Critical Care Transport Requirements
CCP policy framework for all 50 states, with 19 states with detailed requirements
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CCP Policy Framework
| State | CCP Policy Types | EMS Compact | Last Verified | Website |
|---|---|---|---|---|
Alabama | CCP None | — | ||
AlaskaDetails ↓ | CCP License | No | Jan 2024 | |
Arizona | CCP None | — | ||
Arkansas | CCP None | — | ||
CaliforniaDetails ↓ | Expanded Scope | No | Jan 2024 | |
ColoradoDetails ↓ | CCP CertifiedCCP EndorsedExpanded Scope | Yes | Jan 2024 | |
Connecticut | CCP LicenseCCP Certified | — | ||
Delaware | CCP None | — | ||
FloridaDetails ↓ | CCP None | No | Jan 2024 | |
GeorgiaDetails ↓ | CCP None | Yes | Jan 2024 | |
Hawaii | Expanded ScopeCCP NoneOther Endorsement | — | ||
IdahoDetails ↓ | CCP None | Yes | Jan 2024 | |
Illinois | CCP None | — | ||
IndianaDetails ↓ | CCP None | No | Jan 2024 | |
Iowa | CCP EndorsedExpanded Scope | — | ||
KansasDetails ↓ | CCP None | Yes | Jan 2024 | |
KentuckyDetails ↓ | CCP Endorsed | No | Jan 2024 | |
LouisianaDetails ↓ | CCP None | Yes | Jan 2024 | |
Maine | CCP None | — | ||
Maryland | CCP None | — | ||
Massachusetts | CCP NoneCCP Certified | — | ||
Michigan | CCP None | — | ||
Minnesota | CCP None | — | ||
Mississippi | CCP None | — | ||
MissouriDetails ↓ | CCP None | Yes | Jan 2024 | |
Montana | CCP NoneCCP Certified | — | ||
Nebraska | CCP None | — | ||
NevadaDetails ↓ | CCP None | No | Jan 2024 | |
New HampshireDetails ↓ | CCP LicenseCCP CertifiedCCP Endorsed | Yes | Jan 2024 | |
New Jersey | CCP None | — | ||
New Mexico | CCP None | — | ||
New York | CCP None | — | ||
North CarolinaDetails ↓ | CCP None | Yes | Jan 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 | Yes | Jan 2024 | |
South Dakota | CCP None | — | ||
TennesseeDetails ↓ | CCP Endorsed | No | Jan 2024 | |
TexasDetails ↓ | CCP None | Yes | Jan 2024 | |
UtahDetails ↓ | CCP None | Yes | Jan 2024 | |
Vermont | CCP None | — | ||
VirginiaDetails ↓ | CCP None | Yes | Jan 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: YesAgency / County / State
MICU-P / PA / Physician
Any
California
06CCT in Law: YesCounty / State
CCT Provider: CCT-RN
CCT Provider: CCT-RN
CCT Provider: CCT-RN
CCT Provider: CCT-RN
Specific level of RN requirement is not defined in any documentation.
View SourceCCT Provider: CCT-RN
Colorado
08CCT in Law: YesState
CCT-Medic
EMT-B
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.
Florida
12CCT in Law: NoAgency/Medical Director
Paramedic
EMT-B
CCT skills are determined and signed off by Medical Director with no limitations. No extra certifcation required.
Georgia
13CCT in Law: HoldAgency/Medical Director / State
Post Licensure Paramedic
EMT-B
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
Idaho
16CCT in Law: YesCounty / State
CCT-Medic or RN
EMT-B
There are 4 counties that HCA hospital are in. All of the counties have tiny some volunteer ems operations. Looks very rural
County follows state requirements
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)
County follows state requirements
County follows state requirements
County follows state requirements
Indiana
18CCT in Law: NoCCT is agency specific based off of Medical Director authority- confirmed
Kansas
20CCT in Law: YesState
Physician / RN
APRN / PA / Paramedic / Physician / RN / RT
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.
Kentucky
21CCT in Law: YesState
CCT-Medic / Nurse Prac / PA / Physician
Paramedic
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
Louisiana
22CCT in Law: NoAgency
CCT regulations/Requirements determined by agency, no state involvement
Missouri
29CCT in Law: NoNevada
32CCT in Law: YesCounty / State
CCT Provider: CCT-Medic / EMS RN
View SourceNew Hampshire
33CCT in Law: NoCCT-Medic
Local Medical Director Dictates scope and meds Medications: Determined by Medical Director.
North Carolina
37CCT in Law: HoldAgency / State
CCT-Medic or RN / Nurse Prac / PA / Physician / RN / RT
Driver
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.
South Carolina
45CCT in Law: YesAgency/Medical Director / State
CCT-Medic / EMS RN / RN / RT
CCT-Medic / EMS RN / RN / RT
There is a RN with EMT level that appears to be inline with CCT-Medic.
Tennessee
47CCT in Law: YesOther / State
CCT-Medic
Texas
48CCT in Law: NoAgency / Agency/Medical Director
CCT-Medic
EMT-B
Current info based on AMR Arlingtons CCT program. Other programs may be more robust due to medical director authority
Utah
49CCT in Law: YesState
CCT-Medic
Paramedic
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.
Virginia
51CCT in Law: NoPolicy 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