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UNOFFICIAL 1737-97 (ii) Multiple system injuries; (iii) Complications of labor or prematurity of newborn children with respiratory distress; or (iv) Other acute injuries or illnesses beyond local capabilities; and do not allow for service or time delays; or (B) Recipients to be transported on an arranged basis cannot travel by

regularly scheduled commercial flights because the recipients are:

(i) In spica casts returning home to another island; or (ii) Long-term care patients who are bed-bound and going to another island; (3) If by air ambulance: (A) Shall be authorized for a one-way trip only; and (B) Shall have life support services and at least one attendant on the flight; (4) Shall be arranged by the recipient's attending physician or hospital who shall complete and sign the appropriate form justifying the use of an air ambulance and give the original and all copies of the form to the air ambulance crew chief; and (5) May be coordinated with surface ambulance service by the referring physician to the designated hospital on the island of destination.

(e) In a non-emergency situation, air transportation:

(1) Shall be subject to prior review and authorization by the department's medical consultant; (2) May be provided in the form of a round-trip ticket when medical services on another island are recommended by the attending physician and the recipient is expected to return home in two weeks or less; (3) May be provided in the form of a round-trip ticket to a person accompanying the recipient if an attendant's service is recommended by the commercial carrier. Payment may be made for an attendant's services when rendered by

a person other than a relative under section 17-1739-7; and (4) Shall be by regularly scheduled commercial flights.