Open a jurisdiction to review its dated requirements and official sources. Use the compact tables to compare which states participate.
All 51 jurisdictions · Compact status table · Plan the crossing: offshore · 911 ground · IFT
Can I work a 13-week contract here on my home-state licence?
No — you need full state licensure
The Commission's current state-specific page explicitly says Montana has not yet joined the EMS Compact.
The Commission's current state-specific page explicitly says Montana has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
EMS Compact Commission · emscompact.gov · verified 4 Oct 2026 · Partly supported
Requirements include source links and review dates. Expand each source quotation for the supporting text. Unverified and incomplete information is labelled alongside the relevant requirement.
The office that issues the card, and the law it issues it under.
2 of 5 answered from a source · 3 written up as absences
Who actually issues an EMS licence in Montana?
Montana EMS & Trauma Systems
Partly supported
Name as published in the National Registry's State EMS Offices directory, which is the Registry reporting what Montana told it rather than Montana naming itself on its own site. Replace with a claim sourced from the state's own page when that page is read.
Where is Montana's EMS licensing office online?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Where do I actually submit an application in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Who do I call or email about Montana licensure?
(406) 841-2360
Partly supported
From the National Registry's State EMS Offices directory, which carries the Registry's own warning: 'Information provided on this page is for convenience. Always verify information directly with the State EMS Office.'
Which statute or rule governs EMS licensure in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Levels, term, and what your National Registry does and does not buy you.
0 of 6 answered from a source · 6 written up as absences
What levels does Montana issue, and what does my cert become there?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
How long does a Montana licence last before renewal?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Do I need National Registry to get licensed in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Do I have to keep National Registry current to keep a Montana licence?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Does Montana make me sit its own exam?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What criminal history bars me from licensure in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
The EMS Compact — formally REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact. Enacted, in force, and verifiable status are separate dated facts, plus what privilege covers.
4 of 10 answered from a source · 6 written up as absences
What do I have to satisfy for compact privilege to apply in Montana?
Does not arise in Montana
Montana has not enacted the EMS Compact, so there is no Privilege to Practice here for a medic licensed elsewhere, and no conditions to satisfy.
Which situations does compact privilege cover in Montana?
Does not arise in Montana
Privilege to Practice is not recognised in Montana.
When do I need full Montana licensure instead of privilege?
Does not arise in Montana
Full Montana licensure is required for every circumstance, because privilege does not exist here at all. Recorded as not_applicable rather than as a list, since an exhaustive list would just restate 'everything'.
Can I work a 13-week contract in Montana on my home-state licence?
No — you need full state licensure
Partly supported
The Commission's current state-specific page explicitly says Montana has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
Montana has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
I have an old or inactive Montana card — can I still use compact privilege here?
Does not arise in Montana
The Home State / Remote State distinction is a compact concept and does not arise in Montana. A Montana licence neither grants nor forfeits privilege anywhere, and holding one does not affect privilege in Member States.
Does Montana add anything on top of the compact?
Does not arise in Montana
There are no privilege holders in Montana to restrict.
Where does an employer verify my privilege for Montana?
Does not arise in Montana
No compact privilege exists in Montana to verify. Montana licence verification, where the state publishes a lookup, is a different thing and lives under regulator.
Has Montana passed the EMS Compact into law?
Partly supported
The Commission's current Commissioner page says Montana has not yet joined the EMS Compact. It gives no enactment date or state bill citation, so those remain null.
Defect in this source The Commission's homepage counts 28 participating states while this State Laws table, which calls itself complete, lists 25 rows. The gap is Alaska, Arizona and Connecticut, which enacted in the 2025-2026 sessions and are footnoted on the homepage but absent from the table.
Montana has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
Is Montana's compact law actually in effect yet?
Partly supported
The Commission's current Commissioner page says the EMS Compact is not currently law in Montana. The effective date remains null; the existing delayed-implementation flag is downstream of no enacted law and is not a statement that the Commission reviewed a state clause.
The EMS Compact is not currently law in Montana.
emscompact.gov · EMS Compact Commission
Can my Privilege to Practice actually be verified in Montana?
Partly supported
The Commission's current state page says Montana has not yet joined the EMS Compact. The Commission describes NEMSCD data as covering participating states, so this supports nonparticipation rather than an independent integration check. This does not establish legal activation or practitioner eligibility in other states.
Montana has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
The route in when privilege does not cover you.
0 of 9 answered from a source · 9 written up as absences
Will Montana recognise my out-of-state certification at all?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What does Montana call its out-of-state pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Where do I start a reciprocity application for Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What does Montana require from an out-of-state applicant?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What does it cost to get licensed in Montana from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
How long will Montana take to process my application?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What background check does Montana require, and how do I do it from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Can I start working in Montana before full approval?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Does my National Registry have to be current to apply in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
The renewal clock and what it costs in hours.
0 of 7 answered from a source · 7 written up as absences
How often do I recert in Montana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
How many CE hours does Montana want, and in what?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Can I use NCCP hours to recert in Montana, or does it want its own?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What does Montana require at renewal that other states do not?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Does Montana make me take a refresher course to recert?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
My Montana cert expired — can I still get it back?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Where do I find CE that Montana will accept?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Where a service record shortens the path.
0 of 4 answered from a source · 4 written up as absences
Does Montana have a faster route for military training or veterans?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
What does Montana's military pathway actually get me?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Where does Montana document its military pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
Does Montana extend its military pathway to spouses?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Montana's own EMS office pages have not been read.
DEA rewrote the narcotics rules for EMS in February 2026. Registration moved from the medical director to the agency itself, and the rule spells out storage, restocking and standing-order administration. These rules are federal and read the same in every state.
10 federal facts, quoted from the Federal Register · 2 of 2 Montana facts answered from state law
What changed, and when did it take effect?
The DEA final rule implementing the Protecting Patient Access to Emergency Medications Act of 2017 (PPAEMA). It amends 21 CFR parts 1300, 1301, 1304 and following to create the EMS agency registration and the storage, delivery and recordkeeping rules below.
Who holds the DEA registration an ambulance operates under?
Before this rule most services ran narcotics under their medical director's practitioner registration. The registration now belongs to the agency, as its own DEA business-activity category.
the Act directs the Attorney General (and thus the Administrator) to allow a registered EMS agency to obtain a single registration for each State in which the EMS agency administers controlled substances, rather than requiring the agency to obtain a separate registration for each location at which it operates within that State.
Does one DEA registration cover operating in another state?
The fact that matters most to a traveler: compact privilege can carry your licence across a border, but it does not carry your agency's DEA registration. An agency running trucks in two states registers twice.
EMS agencies that wish to operate in multiple States must register with DEA in each State in which they operate.
Can a medic administer controlled substances without the medical director present?
Federal law now says yes, but only where state law agrees: EMS professionals are only allowed to make such administrations if authorized by State law. Whether your state's law does is the per-state question at the end of this section.
the Act allows emergency medical services professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional pursuant to a valid standing or verbal order.
How do narcotics have to be stored in the vehicle?
EMS vehicles storing controlled substances must be locked when parked outside of an enclosed registered or designated location, with the controlled substances stored in a securely locked, substantially constructed cabinet or safe that cannot be readily removed.
Does a hospital-based agency need its own registration?
Hospital-based means owned or operated by a hospital. If you work for a hospital service, the drug box stays on the hospital's paper.
The CSA, as amended by the Act, expressly allows hospital-based EMS agencies to operate under the hospital's registration rather than obtaining their own separate registration.
Can the truck restock controlled substances from a hospital?
the Act allows non-hospital-based EMS agencies to receive controlled substances from a hospital for the purpose of restocking an EMS vehicle following an emergency response.
What does the DEA registration cost an agency?
this rule reflects the current fee of $888 so that, as intended, the fee for EMS registrants is the same as that for other dispensers of controlled substances.
Do municipal and fire-based services pay the fee?
Even if the EMS agency is not operated by a government fire department, if the EMS agency itself is operated by the local government, it would also be exempt from application fees.
When does an existing service have to move to the new registration?
DEA recommends agencies contact their local field office to complete the transition.
The three options for EMS agencies to transition are: (1) transition immediately on the effective date established by DEA; (2) transition at the expiration of their current registration; or (3) transition three to six months prior to their renewal date.
Does Montana law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
Partly supported
Montana never uses the phrase 'standing orders' in its emergency care provider rules, which is why this is partial rather than full. What it has instead is a two-part structure: the scope rule quoted here authorises practice under a medical director's oversight, and ARM 24.156.2701 defines 'Offline medical direction' as 'general medical oversight and supervision for an emergency medical service or an ECP' as against 'Online medical control', which it defines as 'real-time interactive medical advice or orders'. Offline direction is therefore the recognised mode and does not require the physician present. The Board of Medical Examiners' Montana ECP Scope of Practice document adds that the use of a specific medication 'must align with clinical scope of practice, clinical protocols approved by a Medical Director', which is the medication-specific link, but it too stops short of naming controlled substances. Source note: rules.mt.gov, the official rule host, returns an empty document to every non-browser client, so the citation is the Board of Medical Examiners' own compiled chapter PDF, current as of 30 September 2022.
An ECP licensed at an EMT with endorsement(s), AEMT, or paramedic level may perform any acts allowed within the ECP's licensure level or endorsement level when: (a) under medical oversight of a medical director who is taking responsibility for the ECP;
boards.bsd.dli.mt.gov · State administrative code
Does Montana require its own controlled-substance registration for EMS agencies?
Partly supported
The waiver is mandatory ('shall waive'), not discretionary, which is what makes this a clean no. It turns on Montana's broad definition of practitioner at § 50-32-101, which reaches any 'other person licensed, registered, or otherwise permitted to distribute, dispense, or ... administer a dangerous drug in the course of professional practice ... in this state' — a licensed Montana EMS service holding the new DEA EMS agency registration fits. Two supporting points: § 50-32-301 is the registration requirement the waiver switches off, and § 50-32-302(4) separately exempts 'officers and employees of the state, or a political subdivision of the state while acting in the course of their official duties', which covers most municipal and county EMS staff regardless. quote_supports is partial because the statute speaks of practitioners generally and no Montana source addresses EMS agencies by name.
The board shall waive the requirement for registration of practitioners, other than pharmacies, who are registered or licensed by the federal government to dispense dangerous drugs.
leg.mt.gov · State statute
Questions not yet settled from a primary source.
Montana's EMS licensure content could not be retrieved. dphhs.mt.gov serves the EMS and Trauma Systems section as a navigation shell — the retrieved page is department-wide menus with no EMS licensure content, and the obvious /licensure sub-path 404s. Retrieve from a browser session and record the out-of-state pathway, fees, levels and recertification cycle.
opened 9 Aug 2026 · blocks regulator.url, reciprocity.pathway_exists, reciprocity.requirements, reciprocity.fee, licensure.levels, recertification.cycle_years