Missouri Code of State Regulations
Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES
Division 30 - Division of Regulation and Licensure
Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations
Section 19 CSR 30-40.800 - EMT-Community Paramedic, Community Paramedic Program, and Medical Director for EMT-Community Paramedic Program
Universal Citation: 19 MO Code of State Regs 30-40.800
Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule establishes the requirements for certification and recertification as an EMT-Community Paramedic, the scope of practice and authority to practice for an EMT-Community Paramedic, requirements for a medical director of an ambulance service which utilizes EMT-Community Paramedics and implements a community paramedic program, and requirements for a community paramedic program.
PUBLISHER'S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome and expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here.
(1) Application Requirements for Emergency Medical Technician Community Paramedic (EMT-CP) Certification.
(A) Each applicant for certification as an
EMT-CP shall be currently licensed with the Emergency Medical Services (EMS)
Bureau as an EMT-Paramedic in the state of Missouri. If the application is
approved, the applicant's length of certification as an EMT-CP will begin on
the issuance date of the certification as an EMT-CP by the department and end
on the applicant's Missouri EMT-Paramedic license expiration date.
(B) Each applicant for certification as an
EMT-CP shall submit an application approved by the EMS Bureau which is included
herein. This application shall be submitted to the EMS Bureau either via mail
to the Department of Health and Senior Services, Emergency Medical Services
(EMS) Bureau, PO Box 570, Jefferson City, MO 65102-0570 or online at
www.health.mo.gov.
1. Each applicant shall attach to the
application a certified copy of his/her community paramedic certification
program transcript.
2. Each
applicant shall provide the necessary information on his/her application so the
EMS Bureau can perform criminal history checks to determine the recency and
relatedness of any criminal convictions prior to the certification of the
applicant.
3. Each applicant shall
truthfully and accurately provide all information and certification required on
the EMS Bureau application for community paramedic certification. Incomplete or
inaccurate information on an application shall be cause to deny a certification
or take action upon a certification.
4. If, after submitting an application, the
applicant identifies an error or if any contact information changes after the
applicant is certified as an EMT-CP, then the applicant shall submit the
correction in writing to the EMS Bureau at the Department of Health and Senior
Services, EMS Bureau, PO Box 570, Jefferson City, MO 65102-0570.
(2) EMT-Community Paramedic (EMT-CP) Certification Requirements.
(A) The applicant for EMT-CP certification
shall have successfully completed a community paramedic certification program
from a college, university, or educational institution that meets the following
requirements:
1. Is accredited by the
Committee on Accreditation of Educational Programs for the Emergency Medical
Services Professions (CoAEMSP) or prior to January 1, 2016, conducted a pilot
program meeting or exceeding the requirements in paragraphs (2)(A)2. and
(2)(A)3. below;
2. Provides a
minimum of sixty (60) hours of didactic training and practical and lab skills
covering at a minimum the following subjects:
A. The Community Paramedic's Role in the
Health Care System which includes training on mental health illnesses and
Alzheimer's disease;
B. The Social
Determinants of Health Model;
C.
The Role of the Community Paramedic in the Community;
D. Developing Cultural Competency;
and
E. Personal Safety and Wellness
of the Community Paramedic; and
3. Includes at least forty (40) hours of
clinical experience in a clinical setting.
(3) EMT-Community Paramedic (EMT-CP) Recertification Requirements.
(A) An
applicant for recertification as an EMT-CP shall be currently licensed with the
EMS Bureau as an EMT-Paramedic in the state of Missouri.
(B) The applicant for recertification as an
EMT-CP shall certify to the EMS Bureau that the applicant has successfully
completed four (4) hours of continuing education annually which relate to the
community paramedic topics outlined in subparagraphs (2)(A)2.A.-E. above. These
annual four (4) hours will be in addition to the one-hundred forty-four (144)
hours of continuing education required for relicensure as an EMT-Paramedic
pursuant to
19
CSR 30-40.342(3)(B) 2.A.
(C) The applicant for recertification as an
EMT-CP shall list the following information about his/her continuing education
on the applicant's application:
1. Name or
type of course;
2. The division or
module;
3. The number of hours of
the course;
4. The training entity
accreditation number, EMS Bureau approval number, or other accrediting agency
which taught the course; and
5. The
date the applicant completed the course.
(D) The applicant shall be able to produce
documentation of the required continuing education and shall make all records
available to the EMS Bureau upon request. EMT-CPs shall maintain such records
for a period of five (5) years after the date of recertification. Failure to
obtain and retain complete and accurate documentation shall be cause for taking
action against an EMT-CP's certification.
(E) An application for recertification as an
EMT-CP, which is included herein, shall be submitted with the application for
relicensure as an EMT-Paramedic. This application shall be submitted to the EMS
Bureau either via mail to the Department of Health and Senior Services,
Emergency Medical Services (EMS) Bureau, PO Box 570, Jefferson City, MO
65102-0570 or online at www.health.mo.gov. This application for
recertification as an EMT-CP shall be submitted to the EMS Bureau no less than
thirty (30) days and no more than one hundred twenty (120) days prior to the
expiration date of the applicant's certification as an EMT-CP which corresponds
with the expiration of the applicant's EMT-Paramedic license.
(4) EMT-Community Paramedic (EMT-CP) Scope of Practice and Authority to Practice.
(A) An EMT-CP shall perform only those skills
consistent with section 190.142.4, RSMo, and
19
CSR 30-40.342(3).
(5) Medical Director for Community Paramedic Programs.
(A) In addition to the
medical director duties set forth in
19
CSR 30-40.303, the medical director of an ambulance
service which utilizes EMT-CPs shall approve the implementation of the
community paramedic program for that ambulance service by following the
requirements set forth in
19
CSR 30-40.303. The medical director of an ambulance
service which utilizes EMT-CPs shall develop, implement, and annually review
the community paramedic protocols. The medical director of the ambulance
service may seek input from medical providers with knowledge of the ambulance
service's community paramedic program in developing, implementing, and annually
reviewing the community paramedic protocols.
(B) With guidance and approval from the
medical director and the administrator of the ambulance service which utilizes
EMT-CPs, an ambulance service which utilizes EMT-CPs shall assess the needs of
the community to implement an evaluation component to the community paramedic
program which shall improve patient outcomes, ensure patient satisfaction, and
decrease adverse outcomes.
(6) Community Paramedic Program.
(A) The community paramedic program shall
include a method for the EMT-CP to follow-up with the patient's medical
provider who is identified in the health care plan to ensure the transition of
care. When no health care plan has been established, the EMT-CP shall follow-up
with the patient's medical provider designated by the patient to ensure the
transition of care. This follow-up may include, at a minimum, patient
assessment, patient treatment, and/or rendered services.
Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
