The facility shall:

1. A. Transfer the clinically appropriate acute stroke patient after initial treatment and stabilization to the appropriate MIEMSS designated primary stroke center, primary stroke center with endovascular capability, or comprehensive stroke center; and

2. B. Maintain an agreement or agreements with a commercial ambulance service to:

   1. (1) Transfer stroke patients as clinically necessary;
   2. (2) Ensure the appropriate delivery of care during transport; and
   3. (3) Limit utilization of local emergency medical services (EMS) resources unless by pre-existing agreement.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: July 1, 2021 (48:9 Md. R. 360)

Regulation effective July 21, 2025 (52:14 Md. R. 714)