Do HEMS companies allow pilots to hand fly approaches and/or en route, in IMC, or must everything in IMC be done with the AP?

Here dual pilot yes, single pilot no.

https://www.faa.gov/air_traffic/publications/atpubs/aim_html/chap10_section_1.html

https://www.govinfo.gov/content/pkg/CFR-2012-title14-vol3/pdf/CFR-2012-title14-vol3-sec135-105.pdf

with the question bro 

The RFM is a factor. Look at the supplement for the auto-pilot for restrictions.

the rfm does not tell you to hand fly or not. that's the question dummie

The following FAA link says refer to the RFM

https://www.faa.gov/air_traffic/publications/atpubs/aim_html/chap10_section_1.html

the rfm does not answer that question, newbie

Use the autopilot, dope.  Practice vfr hands on (often) so you are proficient if you have to.  If you are looking at the RFM, GOM or FAR to discuss this issue you have failed.

and you didn't answer the question, either. the answer is only in one place. the gom 

I thought it would be in the Ops Specs. It's odd that not a single HEMS guy is on this forum to definitively answer this simple question. Thanks for nothing guys. What a bunch of clowns on here.

because every employer is different. it's in the gom. why the hell would it be in the op specs. at PHI, you are not allowed to hand fly single pilot in IMC.

you're doing it wrong 

yeah, turn it off in the level d all the time. 

lol where do these idiots come from

in the "level d" and killed my crew due to over confidence

https://www.youtube.com/watch?v=75GaqVWqEXU

There is a difference between "hand flying" and with (without) "AP".  Hand Flying would indicate you are manipulating your rate of descent and starting/stopping turns via hand.  Your SAS, AFCS, altitude/heading/airspeed holds are still on and active.  You're just not dialing in your altitudes and headings via the pots.  Without AP would indicate you want to secure all stability augmentation which in turn alleviates your holds as well as dialing in altitudes/headings too.  At some point during the approach, you're going to have "hand fly" it to the deck.       

hand flying is uncoupled from upper modes.

Thanks for explaining something we all know. Everyone knows hand flying is decoupled from the upper modes. We know SAS is still. And to the guy that pointed out you hand fly the bottom of every approach, well of course we do once we break out. The autopilot isn't landing the thing now is it. The check airmen are correct. They see some crazy stuff from some of the pilots.

"There is a difference between "hand flying" and with (without) "AP".  Hand Flying would indicate you are manipulating your rate of descent and starting/stopping turns via hand.  Your SAS, AFCS, altitude/heading/airspeed holds are still on and active.  You're just not dialing in your altitudes and headings via the pots.  Without AP would indicate you want to secure all stability augmentation which in turn alleviates your holds as well as dialing in altitudes/headings too.  At some point during the approach, you're going to have "hand fly" it to the deck."   

- keep thinking.  Ur mixing a couple realities.

Careless or reckless operation.  Well St Peter, I killed myself and my passengers because while I had an autopilot, no one could cite a regulation that said I had to use it.  Those clowns.  They are probably calling me a hero at my funeral.

you killed yourself because there wasn't a regulation against it. 

lol

hot fueling your it's most likely in the gom. I wonder why you can't find it.

In general, no. All IMC flying is done with aid of the auto flight system. There are periods where you are IMC and may not have the autopilot upper modes in use. Though, that time is largely limited to take off/climb out and the end of the approach. That said, even then most are using the autopilot upper modes. Now, im training we spend quite a bit of time hand flying and working in AP failures of different sorts. To regularly hand fly in IMC SPIFR is not the normal procedure when you have many other tools thst are there to reduce workload and enhance safety.

there are not periods when you are in IMC where you are not coupled. if you are taking off, climbing out or on any part of an approach in IMC uncoupled, you are doing it wrong.

is probably the most dangerous thing I've heard about in a good while and this guy says that's what they're teaching. ohhhhhhhhhkaaaay

Every autopilot has a minimum engagement airspeed, so every ITO begins with a hand-flown segment before upper modes can be engaged.  You probably have ATT mode engaged, HDG bug on RWY hdg, altitude pre-select on appropriate altitude and departure route ready in a flight plan when upper modes are accessible, but the takeoff is all you.

The autopilot has a minimum engagement airspeed, usually around 60 KIAS in most aircraft.  Some part of the ITO will be accomplished hand-flown until that speed is reached.  Depending on the aircraft, you can be in ATT mode, have HDG bug and level off altitude set, but the initial part of the departure is all you.  It's advisable to initiate a stable climb also while hand-flying, unless you prefer going 70 knots at 50 feet while looking down for the flight director buttons.  

you're still doing the climb in VMC

to push the heading bug and indicated airspeed while going down the runway in VMC. never heard of ATT mode. the ITO is to be performed in VMC until coupled.

maybe you think it's better to be looking for those buttons in IMC.

Never heard of ATT mode otherwise known at attitude rentention?  Please tell me you are kidding.  Please get back in the books.  ATT mode is what you get when you turn the AP on.  Often called the outer loop or lower mode.  It's what allows you to fly SPIFR. Not to be confused with the upper modes. Most RFM's will say for IFR flight the Autopilot must be on and in the ATT mode.  I believe the EC135 says AP on and A TRIM on.  This is basic attitude retention.

and use your autopilot as possible.  But, it's Ike a copilot, sometimes they do things you are not anticipating.  Stay wide awake and you'll be fine.  On a busy day autopilots are a great way to lessen fatigue.