EMS Agencies

Initial EMS agency licensure

So you are interested in starting an EMS agency in Idaho, or interested in expanding operations into Idaho? Let’s get started.

For starters, review the IDAPA EMS agency licensure rules located here: https://adminrules.idaho.gov/rules/current/16/160103.pdf 

After reviewing the agency licensure requirements, contact an EMS Field Coordinator at the Idaho Bureau of EMS and Preparedness (1-208-334-4000) to find out specific information about operating an EMS agency in Idaho, discuss your agency’s proposed operations, and decide on the appropriate avenue for your agency to pursue EMS agency licensure in Idaho.

All EMS agencies, or entities who provide emergency medical services, who operate in Idaho are required to have an EMS agency license issued by the Bureau of EMS and Preparedness.

All EMS agency license applications must be completed online on our IGEMS page, which can be accessed here. Paper applications are not accepted.

To apply for EMSD agency licensure, the administrator of the agency must have a personal IGEMs account to access the application. Do you have an IGEMS account? If not, create one at IGEMS.

If you already have an IGEMS account, or after creating your account, contact the Bureau at 1-208-334-4000 to gain access to the initial agency application. An EMS Field Coordinator create an Idaho Initial EMS Agency license application specific to your agency and will link it to your personal IGEMS account for you to access and complete.

After you have access to your application, use this very helpful step-by-step presentation on completing an Idaho initial agency license application: Initial Agency Licensure Guide

You must also complete and submit the required forms below as part of your Initial EMS agency licensure application before it can be considered complete. An EMS field coordinator can provide further information and assistance as needed.  

  • Medical protocols
  • Medical Supervision plan
  • Medical director agreement
  • Patient care integration agreement
  • 911 agency applications require additional documentation to those above. Contact an EMS Field Coordinator at 1-208-334-4000 for details.

Issuance of an Initial EMS agency license will require an on-site inspection of vehicles and equipment by an EMS field coordinator prior to a license being issued.

Minimum Equipment Standards for Licensed EMS Services

EMS agency licenses are issued for one year, and must be renewed prior to the expiration date of the agency license. See EMS agency renewal licensure process below.

Policy clarification - agency transfer declaration

Policy clarification - transfer operations (lights & sirens)

Critical care transport staffing requirements

EMS Data Collection Standards Manual

EMS Agency Map and Contact List
EMS Agency Renewal Licensure Process

EMS agency licenses must be renewed each year. This process will require completing an EMS agency renewal application in IGEMS

You must have agency administrator privileges in IGEMS to initiate an agency renewal application.

Review this very helpful step-by-step presentation for completing EMS agency renewal applications. 

As with initial EMS agency licensure, an on-site inspection of vehicles, equipment, and required forms by bureau personnel will be required prior to the bureau issuing an EMS agency renewal license.

Idaho Resource Tracking System (IRTS)

Maintaining the continuity of operations of the state EMS system is vitally important to the infrastructure and emergency response capabilities in Idaho. In partnership with the Idaho Office of Emergency Management (IOEM) (imbed page link) and the Idaho DHW Operations Center (IDHWOC), the Idaho Resource Tracking System (IRTS) was created to aid in this mission.

EMS agencies are required to update IRTS on a regular basis in times of a declared emergency or disaster.

IRTS allows the IOEM and IDHWOC to see, in real time, the current status of every EMS agency in Idaho. This information includes the clinical level of the agency, the current status of available and deployable vehicles, available and deployable personnel, and current status of Personal Protective Equipment on hand. This information is invaluable for IOEM, IDHWOC, and the EMS bureau in making emergency plans to support the statewide EMS community in situations where EMS agencies are losing (or have lost) the capability to respond to emergencies due to call volume or lack of personnel.

For instruction on how to access and update IRTS, follow these links:

Idaho Resource Tracking System (IRTS) User Guide

Idaho Resource Tracking System (IRTS) Update EMS Guide

IRTS webinar

To access IRTS and update your agency’s information: Idaho Resource Tracking System Login

If your agency does not have an IRTS account, contact the EMS Bureau at 1-208-334-4000.

Idaho Limited Recognition for Wildfires

Unfortunately, Idaho suffers from frequent wildfires which threaten the resources and communities in our state. The EMS bureau helps meet the needs of organizations who battle these wildfires by allowing EMS personnel who are not licensed in Idaho to gain limited recognition for wildfires when deployed to fighting wildfires in order to provide medical support at the sight. This limited recognition for wildfires requires EMS personnel with active EMS licenses from other states to have their licenses validated prior to being allowed to practice on wildfires in Idaho. For more information on this recognition process, visit the links below: 

Clinical treatment guidelines for wildland fire medical units 2012-7


Idaho Community Health EMS (CHEMS)

Idaho CHEMS is an innovative model where emergency medical services (EMS) personnel are incorporated into the general healthcare delivery system and extend the reach of primary care into the patient’s environment. CHEMS personnel are healthcare providers who receive additional education, work within a medical health neighborhood, and assist the primary care team to implement a patient care plan. CHEMS personnel operate within their current scope of practice; however, act in an expanded role within the medical health neighborhood.

Examples of the roles of CHEMS personnel include but are not limited to the following:

• Acting as healthcare navigators for patients

• Transitional care for patients after they are discharged from a hospital stay

• Vaccinations

• Medication inventories

• Resource coordination

• Basic medical therapeutics

In Idaho, CHEMS allows for all levels of EMS providers and agencies to provide continued or follow up care that can prevent unnecessary readmissions, or 911 calls from those patients within the community. As noted above, this extended care must be provided within their scope of practice.

The Community Health EMS operational declaration is available to an agency with a pre-hospital operational declaration that provides personnel and equipment for medical assessment and treatment at a non-emergency scene or at the direction of a physician or independent practitioner.

There is currently not a standardized role for a CHEMS provider and this role must be determined by the agency; however, the Idaho Administrative Code 56-1012  provides guidance regarding a CHEMS operational declaration and Idaho code begins to define and provide structure to future standardizations.

Through the efforts of the Bureau of EMS and Preparedness and additional partners, CHEMS education has been made available for the emergency medical technician (EMT) and paramedic level providers. You can find additional CHEMS education information on the bureau’s website.