An air ambulance operator may utilize the operator's ground ambulance for the transfer of a patient from one healthcare facility to another healthcare facility if:
(1) The patient's attending medical practitioner determines that the patient requires a level of care that is not available without a transfer; and
(2) The operator is unable to use the operator's air ambulance to transport the patient due to:
(a) Mechanical problems; or
(b) Inclement weather conditions.