- (A) Following Department determination that the proposed MIH or Community EMS Program has met the minimum requirements of 105 CMR 173.000, the Department shall issue a Certificate of Approval to the applicant, subject to any terms and conditions specified by the Department.
- (B) Unless otherwise expressly denied by the Department in writing, notification, as set forth in 105 CMR 173.060(A), shall constitute a valid Certificate of Approval for the purposes of a Community EMS Program pursuant to 105 CMR 173.060 and 173.070.
- (C) A Certificate of Approval shall be valid for two years from the date of issue unless otherwise specified in the Certificate of Approval.
- (D) The Department may deny an application for a Certificate of Approval for any of the reasons set forth in 105 CMR 173.080.
- (E) A Certificate of Approval may not be transferred or assigned to another service, program, agency, entity, or location.
- (F) After receipt of a Certificate of Approval, an MIH or Community EMS Program may seek approval of modifications in accordance with processes and criteria established in Department guidance.