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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

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

Open DOCX file, 82.81 KB,  AR 2-240 Waivers to EMT Certification Renewal Deadline Due to Significant Hardship (English, DOCX 82.81 KB)
Open DOCX file, 95.56 KB,  AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service (English, DOCX 95.56 KB)
Open PDF file, 774.35 KB,  AR 2-238 EMT Certification and Recertification for Returning Veterans and EMTs in Active Military Service (English, PDF 774.35 KB)
Open DOCX file, 119.81 KB,  AR 2-317 Exam Eligibility - Basic EMT and Advanced EMT Certification Examination – Updated 3/24/20 (English, DOCX 119.81 KB)
Open DOCX file, 84.84 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

Open DOCX file, 83.76 KB,  AR 2-236: EMT Certification based on Out-of-State EMT and Massachusetts Physician, Physician Assistant, Registered Nurse or Nurse Practitioner licensure (English, DOCX 83.76 KB)
Open PDF file, 606.85 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)
Open DOCX file, 82.57 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

Open PDF file, 593.77 KB,  AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, PDF 593.77 KB)
Open DOCX file, 72.69 KB,  AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, DOCX 72.69 KB)
Open PDF file, 184.65 KB,  AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 (English, PDF 184.65 KB)
Open DOCX file, 85.95 KB,  AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 (English, DOCX 85.95 KB)
Open DOCX file, 78.23 KB,  AR 2-320 Advanced EMT Certification Based on Out-of-State Advanced EMT (English, DOCX 78.23 KB)

Paramedic

Open PDF file, 192.89 KB,  AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024 (English, PDF 192.89 KB)
Open DOCX file, 82.89 KB,  AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024 (English, DOCX 82.89 KB)
Open PDF file, 593.77 KB,  AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, PDF 593.77 KB)
Open DOCX file, 72.69 KB,  AR 2-353 Recertification Deadlines and Reinstatement Procedures for Advanced EMTs and Paramedics – Updated January 2023 (English, DOCX 72.69 KB)
Open DOCX file, 81.74 KB,  AR 2-323: Paramedic Certification based on Out-of-State Paramedic (English, DOCX 81.74 KB)
Open DOCX file, 72.75 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

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

Training

Open DOCX file, 82.89 KB,  AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024 (English, DOCX 82.89 KB)
Open PDF file, 221.37 KB,  AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – November 27, 2023 (English, PDF 221.37 KB)
Open DOCX file, 86.21 KB,  AR 2-270 Requirements for Police Dog Treatment and Transport for EMS – November 27, 2023 (English, DOCX 86.21 KB)
Open PDF file, 830.36 KB,  AR 2-212 EMT Continuing Education Standards – Updated September 2023 (English, PDF 830.36 KB)
Open DOCX file, 113.33 KB,  AR 2-212 EMT Continuing Education Standards – Updated September 2023 (English, DOCX 113.33 KB)
Open DOCX file, 107.59 KB,  AR 2-200 Accredited Training Institution Roles and Responsibilities – Updated September 2023 (English, DOCX 107.59 KB)
Open PDF file, 192.89 KB,  AR 2-305 Minimum Skill Requirements for Paramedic Training Programs - Updated 6/27/2024 (English, PDF 192.89 KB)
Open DOCX file, 93.96 KB,  AR 2-212A Minimum Standards, EMT-Intermediate to Advanced EMT Transition Course (English, DOCX 93.96 KB)
Open DOCX file, 85.95 KB,  AR 2-307 Minimum Skill Requirements for Advanced EMT Training Programs - Updated 6/27/2024 (English, DOCX 85.95 KB)
Open PDF file, 158.93 KB,  AR 2-319: Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification (English, PDF 158.93 KB)
Open DOCX file, 82.55 KB,  AR 2-319: Psychomotor Skills Verification in Lieu of Full Psychomotor Exam, for Certain EMTs to Obtain NREMT EMT Certification (English, DOCX 82.55 KB)
Open PDF file, 792.54 KB,  AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 (English, PDF 792.54 KB)
Open DOCX file, 209.16 KB,  AR 2-280 Minimum Requirements for ASHER Training for EMS - August 1, 2023 (English, DOCX 209.16 KB)

Ambulance Services

Open PDF file, 496.85 KB,  AR 5-401K9 BLS Equipment List for Police Dog Care (PDF) (English, PDF 496.85 KB)
Open DOCX file, 80.28 KB,  AR 5-401K9 BLS Equipment List for Police Dog Care (DOCX) (English, DOCX 80.28 KB)
Open PDF file, 672.25 KB,  AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors (English, PDF 672.25 KB)
Open DOCX file, 73.92 KB,  AR 1-522G Decontamination and Sterilization Cleaning Procedures for Ambulance Equipment and Interiors (English, DOCX 73.92 KB)
Open PDF file, 204.83 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)
Open DOCX file, 74.4 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)
Open PDF file, 810.01 KB,  AR 2-260 Standards for ALS/BLS Interface Training (PDF) (English, PDF 810.01 KB)
Open DOCX file, 80.47 KB,  AR 2-260 Standards for ALS/BLS Interface Training (DOC) (English, DOCX 80.47 KB)
Open DOCX file, 31.29 KB,  AR 5-211 Special Project Waiver Application Process (English, DOCX 31.29 KB)
Open PDF file, 732.11 KB,  AR 5-399 EMS First Response (EFR)-BLS Vehicle Equipment List – 1/15/2023 (PDF) (English, PDF 732.11 KB)
Open DOCX file, 96.63 KB,  AR 5-399 EMS First Response (EFR)-BLS Vehicle Equipment List – 1/15/2023 (DOC) (English, DOCX 96.63 KB)
Open PDF file, 578.22 KB,  AR 5-400 Required Medications on Ambulances – effective 6/16/2025 (English, PDF 578.22 KB)
Open DOCX file, 333.22 KB,  AR 5-400 Required Medications on Ambulances – effective 6/16/2025 (English, DOCX 333.22 KB)
Open PDF file, 322.86 KB,  AR 5-401 Ambulance Equipment List: Basic Life Support – effective 6/16/2025 (English, PDF 322.86 KB)
Open DOCX file, 176.57 KB,  AR 5-401 Ambulance Equipment List: Basic Life Support – effective 6/16/2025 (English, DOCX 176.57 KB)
Open PDF file, 169.67 KB,  AR 5-402 Ambulance Equipment List: Advanced Life Support – effective 6/16/2025 (English, PDF 169.67 KB)
Open DOCX file, 144.51 KB,  AR 5-402 Ambulance Equipment List: Advanced Life Support – effective 6/16/2025 (English, DOCX 144.51 KB)
Open DOCX file, 107.56 KB,  AR 5-403 Statewide EMS Minimum Data Set (effective 6/15/2023) (English, DOCX 107.56 KB)
Open PDF file, 743.43 KB,  AR 5-403 Statewide EMS Minimum Data Set (effective 6/15/2023) (English, PDF 743.43 KB)
Open DOCX file, 27.14 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)
Open RTF file, 152.76 KB,  AR 5-610 Responding to Scenes Involving Minors Refusing Treatment or Transport (English, RTF 152.76 KB)
Open DOCX file, 33.29 KB,  AR 5-615 Cancellation of ALS (English, DOCX 33.29 KB)
Open DOCX file, 28.19 KB,  AR 5-620 ALS Transfer Calls to BLS (English, DOCX 28.19 KB)
Open PDF file, 369.16 KB,  AR 5-620 ALS Transfer Calls to BLS (English, PDF 369.16 KB)

Service Zone Planning

Open DOCX file, 84.31 KB,  AR 5-510: Priority of Recognition of Local Jurisdictions for Service Zone Planning (English, DOCX 84.31 KB)
Open DOCX file, 21.03 KB,  Current List of Local Jurisdictions with Department-approved EMS Service Zone Plans - 1/13/2025 (English, DOCX 21.03 KB)
Open PDF file, 205.09 KB,  Current Service Zone Plan Application (English, PDF 205.09 KB)
Open DOCX file, 112.75 KB,  Current Service Zone Plan Application (English, DOCX 112.75 KB)
Open RTF file, 154.78 KB,  Original Service Zone Application, Cover Letter to Chief Municipal Officers (English, RTF 154.78 KB)
Open RTF file, 149.32 KB,  Response Times and Service Zone Planning (English, RTF 149.32 KB)

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