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Critical Care Transport Requirements

CCP policy framework for all 50 states, with 19 states with detailed requirements

States Covered

50

States with CCP Designation

11

EMS Compact States

12

CCT in State Law

10

CCP Policy Framework

StateCCP Policy TypesEMS CompactLast VerifiedWebsite
Alabama
CCP None
CCP License
NoJan 2024
Arizona
CCP None
Arkansas
CCP None
CaliforniaDetails ↓
Expanded Scope
NoJan 2024
ColoradoDetails ↓
CCP CertifiedCCP EndorsedExpanded Scope
YesJan 2024
Connecticut
CCP LicenseCCP Certified
Delaware
CCP None
CCP None
NoJan 2024
CCP None
YesJan 2024
Hawaii
Expanded ScopeCCP NoneOther Endorsement
CCP None
YesJan 2024
Illinois
CCP None
CCP None
NoJan 2024
Iowa
CCP EndorsedExpanded Scope
CCP None
YesJan 2024
KentuckyDetails ↓
CCP Endorsed
NoJan 2024
LouisianaDetails ↓
CCP None
YesJan 2024
Maine
CCP None
Maryland
CCP None
Massachusetts
CCP NoneCCP Certified
Michigan
CCP None
Minnesota
CCP None
Mississippi
CCP None
MissouriDetails ↓
CCP None
YesJan 2024
Montana
CCP NoneCCP Certified
Nebraska
CCP None
CCP None
NoJan 2024
New HampshireDetails ↓
CCP LicenseCCP CertifiedCCP Endorsed
YesJan 2024
New Jersey
CCP None
New Mexico
CCP None
New York
CCP None
North CarolinaDetails ↓
CCP None
YesJan 2024
North Dakota
CCP None
Ohio
CCP None
Oklahoma
CCP None
Oregon
CCP None
Pennsylvania
CCP None
Rhode Island
CCP None
South CarolinaDetails ↓
CCP None
YesJan 2024
South Dakota
CCP None
TennesseeDetails ↓
CCP Endorsed
NoJan 2024
CCP None
YesJan 2024
CCP None
YesJan 2024
Vermont
CCP None
VirginiaDetails ↓
CCP None
YesJan 2024
Washington
CCP None
West Virginia
CCP None
Wisconsin
CCP None
Wyoming
CCP None

Detailed Requirements

In-depth requirements for 19 states — Last verified January 2024

Data sourced from internal research (January 2024). Requirements may have changed — always verify with the state EMS office before operating in a new state.

Alaska

02CCT in Law: Yes
Regulated By

Agency / County / State

CCT Provider

MICU-P / PA / Physician

Second Provider

Any

NREMT Required:NoEMS Compact:No
Source Documents
Last verified: January 2024

California

06CCT in Law: Yes
Regulated By

County / State

NREMT Required:NoEMS Compact:No
Last verified: January 2024
County-Level Regulations (6)
Los AngelesCounty-level regulation
ACLSCENCPRPALS

CCT Provider: CCT-RN

RiversideCounty-level regulation
ACLSBLSCPRPALSPHTLS

CCT Provider: CCT-RN

San DiegoCounty-level regulation
ACLSBLSENPCNRPPALSPEPP

CCT Provider: CCT-RN

View Source
Santa ClaraCounty-level regulation
ACLSCPRPALSPHTLSTNCC

CCT Provider: CCT-RN

Santa CruzCounty-level regulation
ACLSCENCPRPALS

CCT Provider: CCT-RN

Specific level of RN requirement is not defined in any documentation.

View Source
VenturaCounty-level regulation
ACLSCPRPALS

CCT Provider: CCT-RN

Colorado

08CCT in Law: Yes
Regulated By

State

Required Certifications
ACLSBCCTBCBLSCPR
CCT Provider

CCT-Medic

Second Provider

EMT-B

NREMT Required:NoEMS Compact:Yes

The only additional medications that a CC-P is allowed to carry is RSI drugs only if approved by the medical director. Any treatment, medication or equipment outside of what the state has needs a waiver approved by the state.

Last verified: January 2024

Florida

12CCT in Law: No
Regulated By

Agency/Medical Director

Required Certifications
ACLSCPRPALS
CCT Provider

Paramedic

Second Provider

EMT-B

NREMT Required:YesEMS Compact:No

CCT skills are determined and signed off by Medical Director with no limitations. No extra certifcation required.

Source Documents
Last verified: January 2024

Georgia

13CCT in Law: Hold
Regulated By

Agency/Medical Director / State

CCT Provider

Post Licensure Paramedic

Second Provider

EMT-B

NREMT Required:YesEMS Compact:Yes

6 extra skills that are approved by the state. Extensive process that requires a lot of Medical Direction oversite and approvals. Pending new state director, restrictions may lighten up a bit

Last verified: January 2024

Idaho

16CCT in Law: Yes
Regulated By

County / State

Required Certifications
CCT-PCCT-RN
CCT Provider

CCT-Medic or RN

Second Provider

EMT-B

NREMT Required:NoEMS Compact:Yes

There are 4 counties that HCA hospital are in. All of the counties have tiny some volunteer ems operations. Looks very rural

Source Documents
Last verified: January 2024
County-Level Regulations (5)
Bannock CountyCounty-level regulation

County follows state requirements

Bonner CountyCounty-level regulation
CCT-PCCT-RN

CCT Provider: CCT-Medic or RN

All Critical Care Patient Transports must be licensed as transporting ALS vehicles. 1. The following minimum equipment will be carried by an ALS vehicle while it is providing critical care patient transport. a. Pulse Oximeter b. Portable ventilator or staff capable of providing ventilatory support c. Portable Infusion Pump(s) d. Pressure infusion bag(s)

Bonneville CountyCounty-level regulation

County follows state requirements

Canyon CountyCounty-level regulation

County follows state requirements

Essex CountyCounty-level regulation

County follows state requirements

Indiana

18CCT in Law: No
NREMT Required:NoEMS Compact:No

CCT is agency specific based off of Medical Director authority- confirmed

Source Documents
Last verified: January 2024

Kansas

20CCT in Law: Yes
Regulated By

State

Required Certifications
ACLS
CCT Provider

Physician / RN

Second Provider

APRN / PA / Paramedic / Physician / RN / RT

NREMT Required:NoEMS Compact:Yes

When performing neonatal or pediatric missions, at least one of the medical personnel on each type V ambulance shall be currently certified in advanced life support for neonatal and pediatric patients by a certifying entity approved by the board.

Last verified: January 2024

Kentucky

21CCT in Law: Yes
Regulated By

State

Required Certifications
ACLSCCT-PCPRPALS
CCT Provider

CCT-Medic / Nurse Prac / PA / Physician

Second Provider

Paramedic

NREMT Required:NoEMS Compact:No

Neonatal Specialty Care Agency shall be staffed by an EMR, Primary attendant licensed RN, and one of: Advanced practice RN, RT, PA, Physician, RN or Paramedic/ Anyone hired after 1/1/2020 my have a specialty certification in PCC or NCC

Last verified: January 2024

Louisiana

22CCT in Law: No
Regulated By

Agency

NREMT Required:YesEMS Compact:Yes

CCT regulations/Requirements determined by agency, no state involvement

Source Documents
Last verified: January 2024Research contact: Stacey Barbay, LA Deputy Director DOH

Missouri

29CCT in Law: No
NREMT Required:NoEMS Compact:Yes
Last verified: January 2024

Nevada

32CCT in Law: Yes
Regulated By

County / State

NREMT Required:NoEMS Compact:No
Last verified: January 2024
County-Level Regulations (1)
Clark CountyCounty-level regulation

CCT Provider: CCT-Medic / EMS RN

View Source

New Hampshire

33CCT in Law: No
CCT Provider

CCT-Medic

NREMT Required:YesEMS Compact:Yes

Local Medical Director Dictates scope and meds Medications: Determined by Medical Director.

Last verified: January 2024

North Carolina

37CCT in Law: Hold
Regulated By

Agency / State

CCT Provider

CCT-Medic or RN / Nurse Prac / PA / Physician / RN / RT

Second Provider

Driver

NREMT Required:HoldEMS Compact:Yes

Specialty Care Transport = Critical Care Transport. There is no such thing as a credentialed Critical Care provider but rather a paramedic is a paramedic but the medical director can determine who can do what. i-CAPP: Pilot program AEMTP (community based EMTP) Equipment/supply/medication requirements determined by agency medical director, submitted and approved by state.

Last verified: January 2024Research contact: David Ezzell, NC Office of Emergency Medical Services, Division of Health Service Regulation

South Carolina

45CCT in Law: Yes
Regulated By

Agency/Medical Director / State

CCT Provider

CCT-Medic / EMS RN / RN / RT

Second Provider

CCT-Medic / EMS RN / RN / RT

NREMT Required:YesEMS Compact:Yes

There is a RN with EMT level that appears to be inline with CCT-Medic.

Last verified: January 2024

Tennessee

47CCT in Law: Yes
Regulated By

Other / State

Required Certifications
EMT-P CC
CCT Provider

CCT-Medic

NREMT Required:NoEMS Compact:No
Last verified: January 2024

Texas

48CCT in Law: No
Regulated By

Agency / Agency/Medical Director

Required Certifications
ACLSCCT-PCPRITLSPALSPEPPPHTLS
CCT Provider

CCT-Medic

Second Provider

EMT-B

NREMT Required:NoEMS Compact:YesFP-C Ground Eligible:Yes

Current info based on AMR Arlingtons CCT program. Other programs may be more robust due to medical director authority

Source Documents
Last verified: January 2024

Utah

49CCT in Law: Yes
Regulated By

State

Required Certifications
ACLSCCP-CCPR
CCT Provider

CCT-Medic

Second Provider

Paramedic

NREMT Required:YesEMS Compact:Yes

The CCP Scope of Practice includes the Utah EMS Protocol Guidelines and scopes of practice for paramedics. In addition, CCPs have an expanded scope that includes the administration of advanced medications and advanced procedures as outlined by the agency's Medical Director and approved by the Office of Emergency Medical Services and Preparedness.

Last verified: January 2024

Virginia

51CCT in Law: No
NREMT Required:NoEMS Compact:Yes
Last verified: January 2024

Policy framework: i-CAPP (i-capp.org) · Detailed requirements last verified January 2024 · Data may not reflect recent regulatory changes — always verify with the state EMS office