiency virus infection (AIDS or HIV infectio…

37.104.804 REPORTABLE EXPOSURE The types of exposures that a designated officer shall report to a health care facility upon the request of an emergency services provider are: any person to person contact in which a co-mingling of respiratory secretion (saliva and sputum) of the p…

37.104.805 EXPOSURE FORM A report of exposure must be filed with the health care facility by the designated officer on a form developed and approved by the department, entitled "Report of Exposure". The report form will require the following, at a minimum: name, address, and phon…

37.104.810 RECOMMENDED MEDICAL PRECAUTIONS AND TREATMENT At a minimum, a health care facility that notifies the designated officer of the emergency services provider who attended a patient prior to or during transport or who transported a patient who has been diagnosed as having …

37.106.1001 MINIMUM STANDARDS FOR AN OUTPATIENT FACILITY (REPEALED) Authorizing statute(s): 50-5-103, 50-5-404, MCA Implementing statute(s): 50-5-103, 50-5-204, 50-5-404, MCA History: NEW, 1980 MAR p. 1587, Eff. 6/13/80; TRANS, from DHES, 2002 MAR p. 185; REP, 2011 MAR p. 578, Ef…

37.106.1002 PURPOSE The purpose of these rules is to establish the licensing requirements for the licensure of outpatient centers for primary care. Authorizing statute(s): 50-5-103, 53-6-106, MCA Implementing statute(s): 50-5-103, 50-5-106, 50-5-114, 50-5-116, 50-5-201, 50-5-204,…

37.106.1004 SCOPE For purposes of this subchapter, outpatient centers for primary care include the facilities described at 50-5-101(41), MCA, outpatient birth centers and radiological imaging facilities. Authorizing statute(s): 50-5-103, 53-6-106, MCA Implementing statute(s): 50-…

37.106.1006 DEFINITIONS "Low risk patient" means a pregnant woman with a normal, uncomplicated prenatal course as determined by adequate prenatal care and prospects for a normal, uncomplicated birth as defined by reasonable and generally accepted criteria of maternal and fetal he…

37.106.1008 MINIMUM STANDARDS FOR OUTPATIENT CENTERS FOR PRIMARY CARE An outpatient center for primary care must meet the requirements of ARM Title 37, chapter 106, subchapter 3 relating to minimum standards for all health care facilities. An outpatient center for primary care sh…

37.106.101 DEFINITIONS For the purpose of this subchapter: "Capital expenditure" is defined as provided in 50-5-101, MCA. "Long-term care facilitiesplan" means theplan prepared by the departmentcontaining guidelines for determining need forlong-term care facilities and services s…

37.106.1010 WRITTEN POLICIES AND PROCEDURES Each outpatient center for primary care shall maintain a policy and procedure manual. The policy and procedure manual shall be reviewed and updated as necessary, but at least annually. The manual shall contain policies and procedures fo…

37.106.1012 MINIMUM STANDARDS FOR OUTPATIENT CENTERS FOR PRIMARY CARE: BIRTH CENTERS If an outpatient center for primary care operates a birth center, the birth center shall: comply with the requirements of ARM 37.106.1008; show written evidence of current accreditation byan accr…

37.106.1014 OPERATION STANDARDS FOR OUTPATIENT CENTERS FOR PRIMARY CARE: BIRTH CENTERS A birth center organization: maintains a governing body that meets regularly; and actively seeks and takes appropriate action on feedback from its consumers. A birth center administration shall…

37.106.1016 MINIMUM STANDARDS FOR OUTPATIENT FACILITIES: IMAGING SERVICES If an outpatient center for primary care provides diagnostic imaging services, the center must meet the following standards: a qualified full-time, part-time, or consulting radiologist must be utilized to i…

37.106.1018 FACILITY INSPECTIONS Outpatient centers for primary care are subject to inspection requirements provided in 50-5-116 and 50-5-204, MCA. Authorizing statute(s): 50-5-103, 53-6-106, MCA Implementing statute(s): 50-5-103, 50-5-106, MCA History: NEW, 2011 MAR p. 578, Eff.…

37.106.103 LONG-TERM CARE: WHERE ALLOWED A health care facility, as defined in 50-5-301 , MCA, may provide long-term care only if: it is licensed to provide the level of care in question; or it has received certificate of need approval pursuant to ARM 37.106.126 for the establish…

37.106.106 SUBMISSION OF LETTER OF INTENT Any person proposing an activity other than those to which (2) and (3) apply and that is subject to review under 50-5-301 , MCA, and not exempt under 50-5-309, MCA, shall submit to the department a letter of intent that contains the follo…

37.106.107 SUBMISSION OF APPLICATIONS An application will be accepted only after submission of a letter of intent. The deadline set by the department for submission of an application will not exceed 90 days unless the department and all affected applicants agree to a longer perio…

37.106.108 NOTICE OF ACCEPTANCE OR EFFECTIVE WITHDRAWAL OF APPLICATION When an application is determined to be complete, the department shall issue a letter of acceptance. When an application is determined to be incomplete after the applicant has been given an opportunity to subm…

37.106.1101 MEDICAL ASSISTANCE FACILITIES: DEFINITIONS (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 2022 MAR p. 1876, Eff. 9/24/22.…

37.106.1103 MEDICAL ASSISTANCE FACILITIES: ORGANIZATIONAL STRUCTURE; GOVERNING BODY (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 202…

37.106.1104 MEDICAL ASSISTANCE FACILITIES: MEDICAL STAFF (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 2022 MAR p. 1876, Eff. 9/24/22…

37.106.1105 MEDICAL ASSISTANCE FACILITIES: MEDICAL RECORDS (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 2022 MAR p. 1876, Eff. 9/24/…

37.106.1110 MEDICAL ASSISTANCE FACILITIES: QUALITY ASSURANCE (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 2022 MAR p. 1876, Eff. 9/2…

37.106.1111 MEDICAL ASSISTANCE FACILITIES: UTILIZATION REVIEW (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; AMD, 1996 MAR p. 682, Eff. 3/8/96; TRANS, from DHES, 2002 MAR p. …

37.106.1112 MEDICAL ASSISTANCE FACILITIES: INFECTION CONTROL (REPEALED) Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-101, 50-5-103, 50-5-204, MCA History: NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185; REP, 2022 MAR p. 1876, Eff. 9/2…