Glucometry Waiver is Necessary for EMS
The federal government requires that all laboratories testing human specimens, such as blood, for the purposes of diagnosis and treatment, must be certified by the Health Care Finance Administration (HCFA), Department of Health and Human Services. This applies to EMS agencies that perform glucometry tests. These requirements are set forth in Clinical Laboratory Improvement Amendments (CLIA) of 1988. Fortunately, the government also allows for a CLIA waiver when certain conditions are met. The bad news is there is the waiver application and fee, and biannual renewal process and fee. The good news is that EMS agencies are eligible for the waiver. The better news is that the Tidewater EMS Council maintains a regional CLIA waiver for all of its EMS agencies.
HCFA first began to notify laboratories in 1991 of the CLIA requirements, and final regulations were not adopted for another year. The EMS community became aware of the regulations about a year later and began to investigate the necessity for compliance. By 1994 it became clear that EMS was expected to comply, and efforts were begun to seek cost-effective, multiagency waivers. One state was able to obtain a statewide waiver; Virginia attempted but failed on a statewide basis. The Old Dominion EMS Council applied for a regional waiver and was successful. Tidewater essentially copied the Old Dominion waiver application and procedures and was awarded a regional waiver in January of 1996. The waiver was valid for two years and the council has continued to renew its waiver every other year. You can download the most recent regional waiver below. A number of other EMS regions have also obtained waivers.
Some 40 of the region’s licensed EMS agencies have fulfilled the requirements to fall under the council’s umbrella waiver. The agency requirements are simple: advise the council that you want to fall under the regional waiver, provide a list of glucometry equipment (make and model) that you use and agree to use and maintain the equipment according to manufacturer’s specifications. A standard one-page agreement form is available from the council for that purpose (see download below). Of course, if your agency does not use glucometry, the waiver is not necessary. If you are in doubt whether your agency falls under the regional CLIA waiver, please feel free to contact the TEMS office at (757) 963-0632.
Whether your agency falls under a state, regional or local waiver, be aware that federal regulations require laboratory certification, or a waiver, for any EMS agency performing tests on human specimens.
Click here to download a current copy of the Regional Certificate of Waiver -
2020 - 2022 TEMS CLIA
Display Available From Tidewater EMS Council
EMS Council purchased a new public information display for loan to EMS agencies.
The display is ideal for career and volunteer recruitment or any other event
such as an open house or mall display.
When set up, the display is
about 8 feet tall and 10 feet wide. It has a collapsible frame with attached
panels. Two of the panels feature fire/EMS providers and the other panels are a
carpet-like material for Velcro-attached photos or any custom graphic. Our
loaner includes the message panels and two literature holders as shown in the
photo, a small projection screen, plus two top mounted halogen lamps. One
person can easily transport and set up the display.
A carrying case doubles as a
podium. We have purchased a TEMS graphic for the podium, which is removable, and
any agency can purchase a custom “podium wrap” if desired for around $200. The
main display graphic can also be customized.
your next event and to discuss custom options. The display was purchased with
RSAF grant funding assistance from the Virginia Office of EMS.