Paramedic Services and Staff

Paramedic services providing 9-1-1 response in Wisconsin must:

  • Be licensed as a Paramedic service
    • If Licensed before January 1, 2000 the Ambulance will be staffed with 2 Paramedics
    • If Licensed after January 1, 2000 the Ambulance may be staffed with 1 Paramedic and 1 Licensed provider of another level
  • Operate under an approved operational plan
  • Operate under approved protocols
  • Operate under the Wisconsin Scope of Practice for the Paramedic
  • Operate with licensed/certified EMS personnel, credentialed with that service 

Licensed Paramedics in Wisconsin must:

  • Have completed an approved Paramedic course and subsequent refresher courses
  • Initially be certified in PEPP/PALS
  • Maintain current CPR for healthcare providers certification
  • Maintain current ACLS
  • Hold a current certificate from the State of Wisconsin (expires June 30 of even numbered years)
  • If practicing, be credentialed with a licensed  service
  • Follow approved protocols.

Per Ch. 256, Wis. Stats., and Wisconsin Administrative Code DHS110 (exit DHS), every group that operates as or advertises as providing Paramedic level service must submit an operational planand obtain a license as a Paramedic Service. Additionally, all individuals operating as Paramedics with a 9-1-1 response service must be trained through a department (DHS) approved Paramedic program and obtain and maintain a state certificate.

Paramedic Service Licensure


If a Paramedic service is not a licensed provider submit an operational plan. Follow the links below for the needed documents:

Individual Paramedic Certification


Just like any other type of EMS licensure, an individual must obtain their initial Paramedic provider license within 24 months of successfully completing the Paramedic course. This must be completed from their E-Licensing account which can be accessed by clicking this E-Licensing link.  After this has been obtained the Paramedic will need to complete a Local Credential Agreement (LCA) for the service they wish to be affiliated with.  Only after both the Service and Medical Directors approve the LCA will the individual be added to the service's roster.


For specific requirements for all levels go to the Renewal/Retraining Requirements page.


Contactthe Program Coordinator for further information.


WARDS Reporting


The new Administrative Rule 110.34(8) requires all ambulance responses to be uploaded or entered into WARDS. 


Last Revised: December 30, 2014