- a) The Department's Mobile Integrated Health application form provided by the Regional EMS Coordinator;
- b) Statement from the Illinois licensed service provider that the provider has the resources and personnel to meet both their response area and to support the MIHP;
- c) Mobile Integrated Health (MIH) System Policy;
- d) MIH Quality Improvement Plan to be submitted to the Department on a quarterly basis;
- e) MIH Orientation and training plan;
- f) MIH Medication and Equipment list; and
- g) List of EMS personnel that participate in the program.
An EMS MD shall submit to the Department a program plan covering the following for the EMS System's Mobile Integrated Healthcare Program (MIHP):
(Source: Added at 48 Ill. Reg. 16159, effective November 1, 2024)