Community Paramedics

 

Community Paramedics (CP)

On this page:
Community Paramedic Toolkit, 2016 (PDF)
Background
Definition
Education, training and certification
Services provided
Supervision
Billing and reimbursement
Toolkit Background Research
Other Resources


Background

A 2012 Legislative Report Community Paramedic Services: Health Services Medical Management (PDF: 519KB/19 pages) from the Minnesota Department of Human Services describes how the concept of the CP grew from the traditional career ladder of Emergency Medical Technicians (EMTs). Most EMTs begin with a basic curriculum in emergency medicine and, over the course of a career, gain new skills and certifications through training. The typical progression of certification goes as follows:

  1. Certified First Responder
  2. Emergency Medical Technician – Basic (EMT–B)
  3. Emergency Medical Technician – Intermediate (EMT–I)
  4. Eventually, EMTs can obtain a certification to become an Emergency Technician – Paramedic (EMT–P)
The Community Paramedic certification offers career paramedics another level of training and a new way to contribute their skills.

Top of page


Definition

A Community Paramedic (CP) is an advanced paramedic that works to increase access to primary and preventive care and decrease use of emergency departments, which in turn decreases health care costs. Among other things, CPs may play a key role in providing follow–up services after a hospital discharge to prevent hospital readmission. CPs can provide health assessments, chronic disease monitoring and education, medication management, immunizations and vaccinations, laboratory specimen collection, hospital discharge follow–up care and minor medical procedures. CPs work under the direction of an Ambulance Medical Director.

Top of page


Education, training and certification

The Community Paramedic Curriculum was developed by the North Central EMS Institute with input from many national and international instructors.

The curriculum is 14 credits with 114 didactic hours and 196 clinical hours.

As of January 2015, two schools offer the curriculum:

The Emergency Medical Services Regulatory Board (EMSRB) certifies Community Paramedics. In order to obtain Community Paramedic certification, an individual must:

  • Be currently certified as a paramedic and have two years of full–time service as a paramedic or it’s part-time equivalent;
  • Successfully complete a community paramedic education program through an accredited college or university; and
  • Practice under the supervision of an ambulance services medical director.
To maintain certification, the Community Paramedic must complete 12 hours continuing education in clinical topics approved by the ambulance medical director.

Top of page


Services provided

CP services include, but are not limited to the following: 

  • Health assessments
  • Chronic disease monitoring and education
  • Medication compliance
  • Immunizations and vaccinations
  • Laboratory specimen collection
  • Hospital discharge follow–up care
  • Minor medical procedures approved by the Ambulance Medical Director

Top of page


Supervision

Community Paramedics work under the direct supervision of the Medical Director of an ambulance service, who is responsible for coordinating CP services with the patient’s primary care provider.

Top of page


Billing and reimbursement

According to Minnesota Statute 256B.0625, Subdivision 60, Medical Assistance covers services provided by community paramedics who are certified under section 144E.28, Subdivision 9, when the services are provided in accordance with this subdivision to an eligible recipient.

Payment for services provided by a CP under this subdivision must be a part of a care plan ordered by a primary health care provider in consultation with the medial director of an ambulance service and must be billed by an eligible provider enrolled in medical assistance that employs or contracts with the community paramedic. The care plan must ensure that the services provided by a CP are coordinated with other community health providers and local public health agencies and that CP services do not duplicate services already provided to the patient, including home health and waiver services.

Services provided by a CP to an eligible recipient who is also receiving care coordination services must be in consultation with the providers of the recipient´s care coordination services.

Community Paramedic services have been covered by Minnesota´s Medicaid program since 2012, and Minnesota is the first state to cover this newly developed profession.

The Minnesota Department of Human Services Provider Manual includes information on enrollment and reimbursement for CPs serving Minnesota Health Care Program enrollees.

Questions regarding coverage, payment and reimbursement for clients enrolled in a managed care organization or commercial insurance carrier should be directed to those specific organizations.

Relevant Statutes and Rules

Top of page


Other Resources

Community Paramedic Projects in MN (list and/or map with links)

Helpful tools

Reports

Top of page


 

 

Contact for more information
Will Wilson
651-201-3842

 

Updated Wednesday, February 15, 2017 at 08:21AM