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
– February 2024 Monthly Report
– December 2023 Monthly Report
– November 2023 Monthly Report
– September 2023 Monthly Report
Annual Reports:
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- NEMSQA Performance Measures
– NEMSQA Performance Measures – Kansas (FY2022)
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- 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
– 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
- Updated Medication List (includes EMR, EMT, and AEMT) – effective 11/12/2021
Educational Standards
- Paramedic Education Standards
- AEMT Educational Standards
- Emergency Medical Responder Education Standards
- Emergency Medical Technician Education Standards
Minutes
June 29, 2009