There are new requirements for out of state EMTs performing on incidents in Montana and Idaho and that is to notify the State Emergency Medical Directors along with proof of their current licensure in another state and in Montana a current National Registry Certification. There are two forms that need to be filled out and faxed to the State EMS as well as fax a copy to Mary Jo Lommen at 406-329-4955. You can find copy of these forms by clicking on the links below, the first one is for Montana the second is for Idaho.

EMT’s from out of state can only function at a “basic life support” level and within the approved State Basic Protocols, regardless of the level authorized by the state in which the EMT is licensed. Out of state EMT-I and EMT-Ps need medical control therefore functioning at an Advanced Life Support level is stricly prohibited.

Remember that State Emergency Medical Technician training is geared only towards emergency stabilization and transport in non-fire related environments. They do not have the training or skills oriented toward diagnostic or evaluation skills of common fire related injuries and illnesses. The majority of a firefighter's needs involve the diagnostic and evaluation skills, and treatment geared toward prevention and the remedy of minor complaints. This action is specifically and completely outside the scope of a normal State EMT certification and places non-trained and casual EMT's in jeopardy of losing their state certification if they go beyond their skill level.

The problem for the out of state EMT is the question of Medical Control. The state certification is granted under the authority of their home area's sponsoring physician. The EMT loses the home medical control after they have crossed state lines. This places that individual without proper sponsorship and immediately places their state certification in question.

Casual EMT's and contributing agency EMT's are often expected to perform at levels beyond their training, skill and knowledge. Being an EMT, paramedic does not specifically qualify a person to provide the fire line care, treatment/preventative care, or provide the necessary evaluation skills needed. The EMT's health, safety and well-being is jeopardized if we expose them to situations beyond their level of training and experience.

All ambulance services assigned to the incident would be licensed in Montana (the Montana EMSTS section has a process for expedient licensing of out-of-state serves.)

Montana Request for Recognition       R1 - Montana and Idaho Ambulance Service

Generic Request for Recognition