Service Licensing Requirements

The EMS & Trauma Systems Section is responsible for the licensing and regulation of prehospital emergency medical services including ground ambulance services, air ambulance services (fixed wing and rotor wing), and non-transporting medical units. These services are licensed at one of three levels: Basic, Intermediate or Advanced Life Support. Additionally, services with limited personnel who are available to provide advanced life support, an "Authorization to provide limited ALS" can be issued. The licensing program includes the investigation and resolution of complaints concerning service operation or patient care.

List of licensed Montana EMS Agencies (PDF)/(Excel) - Last Updated 11/14/23


Each service is inspected at least once every two years and additionally as needed whenever changes of service type or level are made.


Violations are noted during inspections and corrections are required. Complaints about service operations and quality of care are investigated and resolved.