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OEMS administrative requirements

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

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First responders and first responder agencies

AR 2-100 Minimum Standards for First Responder Training in First Aid, Epinephrine Auto-Injector and Naloxone Use (English, PDF 833 KB)
AR 2-100 Minimum Standards for First Responder Training in First Aid, Epinephrine Auto-Injector and Naloxone Use (English, DOCX 97.55 KB)

EMTs - all levels

AR 2-240 Waivers to EMT Certification Renewal Deadline Due to Significant Hardship (English, DOCX 82.81 KB)
AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service (English, RTF 1.03 MB)
AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service (English, PDF 681.32 KB)
AR 2-317 Exam Eligibility - Basic EMT and Advanced EMT Certification Examination – Updated 3/24/20 (English, DOCX 119.81 KB)
AR 2-318 Exam Process for EMT-Cadets, Reinstatement Candidates, and Candidates for Paramedic Certification Ineligible for NREMT (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 (English, DOCX 75.13 KB)
AR 2-248: Deadlines for Renewal of Certification, and Reinstatement Procedures for Massachusetts Certified EMT-Basics – Updated January 2023 (English, PDF 606.85 KB)
AR 2-248: Deadlines for Renewal of Certification, and Reinstatement Procedures for Massachusetts Certified EMT-Basics – Updated January 2023 (English, DOCX 82.57 KB)

Advanced EMT

AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, PDF 593.77 KB)
AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, DOCX 72.69 KB)
AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs (English, DOCX 95.66 KB)
AR 2-320 Advanced EMT Certification Based on Out-of-State Advanced EMT (English, DOCX 67.89 KB)

Paramedic

AR 2-305 Minimum Skill Requirements for Paramedic Training Programs – Updated 4/10/20 (English, DOCX 73.25 KB)
AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, PDF 593.77 KB)
AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, DOCX 72.69 KB)
AR 2-323: Paramedic Certification based on Out-of-State Paramedic (English, DOCX 70.58 KB)
AR 2-322: Paramedic Certification based on Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure (English, DOCX 72.75 KB)

Instructors and examiners

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

Training

AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – February 3, 2023 (English, PDF 886.55 KB)
AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – February 3, 2023 (English, DOCX 86.15 KB)
AR 2-212 EMT Continuing Education Standards – Updated August 2022 (English, PDF 745.38 KB)
AR 2-212 EMT Continuing Education Standards – Updated August 2022 (English, DOCX 99.12 KB)
AR 2-305 Minimum Skill Requirements for Paramedic Training Programs – Updated 4/10/20 (English, DOCX 73.25 KB)
AR 2-200 Accredited Training Institution Roles and Responsibilities (English, DOCX 95.33 KB)
AR 2-212A Minimum Standards, EMT-Intermediate to Advanced EMT Transition Course (English, DOCX 93.96 KB)
AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs (English, DOCX 95.66 KB)
AR 2-319: Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification (English, DOCX 87.87 KB)
AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 (English, PDF 792.54 KB)
AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 (English, DOCX 209.16 KB)

Ambulance Services

AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors (English, PDF 672.25 KB)
AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors (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) (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) (English, DOCX 74.4 KB)
AR 2-260 Standards for ALS/BLS Interface Training (PDF) (English, PDF 810.01 KB)
AR 2-260 Standards for ALS/BLS Interface Training (DOC) (English, DOCX 80.47 KB)
AR 5-211 Special Project Waiver Application Process (English, DOCX 31.29 KB)
AR 5-399 EMS First Response (EFR)-BLS Vehicle Equipment List – 1/15/2023 (PDF) (English, PDF 732.11 KB)
AR 5-399 EMS First Response (EFR)-BLS Vehicle Equipment List – 1/15/2023 (DOC) (English, DOCX 96.63 KB)
AR 5-400 Required Medications on Ambulances – effective 4/1/2023 (English, PDF 571.92 KB)
AR 5-400 Required Medications on Ambulances – effective 4/1/2023 (English, DOCX 87.47 KB)
AR 5-401 Ambulance Equipment List: Basic Life Support – effective no later than 6/1/2022 (English, PDF 712.13 KB)
AR 5-401 Ambulance Equipment List: Basic Life Support – effective no later than 6/1/2022 (English, DOCX 119.27 KB)
AR 5-402 Ambulance Equipment List: Advanced Life Support – effective no later than 6/1/2022 (English, PDF 549.43 KB)
AR 5-402 Ambulance Equipment List: Advanced Life Support – effective no later than 6/1/2022 (English, DOCX 94.12 KB)
AR 5-403 Statewide EMS Minimum Data Set (effective until 6/14/2023) (English, PDF 285.47 KB)
AR 5-403 Statewide EMS Minimum Data Set (effective until 6/14/2023) (English, DOCX 98.8 KB)
AR 5-403 Statewide EMS Minimum Data Set (effective 6/15/2023) (English, DOCX 107.56 KB)
AR 5-403 Statewide EMS Minimum Data Set (effective 6/15/2023) (English, PDF 743.43 KB)
AR 5-605 Duty to Provide a Patient's Personal and Medical Information Contained in Ambulance Service Records to Authorized Parties (English, DOCX 27.14 KB)
AR 5-610 Responding to Scenes Involving Minors Refusing Treatment or Transport (English, RTF 152.76 KB)
AR 5-615 Cancellation of ALS (English, DOCX 33.29 KB)
AR 5-620 ALS Transfer Calls to BLS (English, DOCX 28.19 KB)
AR 5-620 ALS Transfer Calls to BLS (English, PDF 369.16 KB)

Scope of Practice Transition

AR 2-205: Transition Requirements for EMT-Intermediate to Advanced EMT and ALS-Intermediate level Ambulance Services to Advanced Service Licensure (English, DOCX 86.88 KB)
AR 2-207: Transition Requirements for EMT-Basics and EMT-Paramedics (English, DOCX 83.91 KB)

Service Zone Planning

AR 5-510: Priority of Recognition of Local Jurisdictions for Service Zone Planning (English, DOCX 84.31 KB)
Current List of Local Jurisdictions with Department-approved EMS Service Zone Plans - 6/30/2022 (English, DOCX 20.88 KB)
Current Service Zone Plan Application (English, PDF 105.48 KB)
Current Service Zone Plan Application (English, RTF 1.36 MB)
Original Service Zone Application, Cover Letter to Chief Municipal Officers (English, RTF 154.78 KB)
Response Times and Service Zone Planning (English, RTF 149.32 KB)

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