Yes, SPEN 4 is the primary medevac option. This is all they really* have right now because UTAC 43D is not working for NorthSTAR. They can hear ground units calling them, but cannot talk back to the ground. Thus, agencies who washed VHF and SPEN capabilities out of their reach, (based on Central NJ encounters), are resorting to the nasty analog to P25 patches by having SPEN 4 patched into TRS TGs. I say nasty, as previous experiences with patching conventional analog frequencies like Warren PD in Somerset County into Countywide PD on the Somerset County TRS were completely worthless. However, in the last instance where North Plainfield needed a medevac, both the Somerset County TRS side and the SPEN side actually came across exceptionally well. This is no substitute for planning to have the appropriate communication capabilities equipped, but it at least should not be entirely detrimental for the time being.
*I am not familiar with the use of the NJICS UASI or StateComm TGs, which is applicable only to those who have NJICS access; I am only informing from the conventional analog front.