§ 46-88. Levels of service.

There shall be five levels of medical care or transportation services in the county. These are as follows:

(1)

Level 1. Alternative transportation services (ATS) are providers who routinely transport persons who are confined to wheelchairs or stretchers and whose condition is such that these persons do not need nor are likely to need, immediate medical attention during transport. This service is also known as paratransit. A certificate of public convenience and necessity shall be obtained from the county before engaging in this level of transportation service.

(2)

Level 2. Basic life support nontransport (BLS nontransport) are providers authorized to provide BLS first-response assistance to the patient requiring emergency medical care. These providers do not transport patients

(3)

Level 3. Advanced life support nontransport (ALS nontransport) are providers authorized to provide nontransport ALS. A certificate of public convenience and necessity shall be obtained from the county before engaging in this level of service.

(4)

Level 4. Advanced life support transport (ALS transport) are providers authorized to provide ALS medical services and who routinely transport their patients to a medical facility. A certificate of public convenience and necessity shall be obtained from the county before engaging in this level of medical care. Certified providers who respond to requests for transportation will respond with an ALS staffed and equipped vehicle only.

(5)

Level 5. Pre-hospital air ambulance service is any publicly or privately owned service which operates rotary-winged aircraft in conjunction with Volusia County's Emergency Medical Services System. A certificate of public convenience and necessity shall be obtained from the county before engaging in this level of medical service.

(Ord. No. 2003-14, § III, 8-21-03)