Community Paramedicine Agency License

If you are seeking a CP designation application valid through November 30, 2025, please complete this application.

These instructions are for agencies that are licensed by Maine EMS as a ground ambulance service or non-transporting service. 

What are the details of a Community Paramedicine Agency License? 

• The State of Maine does not issue physical EMS agency licenses. You can download and print a copy of your license by logging into your Maine EMS eLicensing account. 

• Rules regarding the issuance, maintenance and renewal of Maine EMS CP Licenses can be found in Chapter 19 of the Maine EMS Rules

To obtain a Community Paramedicine Service license

• Log in to your Maine EMS eLicensing account and complete an "CP Agency Application".  Within the application you must provide a Community Paramedicine plan including: 

  • A training plan 

  • Referral Process 

  • Agency Specific protocols 

  • Service Area 

  • Pharmacy Agreements 

  • QA/QI Plan 

  • Primary Care Medical Director 

  • Service Level Medical Director  

• Once all materials have been received, processing may take up to 70 days. 

• All Community Paramedicine Agency Licenses will be issued for up to 13 months, with an expiration date of November 30. 

 

What are the agency requirements? 

In addition to the requirements outlined above, a Maine EMS licensed Community Paramedicine Service is required to have: 

• All agencies must ensure individuals who are providing Community Paramedicine services complete a background check through the Maine Background Check Center, and must ensure that their Community Paramedicine Personnel maintain enrollment. 

• All agencies must ensure individuals who are providing Community Paramedicine services complete mandatory reporter training during the onboarding of any Community Paramedicine Personnel, and annually thereafter, for anyone providing community paramedicine services or overseeing the program. 

• Agencies must maintain patient records:

  • For each request for service, or for each patient when more than one patient is involved, the individual licensed under this chapter who is primarily responsible for providing Community Paramedicine services must complete and submit an electronic Maine EMS patient care report, as specified by Office of Maine EMS, within twenty four hours from the time they arrived at patient’s location. 

• Agencies must maintain business records:

  • Business records of the Community Paramedicine Licensed Agency shall be kept and retained in a manner consistent with all applicable city, state and federal laws, ordinances and regulations with proper audit trails available. Business records, contracts, and newspaper advertisements will be retained for a minimum of five (5) years. 

  • A Community Paramedicine Licensed Agency must make its records available for inspection at the request of the Maine EMS Office. 

  • Proof of current licensure of all licensed community paramedicine personnel employed directly by the agency. 

• The Community Paramedicine Licensed service shall keep a personnel file for each community paramedicine personnel employed which shall include, but not be limited to:

  • Their application for employment; 

  • Evidence of current qualifications; 

  • Evidence of orientation and in-service training; and 

  • Periodic evaluations. 

• Any licensed service shall work to coordinate and communicate with local Home Health  Agencies, Hospice, other community, and social services, and local ED providers within the area served. In coordination of services they shall work to avoid any duplication of services. 

 

What if I want to change my Community Paramedicine Plan? 

• Any Maine EMS licensed Community Paramedicine Agency that wishes to change their Community Paramedicine Plan as approved by the Board and/or the Office of Maine EMS, must submit a formal request to the Office of Maine EMS prior to effecting those changes.  

  • If the change is deemed a significant change in the scope of work the agency may be required to submit a new application. 

  • If the change is deemed a minor change the agency will need to submit an addendum for review by the office. Following review and approval by Maine EMS, the agency can implement said change. 

 

Clinical Laboratory Improvement Amendments (CLIA) 

Maine EMS Agencies that perform Blood Glucose analysis, or other sampling tests, fall under CLIA requirements and must follow these federal guidelines. 

CLIA requires all entities that perform even one test, including waived test on "materials derived from the human body for the purpose of providing information for the diagnosis, prevention or treatment of any disease or impairment of, or the assessment of the health of, human beings" to meet certain Federal requirements. If an entity performs tests for these purposes, it is considered under CLIA to be a laboratory and must register with the CLIA program." 

• CLIA Waiver Application 

• CLIA Waiver Instructions (PDF) (2/6/24) 

Does My Service have a CLIA Waiver? 

Click here to check.   Note: For an easier search - Click "SHOW" next to "Advanced Search", then 

1. Choose Maine for the State 

2. Enter your Town/City name for the City (or leave blank to see all services in Maine)  

3. Choose Ambulance for the Laboratory Type 

4. Choose Waiver for Certificate Type 

5. Click Search 

Maine State CLIA Contact 

CLIA PROGRAM (Maine Office) 

• Division of Licensing & Regulatory Services, 41 Anthony Avenue,11 State House Station, Augusta, ME 04333-0011 

• (207) 287-9339 

• FAX: (207) 287-5807