This page, OEMS administrative requirements, is offered by
Office of Emergency Medical Services
Bureau of Health Care Safety and Quality
Department of Public Health

OEMS administrative requirements

See the most recent versions of administrative requirements for Emergency Medical Technicians, Ambulance Services, and Accredited Training Institutions.

First responders and first responder agencies

AR 2-100 Minimum Standards for First Responder Training in First Aid, Epinephrine Auto-Injector and Naloxone Use, Open PDF file, 833 KB (English, PDF 833 KB)

AR 2-100 Minimum Standards for First Responder Training in First Aid, Epinephrine Auto-Injector and Naloxone Use, Open DOCX file, 97.55 KB (English, DOCX 97.55 KB)

EMTs - all levels

AR 2-240 Waivers to EMT Certification Renewal Deadline Due to Significant Hardship, Open DOCX file, 82.81 KB (English, DOCX 82.81 KB)

AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service, Open DOCX file, 95.56 KB (English, DOCX 95.56 KB)

AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service, Open PDF file, 774.35 KB (English, PDF 774.35 KB)

AR 2-317 Exam Eligibility - Basic EMT and Advanced EMT Certification Examination – Updated 3/24/20, Open DOCX file, 119.81 KB (English, DOCX 119.81 KB)

AR 2-318 Exam Process for EMT-Cadets, Reinstatement Candidates, and Candidates for Paramedic Certification Ineligible for NREMT , Open DOCX file, 84.84 KB (English, DOCX 84.84 KB)

EMT - Basic

AR 2-236: EMT Certification based on Out-of-State EMT and Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure, Open DOCX file, 83.76 KB (English, DOCX 83.76 KB)

AR 2-248: Deadlines for Renewal of Certification, and Reinstatement Procedures for Massachusetts Certified EMT-Basics – Updated January 2023, Open PDF file, 606.85 KB (English, PDF 606.85 KB)

AR 2-248: Deadlines for Renewal of Certification, and Reinstatement Procedures for Massachusetts Certified EMT-Basics – Updated January 2023, Open DOCX file, 82.57 KB (English, DOCX 82.57 KB)

Advanced EMT

AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023, Open PDF file, 593.77 KB (English, PDF 593.77 KB)

AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023, Open DOCX file, 72.69 KB (English, DOCX 72.69 KB)

AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 , Open PDF file, 184.65 KB (English, PDF 184.65 KB)

AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 , Open DOCX file, 85.95 KB (English, DOCX 85.95 KB)

AR 2-320 Advanced EMT Certification Based on Out-of-State Advanced EMT , Open DOCX file, 78.23 KB (English, DOCX 78.23 KB)

Paramedic

AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024, Open PDF file, 192.89 KB (English, PDF 192.89 KB)

AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024, Open DOCX file, 82.89 KB (English, DOCX 82.89 KB)

AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023, Open PDF file, 593.77 KB (English, PDF 593.77 KB)

AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023, Open DOCX file, 72.69 KB (English, DOCX 72.69 KB)

AR 2-323: Paramedic Certification based on Out-of-State Paramedic, Open DOCX file, 81.74 KB (English, DOCX 81.74 KB)

AR 2-322: Paramedic Certification based on Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure, Open DOCX file, 72.75 KB (English, DOCX 72.75 KB)

Instructors and examiners

AR 2-214A: Conflict of Interest Requirements for Chief Examiners, Examiners and Accredited Training Institutions, Open DOCX file, 73.17 KB (English, DOCX 73.17 KB)

Training

AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024, Open DOCX file, 82.89 KB (English, DOCX 82.89 KB)

AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – November 27, 2023, Open PDF file, 221.37 KB (English, PDF 221.37 KB)

AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – November 27, 2023, Open DOCX file, 86.21 KB (English, DOCX 86.21 KB)

AR 2-212 EMT Continuing Education Standards – Updated September 2023, Open PDF file, 830.36 KB (English, PDF 830.36 KB)

AR 2-212 EMT Continuing Education Standards – Updated September 2023, Open DOCX file, 113.33 KB (English, DOCX 113.33 KB)

AR 2-200 Accredited Training Institution Roles and Responsibilities – Updated September 2023, Open DOCX file, 107.59 KB (English, DOCX 107.59 KB)

AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024, Open PDF file, 192.89 KB (English, PDF 192.89 KB)

AR 2-212A Minimum Standards, EMT-Intermediate to Advanced EMT Transition Course , Open DOCX file, 93.96 KB (English, DOCX 93.96 KB)

AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 , Open DOCX file, 85.95 KB (English, DOCX 85.95 KB)

AR 2-319: Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification, Open PDF file, 158.93 KB (English, PDF 158.93 KB)

AR 2-319: Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification, Open DOCX file, 82.55 KB (English, DOCX 82.55 KB)

AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 , Open PDF file, 792.54 KB (English, PDF 792.54 KB)

AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 , Open DOCX file, 209.16 KB (English, DOCX 209.16 KB)

Ambulance Services

AR 5-401K9 BLS Equipment List for Police Dog Care (PDF), Open PDF file, 496.85 KB (English, PDF 496.85 KB)

AR 5-401K9 BLS Equipment List for Police Dog Care (DOCX), Open DOCX file, 80.28 KB (English, DOCX 80.28 KB)

AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors, Open PDF file, 672.25 KB (English, PDF 672.25 KB)

AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors, Open DOCX file, 73.92 KB (English, DOCX 73.92 KB)

AR 2-405 Minimum Specifications for Class I and Class II Ambulance Vehicles Certified by the Department - December 2020 (PDF), Open PDF file, 204.83 KB (English, PDF 204.83 KB)

AR 2-405 Minimum Specifications for Class I and Class II Ambulance Vehicles Certified by the Department - December 2020 (DOCX), Open DOCX file, 74.4 KB (English, DOCX 74.4 KB)

AR 2-260 Standards for ALS/BLS Interface Training – effective 6/1/2026, Open DOCX file, 60.26 KB (English, DOCX 60.26 KB)

AR 5-399 EMS First Response (EFR)-BLS Vehicle Equipment List – 6/1/2026, Open DOCX file, 76.83 KB (English, DOCX 76.83 KB)

AR 5-400 Required Medications on Ambulances – effective 9/1/2026 , Open PDF file, 200.62 KB (English, PDF 200.62 KB)

AR 5-400 Required Medications on Ambulances – effective 9/1/2026 , Open DOCX file, 174.03 KB (English, DOCX 174.03 KB)

AR 5-401 Ambulance Equipment List: Basic Life Support – effective 6/1/2026, Open DOCX file, 125.07 KB (English, DOCX 125.07 KB)

AR 5-402 Ambulance Equipment List: Advanced Life Support – effective 6/1/2026, Open DOCX file, 85.8 KB (English, DOCX 85.8 KB)

AR 5-403 Statewide EMS Minimum Data Set (effective 10/20/2025) , Open DOCX file, 111.94 KB (English, DOCX 111.94 KB)

AR 5-403 Statewide EMS Minimum Data Set (effective 10/20/2025) , Open PDF file, 276.95 KB (English, PDF 276.95 KB)

AR 5-605 Duty to Provide a Patient's Personal and Medical Information Contained in Ambulance Service Records to Authorized Parties, Open DOCX file, 27.14 KB (English, DOCX 27.14 KB)

AR 5-615 Cancellation of ALS, Open DOCX file, 33.29 KB (English, DOCX 33.29 KB)

AR 5-620 ALS Transfer Calls to BLS, Open DOCX file, 28.19 KB (English, DOCX 28.19 KB)

AR 5-620 ALS Transfer Calls to BLS, Open PDF file, 369.16 KB (English, PDF 369.16 KB)

Service Zone Planning

AR 5-510: Priority of Recognition of Local Jurisdictions for Service Zone Planning, Open DOCX file, 84.31 KB (English, DOCX 84.31 KB)

Current List of Local Jurisdictions with Department-approved EMS Service Zone Plans - 1/13/2025, Open DOCX file, 21.03 KB (English, DOCX 21.03 KB)

Current Service Zone Plan Application, Open PDF file, 205.09 KB (English, PDF 205.09 KB)

Current Service Zone Plan Application, Open DOCX file, 112.75 KB (English, DOCX 112.75 KB)

Original Service Zone Application, Cover Letter to Chief Municipal Officers, Open RTF file, 154.78 KB (English, RTF 154.78 KB)

Response Times and Service Zone Planning, Open RTF file, 149.32 KB (English, RTF 149.32 KB)

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