1. a) An off-road SEMSV Program shall be supervised and managed by the EMS MD or SEMSV MD (see Section 515.320(e)(1) through (4));

2. b) A statement signed by the EMS MD and the SEMSV MD containing the EMS MD's commitment to the following duties and responsibilities:

   1. 1) The supervision and management of the program;
   2. 2) Supervising and evaluating the quality of patient care provided by the off-road SEMSV crew;
   3. 3) Providing medical advice and expertise on the use, need and special requirements of off-road SEMSV transfer;
   4. 4) Submitting documentation assuring the qualifications of the off-road SEMSV crew; and

   5. 5) Assuring appropriate staffing of the off-road SEMS vehicle:

      1. A) For ALS operations, the vehicle shall be staffed by a minimum of one Paramedic, PHRN, PHPA, PHAPRN, or physician and one other EMT, A-EMT, EMT-I, Paramedic, PHRN, PHPA, PHAPRN, or physician, one of whom may also be the driver of the off-road SEMSV; and
      2. B) For BLS operations, the vehicle shall be staffed by a minimum of two of the following: EMTs, A-EMTs, EMT-Is, Paramedics, PHRNs, PHPAs, PHAPRNs, or physicians, one of whom may also be the driver of the off-road SEMSV;
3. c) Provide a list of required medical equipment and medications authorized by the EMS MD or SEMSV MD for use on the off-road SEMSV, dependent upon the various types of missions to which it will be responding, to the Department for approval (see Section 515.995);
4. d) Provide standing orders (treatment protocols, standard operating procedures) authorized by the EMS MD or SEMSV MD, to the Department for approval (see Section 515.APPENDIX D);
5. e) A description of the communications system linking the off-road SEMSV with the SEMSV Medical Direction point;
6. f) A description and map of the service area for each vehicle;
7. g) The identification number and description of all vehicles used in the program;
8. h) An agreement/contract with a licensed ground provider for transportation of patients; and
9. i) A description of the EMS System's method of providing emergency medical services using the SEMSV Program.

In addition to the requirements specified in Section 515.900, an SEMSV Program utilizing off-road SEMSV vehicles shall submit a program plan that includes the following:

(Source: Amended at 48 Ill. Reg. 16159, effective November 1, 2024)