The State Board of Emergency Medical, Fire, and Transportation Services is responsible for the licensing of Ohio’s medical transportation services (air medical, ambulance, MoICU and ambulettes), and in accordance with Chapter 119 of the Ohio Revised Code, has adopted rules regulating medical transportation services and vehicles. Rules enforcement, including licensing and inspection processes are carried out by the Ohio Department of Public Safety, Division of Emergency Medical Services.

All medical transportation services (air medical, ambulance, MoICU and ambulettes) operating in the state of Ohio are required to be licensed unless excepted from licensure as set forth in section 4766.09 of the Ohio Revised Code.

Rules Provisions

The rules as set forth in Chapter 4766 of the Ohio Administrative Code include provisions relating to the following:

1. Requirements for an emergency medical service organization to receive a permit for an ambulance or non-transport vehicle;
2. Requirements for an emergency medical service organization to receive a license as a basic life-support, intermediate life-support, advanced life-support, or mobile intensive care unit organization;
3. Requirements for a nonemergency medical service organization to receive a permit for an ambulette vehicle;
4. Requirements for a nonemergency medical service organization to receive a license for an ambulette service;
5. Requirements for an air medical service organization to receive a permit for a rotorcraft air ambulance or fixed wing air ambulance;
6. Requirements for licensure of air medical service organizations;
7. Forms for applications and renewals of licenses and permits;
8. Requirements for record keeping of service responses made by licensed emergency medical service organizations;
9. Fee amounts for licenses and permits, and their renewals;
10. Inspection requirements for licensees' vehicles or aircraft, records, and physical facilities;
11. Fee amounts for inspections of ambulances, ambulettes, rotorcraft air ambulances, fixed wing air ambulances, and non-transport vehicles;
12. Requirements for ambulances and non-transport vehicles used by licensed emergency medical service organizations, for ambulette vehicles used by licensed nonemergency medical service organizations, and for rotorcraft air ambulances or fixed wing air ambulances used by licensed air medical service organizations that specify for each type of vehicle or aircraft the types of equipment that must be carried, the communication systems that must be maintained, and the personnel who must staff the vehicle or aircraft;
13. The level of care each type of emergency medical service organization, nonemergency medical service organization, and air medical service organization is authorized to provide;
14. Eligibility requirements for employment as an ambulette driver, including grounds for disqualification due to the results of a motor vehicle law violation check, chemical test, or criminal records check.
15. Other rules determined necessary for the implementation and enforcement of ORC 4766.