Chapter DHS 110

DHS 110.04(78) (78) “Wisconsin scope of practice” means the skills, equipment, and medications approved by the department for a level of expertise for emergency medical professionals.

DHS 110.04(79) (79) “Wisconsin Standards and Procedures of Practical Skills” means the document published and approved by the department that outlines the appropriate ways to perform certain skills used by all EMS professionals.

DHS 110.04(80) (80) “WTCS” means the Wisconsin technical college system.

DHS 110.04 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; correction in (19), (33) made under s. 13.92 (4) (b) 7., Stats., Register December 2010 No. 660; correction in (30) under s. 13.92 (4) (b) 7., Stats., Register July 2018 No. 751; CR 20-028: renum. (1) to (1r), cr. (1g), r. (11), renum. (10) to (11), am. (12), cr. (14e) to (14s), am. (16), (17), cr. (21e) to (21s), am. (24) to (28), r. (29), (30), am. (31), r. (33), (34), am. (35), (40) (intro.), (c), r. (41), am. (42), cr. (43m), am. (45), (47), r. (48), am. (49), (50), cr. (51m), am. (59), cr. (61m), (65m), am. (72), cr. (74m), am. (77), (78) Register September 2021 No. 789, eff. 10-1-21; renum. (14e), (45), (77) to (14r), (43r), (75m) under s. 13.92 (4) (b) 1., Stats., and correction in (43m), (74m) made under s. 35.17, Stats., Register September 2021 No. 789.

subch. II of ch. DHS 110 Subchapter II — Emergency Medical Professionals; Licensing; Certification; Training; Credential; Fees

DHS 110.05 DHS 110.05 License or certificate and credential required.

DHS 110.05(1) (1) Before an individual may perform emergency medical care or advertise for the provision of emergency medical care as an EMS professional, the individual shall be certified as an emergency medical responder or licensed as an EMS practitioner by the department and shall be credentialed by each emergency medical service provider with which the individual serves, except under the following conditions:

DHS 110.05(1)(a) (a) The individual provides emergency medical care as a volunteer practitioner under s. 257.03, Stats.

DHS 110.05(1)(b) (b) The individual provides emergency medical care as a trainee under s. DHS 110.15, while under supervision of a preceptor.

DHS 110.05(1)(c) (c) The individual is a certified emergency medical responder in another state who provides emergency medical care to 10 or fewer patients in this state under s. 256.15 (2) (b), Stats.

DHS 110.05(1)(d) (d) The individual is a licensed emergency medical services practitioner in another state or holds a training permit from another state who is involved 10 or fewer patient transports per year that originate and terminate in this state under s. 256.15 (2) (b), Stats.

DHS 110.05(1)(e) (e) The individual holds a valid certificate, license or training permit allowing the individual to act as an emergency medical responder or emergency medical services practitioner in another state and is acting in response from that state to a request for mutual aid under s. 256.15 (2) (c), Stats.

DHS 110.05(2) (2) Except when acting under sub. (1) (a), (b), (c), (d), or (e), a person acting or advertising as an emergency medical responder or emergency medical services practitioner without a certificate or license issued by the department or without appropriate credentialing may be subject to department action under subch. V or s. 256.15 (11) (c), (d), or (f), Stats., as applicable.

DHS 110.05 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (1) (intro.), cr. (1) (c) to (e), am. (2) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.06 DHS 110.06 Application for initial license or certificate; initial training requirements.

DHS 110.06(1) (1) Eligibility. To apply for an initial license as an emergency medical services practitioner or certificate as a an emergency medical responder, the applicant shall meet all of the following requirements:

DHS 110.06(1)(a) (a) The individual is 18 years of age or older.

DHS 110.06(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.

DHS 110.06(1)(c) (c) The individual has successfully completed training in the applicable Wisconsin curriculum within the 24 months immediately preceding submission of the application to the department for an initial license or certificate.

DHS 110.06(1)(d) (d) The individual has current registration with the NREMT at or above the practice level for which the application is made. If the individual does not hold certification with the NREMT, he or she must complete a cognitive and psychomotor assessment exam through the NREMT which must be authorized by the department.

DHS 110.06 Note Note: To request an assessment exam contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.06(1)(e) (e) The individual provides documentation of successful completion of a CPR course within the last two years at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the paramedic level, the applicant provides documentation of successful completion of coursework provided by an organization specified under s. DHS 110.17 (1) in all of the following:

DHS 110.06(1)(e)1. 1. Advanced cardiac life support.

DHS 110.06(1)(e)2. 2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent course approved by the department.

DHS 110.06(1)(f) (f) Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of an emergency medical responder or emergency medical services practitioner, as determined by the department. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination which includes providing the date of conviction and the nature and circumstances of the crime and submitting it to the department. The individual shall submit the application for the pre-determination fee specified under s. DHS 110.16 (1) (g) with the application. If the department denies the application, the department will notify the applicant of the reason for the denial and any appeal rights.

DHS 110.06 Note Note: The Wisconsin curricula for training, training requirements, Wisconsin Scopes of Practice, and information on organizations approved for CPR training may be found on the department’s website at www.dhs.wisconsin.gov/ems. Organizations approved for CPR training may also be found in s. DHS 110.17 (1).

DHS 110.06(2) (2) Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The applicant shall submit the application and documentation to the department in the manner or method specified by the department.

DHS 110.06 Note Note: Application for an initial license or certification is submitted by the applicant to the department electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.06 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. (title), (1) (intro.), cons. and renum. (1) (c) (intro.) and 1. to (1) (c) and am., r. (1) (c) 2., am. (1) (d), (e) (intro.), 2., (f), r. (1) (g), (h) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.066 DHS 110.066 Application for license or certificate when licensed and trained in another state as an EMS professional.

DHS 110.066(1) (1) Eligibility. To be eligible to apply for a license based on out-of-state license or education as an emergency medical services practitioner or certificate as an emergency medical responder, the applicant shall meet all of the following requirements:

DHS 110.066(1)(a) (a) The individual is 18 years of age or older.

DHS 110.066(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.

DHS 110.066(1)(c) (c) The individual presents documentation of a current license or certificate issued by another state at or above the level being applied and a completed verification of licensure form from every state the individual has ever been licensed or certified as an emergency medical responder or emergency medical services practitioner.

DHS 110.066(1)(d) (d) The individual presents a completed verification of education form documenting completion of an initial course equivalent to the training required for an initial license or certificate under the applicable Wisconsin curriculum, as determined by the department. If initial training was completed prior to the current licensing period, the applicant also presents documentation of completion of an approved refresher course, as determined by the department.

DHS 110.066(1)(e) (e) The individual shall successfully complete the cognitive and psychomotor exam through the NREMT for the certification or license level being applied for. If an applicant holds current NREMT certification at or above the certification or license levels being applied, that individual shall be considered to come from a jurisdiction with licensing or certification standards at least substantially similar to Wisconsin and exempt from examination under s. 256.15 (7), Stats. Applicants who do not hold current NREMT shall not be considered to come from jurisdictions with substantially similar licensing and certifications standards to Wisconsin and must complete the NREMT cognitive and psychomotor assessment examinations.

DHS 110.066 Note Note: Verification of education forms may be obtained electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. The form must be printed out and sent to the training institution, which will complete and return the form directly to the department. For further information or to request an assessment exam contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.066(1)(f) (f) The individual provides documentation of successful completion of a CPR course within the last 2 years at the healthcare professional level by a CPR organization specified under s. DHS 110.17 (1). If the application is for licensure at the paramedic level, the applicant provides documentation of successful completion of coursework provided by an organization specified under s. DHS 110.17 (1) in all of the following:

DHS 110.066(1)(f)1. 1. Advanced cardiac life support.

DHS 110.066(1)(f)2. 2. Pediatric advanced life support, pediatric education for pre-hospital professionals at the advanced life support level, or an equivalent approved by the department.

DHS 110.066(1)(g) (g) Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of an emergency medical responder or emergency medical services practitioner, as determined by the department.

DHS 110.066(1)(g)1. 1. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination including the date of conviction and the nature and circumstances of the crime and submitting it to the department.

DHS 110.066(1)(g)2. 2. The individual shall submit the application for pre-determination fee specified under s. DHS 110.16 (1) (g).

DHS 110.066(1)(h) (h) The individual shall complete training for response to acts of terrorism or present evidence satisfactory to the department of the equivalent course and successful completion.

DHS 110.066(1)(i) (i) The individual shall submit the reciprocity fee specified under s. DHS 110.16 (1) (e).

DHS 110.066 Note Note: The Wisconsin curricula for training, training requirements, Wisconsin Scopes of Practice, and information on organizations approved for CPR training may be found on the department’s website at www.dhs.wisconsin.gov/ems. Organizations approved for CPR training may also be found in s. DHS 110.17 (1).

DHS 110.066(2) (2) Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The applicant shall submit the application and documentation to the department in the manner or method specified by the department.

DHS 110.066 Note Note: Application for an initial license or certification is submitted by the applicant to the department electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.066 History History: CR 20-028: cr. Register September 2021 No. 789, 10-1-21; correction in (1) (f) made under s. 35.17, Stats., Register September 2021 No. 789.

DHS 110.07 DHS 110.07 Application for renewal license or certificate; refresher training requirements.

DHS 110.07(1) (1) Eligibility. To apply for renewal of an emergency medical services practitioner license or emergency medical responder certificate, the applicant shall meet all of the following eligibility and training requirements:

DHS 110.07(1)(a) (a) The individual is 18 years of age or older.

DHS 110.07(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.

DHS 110.07(1)(c) (c) The individual has a current National Registry of Emergency Medical Technicians certification that is valid on the first day of the renewal triennium or received refresher training as follows:

DHS 110.07(1)(c)1. 1. ‘Emergency medical responder.’ The individual has completed a 16-hour emergency medical responder refresher course based on the Wisconsin emergency medical responder curriculum or 16 hours continuing education that is based on the Wisconsin emergency medical responder curriculum and covers the subject areas identified by the department. The training shall be obtained during the triennium for which the current certification expires. Recertification through examination by the National Registry of Emergency Medical Technicians during this period may be used to fulfill the refresher course requirement under this paragraph.

DHS 110.07(1)(c)2. 2. ‘Emergency medical technician.’ The individual has completed a 40-hour EMT refresher course based on the Wisconsin EMT curriculum or 40 hours continuing education that is based on the Wisconsin EMT curriculum and covers the subject areas identified by the department. The training shall be obtained during the triennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.

DHS 110.07(1)(c)3. 3. ‘Advanced emergency medical technician.’ The individual has completed a 50-hour advanced EMT refresher course based on the Wisconsin AEMT curriculum or 50 hours of continuing education that is based on the Wisconsin AEMT curriculum and covers the subject areas identified by the department. The training shall be obtained during the triennium for which the current license expires. Recertification through examination by the National Registry of Emergency Medical Technicians during this period may be used to fulfill the refresher course requirement under this paragraph.

DHS 110.07(1)(c)4. 4. ‘Emergency medical technician — intermediate.’ The individual has completed a 60 hour EMT-Intermediate or paramedic refresher course based on the Wisconsin curriculum for the EMT-Intermediate or Wisconsin paramedic curriculum or 60 hours of continuing education that is based on the Wisconsin EMT-Intermediate curriculum and covers the subject areas identified by the department. The training shall be obtained during the triennium for which the current license expires.

DHS 110.07(1)(c)5. 5. ‘Paramedic.’ The individual has completed a 60-hour paramedic refresher course based on the Wisconsin curriculum for paramedic or 60 hours of continuing education that is based on the Wisconsin paramedic curriculum and covers the subject areas identified by the department. The training shall be obtained during the triennium for which the current license expires. Recertification through examination by the NREMT during this period may be used to fulfill the refresher course requirement under this paragraph.

DHS 110.07(1)(c)6. 6. ‘Critical care endorsement.’ The individual is licensed as a paramedic with a critical care endorsement, has completed the paramedic license renewal requirements in subd. 5. and an additional 24 hours of training specified by the department for the critical care paramedic during the triennium for which the current license expires.

DHS 110.07(1)(c)6g. 6g. ‘CEMS practitioner endorsement.’ The individual is licensed as an emergency medical services practitioner with a community emergency medical services practitioner endorsement, has completed the renewal requirements necessary for the individual’s level of licensure, and completed the prescribed continuing education hours specified by the department for the CEMS endorsement during the triennium in which the current license expires.

DHS 110.07(1)(c)6r. 6r. ‘Community paramedic endorsement.’ The individual is licensed as a paramedic with a community paramedic endorsement, has completed paramedic license renewal requirements in subd. 5 and the prescribed continuing education hours specified by the department for the CEMS endorsement during the triennium in which the current license expires.

DHS 110.07(1)(c)7. 7. ‘Emergency medical responders and emergency medical services practitioners.’ Successful completion of an initial training course above the current license level of the individual may be used to fulfill the refresher requirements of this paragraph. If the course is an initial paramedic course, completion of the didactic portion fulfills this requirement.

DHS 110.07(1)(d) (d) The individual provides documentation of successful completion of a CPR course at the healthcare professional level within the last two years by a CPR organization specified under s. DHS 110.17 (1). If the application is for renewal of a license at the EMT-intermediate or paramedic level, the applicant is also certified by an organization specified under s. DHS 110.17 (1) in advanced cardiac life support.

DHS 110.07(1)(e) (e) Subject to ss. 111.321, 111.322, and 111.335, Stats., the individual does not have an arrest or conviction record that is substantially related to performing the duties of an EMS professional, as determined by the department.

DHS 110.07(2) (2) Application. The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The application and documentation shall be submitted to the department in the manner or method specified by the department.

DHS 110.07 Note Note: Application for license or certificate renewal is submitted by the applicant to the department electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.07 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; (1) (c) 7. (title) created under s. 13.92 (4) (b) 2., Stats., Register December 2010 No. 660; CR 20-028: am. (1) (intro.), (c) (intro.), 1. to 6., cr. (1) (c) 6g, 6r., am. (1) (c) 7., r. and recr. (1) (d) Register September 2021 No. 789, eff. 10-1-21.

DHS 110.08 DHS 110.08 Practice level upgrades; downgrades.

DHS 110.08(1) (1) Upgrading emergency medical services practitioner practice levels. To upgrade an emergency medical services practitioner practice level, the emergency medical services practitioner shall complete the application requirements under s. DHS 110.06 for the desired emergency medical services practitioner practice level.

DHS 110.08(2) (2) Downgrading emergency medical services practitioner practice levels. To downgrade an emergency medical services practitioner practice level, the emergency medical services practitioner shall complete the application requirements under s. DHS 110.06 for the practice level to which the emergency medical services practitioner wishes to downgrade. When the downgrade occurs at renewal, the individual shall submit proof of refresher training at the downgraded level or the previous license level.

DHS 110.08(3) (3) Upgrading to the emt practice level. To upgrade from emergency medical responder certification to EMT licensure, the emergency medical responder shall complete the application requirements under s. DHS 110.06 for the EMT license level.

DHS 110.08 History History: CR 10-085: cr. Register December 2010 No. 660, eff. 1-1-11; CR 20-028: am. Register September 2021 No. 789, eff. 10-1-21.

DHS 110.088 DHS 110.088 Endorsements.

DHS 110.088(1) (1) Eligibility. To apply for an endorsement on an emergency medical services practitioner license, the applicant shall meet all of the following requirements:

DHS 110.088(1)(a) (a) The individual holds a current emergency medical service practitioner license that is not suspended or revoked, and the individual is not the subject of an action under s. 256.15 (11), Stats.

DHS 110.088(1)(b) (b) The individual is capable of performing the actions authorized by the department in the Wisconsin scope of practice for the practice level for which the applicant applies.

DHS 110.088(1)(c) (c) The individual provides documentation of successful completion of a CPR course at the healthcare professional level within the last two years by a CPR organization specified under s. DHS 110.17 (1). If the application is for an endorsement on a license at the EMT-intermediate or paramedic level, the applicant is also certified by an organization specified under s. DHS 110.17 (1) in advanced cardiac life support.

DHS 110.088(1)(d) (d) The individual, in accordance with ss. 111.321, 111.322, and 111.335, Stats., does not have an arrest or conviction record that is substantially related to performing the duties of an emergency medical services practitioner, as determined by the department. An individual with a conviction record may apply to the department for a pre-determination on their eligibility for certification or licensure by completing an application for pre-determination which includes providing the date of conviction and the nature and circumstances of the crime and submitting it to the department. The individual shall submit the application for pre-determination fee specified under s. DHS 110.16 (1) (g) with the application.

DHS 110.088 Note Note: The Wisconsin curricula for training, training requirements, Wisconsin Scopes of Practice, and information on organizations approved for CPR training may be found on the department’s website at www.dhs.wisconsin.gov/ems. Organizations approved for CPR training may also be found in s. DHS 110.17 (1).

DHS 110.088(2) (2) Application.

DHS 110.088(2)(a) (a) The applicant shall submit to the department an application that includes documentation acceptable to the department showing proof of eligibility. The applicant shall submit the application and documentation to the department in the manner or method specified by the department.

DHS 110.088(2)(b) (b) If the application is for the tactical EMS endorsement, the applicant shall present documentation of an affiliation with a department recognized tactical team.

DHS 110.088(2)(c) (c) If the application is for the critical care paramedic endorsement, the applicant shall be licensed as a paramedic and have completed training based on the Wisconsin critical care paramedic curriculum or be certified by a department-approved critical care program or an equivalent program as approved by the department within the 24 months immediately preceding application to the department for an endorsement. Training completed through an ambulance service provider that meets the content of the Wisconsin critical care paramedic curriculum and was completed prior to December 31, 2011 may meet the educational requirements if approved by the department.

DHS 110.088(2)(d) (d) If the application is for the community emergency medical services practitioner endorsement, the applicant shall have the equivalent of two years of experience as an emergency medical services practitioner at any level and have completed training based on the approved Wisconsin community emergency medical services practitioner curriculum or an equivalent program as approved by the department within the 24 months immediately preceding application to the department for an endorsement. Training completed through an emergency medical services provider that meets the content of the Wisconsin community emergency medical services curriculum and was completed prior to December 31, 2020, may meet the educational requirements if approved by the department.

DHS 110.088(2)(e) (e) If the application is for the community paramedic endorsement, the applicant shall be licensed as a paramedic with the equivalent of two years of service as a paramedic and have completed training based on the approved Wisconsin community paramedic curriculum or an equivalent program as approved by the department with the 24 months immediately preceding application to the department for an endorsement. Training completed through an emergency medical services provider that meets the content of the Wisconsin community paramedic curriculum and was completed prior to December 31, 2020, may meet the educational requirements if approved by the department.

DHS 110.088 Note Note: Application for an initial license or certification is submitted by the applicant to the department electronically through the department’s E-Licensing system available at www.dhs.wisconsin.gov/ems. Completed applications are processed electronically through this system. For further information contact the Emergency Medical Services Section, 1 W. Wilson St., P.O. Box 2659, Madison, WI 53701-2659.

DHS 110.088 History History: CR 20-028: cr. Register September 2021 No. 789, eff. 10-1-21; correction in (2) (d), (e) made under s. 35.17, Stats., Register September 2021 No. 789.

DHS 110.09 DHS 110.09 Expiration date; expired license or certification; late renewal; reinstatement. Licenses and certificates expire on June 30 of the third year of the triennium. If a license or certificate expires, the following as applicable, applies: