Mobile integrated healthcare (MIH) is nonemergency care, most often delivered by paramedics in expanded roles, to people in their homes or other locations, and CAMTS publishes accreditation standards for MIH programs: the Mobile Integrated Healthcare Accreditation Standards, 2nd Edition. This service is for EMS organizations and health systems building a community paramedicine or MIH program, whether or not they plan to seek accreditation. Integral Healthcare Solutions (IHS) designs and documents your mobile integrated healthcare program; your medical director approves the protocols.

Last reviewed: October 2026. CAMTS MIH standards (2nd Edition PDF), CAMTS standards, application and Open Standard Drafts pages, and CAAS Version 4.0 summaries checked on October 2, 2026.

What is mobile integrated healthcare?

The CAMTS MIH standards open with a definition: "MIH is a relatively new and growing area of health care focused on providing primary and preventive care to underserved populations." They add that "most MIH services involve paramedics in expanded roles caring for clients in nonemergency situations in their homes or other locations," and that "Some MIH programs operate independently, and others may be part of a transport service or health care organization" (CAMTS MIH Standards, 2nd Edition, Preamble).

The governing text is the CAMTS "Mobile Integrated Healthcare Accreditation Standards 2nd Edition (2026)," as the CAMTS standards page lists it. The free PDF's title page reads "Second Edition Accreditation Standards for Mobile Integrated Healthcare Programs" and is dated October 1, 2025. CAMTS's Open Standard Drafts page (CAMTS Open Standard Drafts, read October 2, 2026) lists "July 1, 2026 – New 2nd Edition Mobile Integrated Healthcare Accreditation Standards become effective." CAMTS notes that these standards "are for CAMTS Accreditation only and follow the ANSI Essential Elements process. They are not approved as ANSI Standards at this time" (MIH 2nd Edition, front matter). The standards have four sections: MIH 01 Management and Staffing; MIH 02 Quality Management (quality, utilization and safety); MIH 03 Patient Care; and MIH 04 Vehicle Operations.

The standards define two program types:

• "MIH 03.01.01 TYPE I - A Type I service is defined as a program generally focused on discrete tasks and interventions. The program may be standalone or live within a public safety agency or health system."
• "MIH 03.02.01 TYPE II - A Type II service is defined as a program providing comprehensive care services delivered by a multidisciplinary team," which "also must include delivery of advanced clinical care services beyond the scope of traditional paramedicine" (MIH 2nd Edition).

CAAS covers the same ground inside its ambulance standards. CAAS Version 4.0 standard 403.01, "Mobile Integrated Health/Community Paramedicine," describes "The provision of community-based, patient-centered, mobile health care and resources tailored to the needs of the individual and connecting them to a broad spectrum of appropriate care" (CAAS Version 4.0 Standard Summaries).

Who needs it and what triggers it

Three situations bring organizations to this work.

Launching a program. An EMS agency or health system designing an MIH or community paramedicine program needs a program design, procedures and protocols before the first visit. The CAMTS standards address medical direction in MIH 03.03.00, and the licensure language is a "should," not a "must": "MIH 03.03.01 The medical director(s) should be licensed and authorized to practice in the state and location in which the medical service is based." (MIH 2nd Edition).

Seeking CAMTS MIH accreditation. CAMTS has a separate application: "The Application for Mobile Integrated Health Accreditation is for a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment" (CAMTS Apply).

A CAAS-accredited ambulance service that runs MIH. CAAS states that agencies that perform its Section 400 functions "at any level are required to meet and demonstrate compliance with the associated standards" (CAAS Standard Summaries).

State rules sit underneath all three. CAMTS says its standards "are as appropriate to the state of residence and the specific regulator of that state as referenced by the term 'Authority Having Jurisdiction' (AHJ)," and that they "are part of a voluntary process and frequently exceed the AHJ's regulations" (MIH 2nd Edition, Preface). This page does not summarize any state's rules.

How IHS helps

IHS's process for a new clinical service line, applied to an MIH program:

1. Questionnaires. IHS sends questionnaires on referral sources, visit types and partners.
2. Program design. IHS drafts the program design from your goals and answers, including whether the program fits the CAMTS Type I or Type II definition.
3. Drafted procedures. IHS drafts intake, visit documentation, escalation and performance-review procedures.
4. Protocols for approval. IHS drafts clinical protocols for your medical director to review and approve.
5. Partner agreement outlines. IHS outlines partner agreements for your counsel.
6. Standards crosswalk. If you seek accreditation, IHS maps the program to the CAMTS MIH standards or CAAS 403.01.
7. Mock review. IHS reviews the program documents against the governing text and lists what is missing.

What you supply: program goals, your partner list, your medical director and clinical protocols, and your decisions on patient selection.

The limit: what a paramedic may do in your state is a legal and medical-direction question. IHS identifies the provisions for your counsel and does not advise on scope of practice. More on IHS's build work is on the program development page.

What to have ready

• A copy of the CAMTS MIH Standards, 2nd Edition, which CAMTS offers as a free download (MIH 2nd Edition PDF).
• A decision on program type: Type I, "generally focused on discrete tasks and interventions," or Type II, "comprehensive care services delivered by a multidisciplinary team" (MIH 03.01.01, 03.02.01).
• A medical director who, under MIH 03.03.01, "should be licensed and authorized to practice in the state and location in which the medical service is based" (MIH 03.03.01).
• A management and staffing plan, the subject of MIH 01 Management and Staffing (MIH 2nd Edition).
• A quality management plan covering quality, utilization and safety, the subjects of MIH 02 (MIH 2nd Edition).
• Patient care documents for MIH 03: medical direction, clinical care supervisors, education and infection control (MIH 2nd Edition).
• Vehicle operations procedures for MIH 04 Vehicle Operations (MIH 2nd Edition).
• Your state's rules identified, since the standards apply "as appropriate to the state of residence and the specific regulator of that state" (MIH 2nd Edition, Preface).
• If you are a CAAS-accredited agency, the text of standard 403.01, "Mobile Integrated Health/Community Paramedicine" (CAAS Standard Summaries).
• A note that the CAMTS compliance checklist for this edition is pending: the standards page says "2nd Edition Checklist will be available shortly" (CAMTS Standards).

To go through the list with IHS, book the introductory call below.

How it compares

For air and critical care transport accreditation under CAMTS, see CAMTS medical transport accreditation readiness.

What it costs

CAMTS does not publish an MIH-specific fee schedule on the pages we reviewed. Its FAQ gives a general schedule, an "INITIAL APPLICATION FEE: $1000.00" and a site survey base fee of $6,500 plus asset fees and "$600.00 per day per site surveyor plus travel and expenses" (CAMTS FAQ, read October 2, 2026), but it does not say whether that schedule applies to MIH applications. Verify current fees with CAMTS. CAAS does not publish a separate MIH fee on the pages reviewed; its application fees are set by annual transport volume. IHS scopes each engagement after a free introductory call.

What this is not

• IHS does not advise on paramedic scope of practice or practice clinical medicine. Your medical director approves the protocols, and this page is not legal advice.
• IHS is not CAMTS or CAAS and does not grant, predict or influence an accreditation decision.
• IHS does not contact, submit to or speak for your program to an accreditor or a state EMS office. IHS drafts; your organization submits.

Frequently asked questions

What is mobile integrated healthcare, and how is it different from community paramedicine?

CAMTS describes MIH as care focused on primary and preventive services for underserved populations, most often by paramedics in expanded roles in patients' homes or other locations. CAAS groups the two terms in one standard, 403.01 Mobile Integrated Health/Community Paramedicine. The sources reviewed do not draw a line between the terms.

What is the difference between a CAMTS Type I and Type II MIH program?

CAMTS defines a Type I service as a program generally focused on discrete tasks and interventions, standalone or within a public safety agency or health system. A Type II service provides comprehensive care through a multidisciplinary team and must include advanced clinical care beyond the scope of traditional paramedicine.

Can a paramedic provide MIH visits under our state's EMS scope of practice?

That depends on your state. CAMTS says its standards apply as appropriate to the state and its regulator, the Authority Having Jurisdiction. IHS identifies the relevant provisions for your counsel and does not advise on scope of practice.

What does a medical director have to do for an MIH program?

The CAMTS standard MIH 03.03.01 says the medical director should be licensed and authorized to practice in the state and location where the medical service is based. In an IHS build, the medical director reviews and approves the clinical protocols IHS drafts.

What policies and procedures does a new MIH program need before launch?

The CAMTS MIH standards are organized into management and staffing, quality management, patient care and vehicle operations, and those sections are a working outline. IHS drafts intake, visit documentation, escalation and performance-review procedures, with protocols for medical director approval.

Is there an accreditation for MIH programs, and who offers it?

Yes. CAMTS has a separate MIH application and the Mobile Integrated Healthcare Accreditation Standards, 2nd Edition. CAAS addresses MIH and community paramedicine in standard 403.01 for agencies within its ambulance accreditation.

CAMTS MIH accreditation versus CAAS Version 4.0 standard 403.01: which fits an EMS agency?

CAMTS MIH accreditation is a separate program with its own standards, open to programs that are standalone or part of a larger organization. CAAS 403.01 applies to agencies that perform MIH within CAAS ambulance accreditation. This page does not recommend one; compare each against how your program is organized.

What quality and utilization measures should an MIH program track?

MIH 02 in the CAMTS standards covers quality management, including quality, utilization and safety. This page does not list specific measures; IHS drafts the performance-review procedure against that section and your program goals.

How do hospitals and health systems partner with EMS on an MIH program?

CAMTS notes that some MIH programs operate independently and others are part of a transport service or health care organization, and that a Type I program may live within a public safety agency or health system. IHS outlines partner agreements for your counsel.

What does MIH accreditation cost?

CAMTS does not publish an MIH-specific fee on the pages reviewed. Its FAQ gives a general schedule, a $1,000 application fee and a $6,500 site survey base fee plus asset and surveyor fees, without saying whether it applies to MIH. Verify current fees with CAMTS.