2021 Minutes

April 7, 2021

Forms

June 8, 2009

Education

The forms below are only available through the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF applications will no longer be accepted.

-Request for Initial Course Approval
-Request for Initial Course Approval–Educator
-Single Program Provider Form
-Retro-active approval for EMS continuing education
-Sponsoring Organization Application
-Application for Program Provider Status

Educational Incentive Grant

-MOA for Student (Paramedic)Form
-MOA for Student (EMR, EMT, AEMT)
-MOA for Service Form
-Application for Funds
-EIG Fulfillment Form
-EIG Fulfillment Form – Paramedics
-EIG Military & Low Income Request for Funding

Certification

Beginning on December 31st, 2021 EMS Providers holding Current Kansas EMS certification can apply for Inactive Ineligible to Practice certification. This allows providers who are no longer providing EMS services to retain their certification without the need to complete continuing education. Submit an application through the portal, along with the $10 fee to change your status to “Inactive Ineligible to Practice”. If you decide to return to active status, you will be able to reinstate your certification by submitting a reinstatement application, completing the required Continuing Education, and payment of the applicable fee.

A link to the portal is here: Inactive Status Request application.

Note: All Certification Applications are available on the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF forms will no longer be accepted for processing.
EMS Provider Renewal Application
Educator Renewal Application
-Military Reinstatement Form
Inactive Status Request application.
-Application to Re-Instate an Expired Certification Packet

Ambulance Forms

-Vehicle Mech. & Safety Inspection
-Ground Ambulance Inspection
-Air Ambulance Inspection
-Service Inspection

Other Forms

-Medical Director Appointment Form
-Tag Authorization Form
-Authorization for Release of Information
-AED Placement Notification

The forms below are only available through the KBEMS Licensing Portal. All forms links in this section will redirect to the Kansas Board of EMS Licensing Portal. Paper/PDF applications will no longer be accepted.

-Investigations Self-report Form
-Felony Conviction Questionnaire
-Other Allied Health Personnel Form, NOTE: Allied Health Personnel may need to create an account in the Licensing Portal.

Interstate Commission for EMS Personnel Practice

March 20, 2019

The Interstate Commission for EMS Personnel Practice (the EMS COMPACT) (Formerly “The Recognition of EMS Personnel Licensure Interstate CompAct” (REPLICA)) is the collective solution to cross border-licensing issues that have been managed by state EMS Offices in various ad hoc manners for years. With the implementation of an Interstate Compact, EMS will join the ranks of other professionals such as physicians, nurses and emergency managers. The Emergency Management Compact (EMAC) is a well-known example with which EMS personnel are familiar. Compacts create agreements between states outside of the federal government, allowing for states to preserve “home rule” and flexibility in the management of these entities. The United States Constitution, grants the right for the states to enter into multistate agreements for a common benefit. Every state in the nation has joined a minimum of five compacts as a means of addressing issues they share that are in need of a common solution.
 

EMS Compact – Public Comment on Proposed Rules – Hearing rescheduled to April 9th, 2021.

KEMSIS – Kansas Emergency Medical Services Information Systems

May 19, 2010

Reports and Performance Measures

Monthly Reports:

  –    April 2024 Monthly Report.pdf

  –    March 2024 Monthly Report

  –    February 2024 Monthly Report

  –    January 2024 Monthly Report

  –    December 2023 Monthly Report

  –    November 2023 Monthly Report

  –    October 2023 Monthly Report

  –    September 2023 Monthly Report

  –    August 2023 Monthly Report

Annual Reports:

    • NEMSQA Performance Measures

  –    NEMSQA Performance Measures – Kansas (FY2022)

    • Coverdale Stroke Measures

 –    Coverdell Stroke Performance Measures – Kansas (2021)

Ad-Hoc Reports:

 –    Kansas EMS A look into Intubation and Other Advanced Airway Devices (February 2020)

 –    Kansas EMS Naloxone (Narcan) Administration Report (August 2017)

 

State Reporting Resources

–     Hospital Hub Facilities

–    Emergency Medical Services Using KEMSIS

–   KEMSIS Facility List

(Last Updated 3-25-2024)

 

KEMSIS Information Contact

Adopted Documents

February 27, 2012

Graduated Sanctions

Medication Lists

Educational Standards

Minutes

June 29, 2009