La. Admin. Code tit. 48 § I-6019

Current through Register Vol. 50, No. 11, November 20, 2024
Section I-6019 - Changes [Formerly section 6013]
A. An ambulance service/provider shall notify the Louisiana Department of Health, in writing, within five working days of the occurrence of any changes in:
1. physical address of the headquarters;
2. agency name;
3. phone number;
4. 24-hour contact procedure;
5. ownership (CHOW form is required);
6. physical address, email address or phone number of any substation or the addition of any substation;
7. administrator(s)/chief of EMS (a completed key personnel change form is required);
8. director of operations (a completed key personnel change form is required);
9. medical directors (a completed key personnel change form is required);
10. insurance coverage;
11. cessation of business in accordance with §6029; or
12. change in the service area.
B. Change of Ownership (CHOW)
1. Actions which constitute a CHOW include, but are not limited to the following.
a. Unincorporated Sole Proprietorship. Transfer of title and property to another party.
b. Corporation/Limited Liability Corporation (LLC). The merger of the ambulance service/provider corporation into another corporation, or the consolidation of two or more corporations, resulting in the creation of a new corporation.
i. Transfer of corporate stock or the merger of another corporation into the ambulance service/provider corporation does not constitute a CHOW.
c. Partnership. In the case of a partnership, the removal, addition or substitution of a partner, unless the partners expressly agree otherwise, as permitted by applicable state law.
d. Leasing. The lease of all or part of an ambulance service's/provider's entity constitutes a CHOW of the leased portion.
2. Change of Ownership packets may be obtained electronically from the Bureau of EMS' website.
a. Only an agency with a full license shall be approved to undergo a CHOW.
b. An ambulance service license is not transferable from one entity or owner to another.
i. an ambulance service that is under license revocation, provisional licensure, or denial of license renewal may not undergo a CHOW.
3. The following information must be submitted within five working days after the act of sale:
a. a new license application and the current licensing fee:
i. the purchaser of the agency must meet all criteria required for initial licensure as an ambulance service/provider;
b. any changes in the name and/or address of the ambulance service;
c. changes in medical director or director of operations, administrator, or chief of EMS.
d. disclosure of ownership forms; and
e. a copy of the Bill of Sale and Articles of Incorporation.

La. Admin. Code tit. 48, § I-6019

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 35:472 (March 2009), Amended Department of Health, Office of Public Health, Bureau of Emergency Medical Services, LR 49886 (5/1/2023).
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, R.S. 40:1135.1 and R.S. 40:1135.2.