All existing KBEMS paramedic “Critical Care Endorsement” credentials will expire on January 1, 2027.  Paramedics who have the Critical Care Endorsement will have the opportunity to transition to "Advanced Practice Paramedic – Critical Care Paramedic" without needing to obtain IBSC-issued CCP-C certification.  All paramedics with a sunsetting Critical Care Endorsement will be notified through KEMSIS via email in January, 2026, when the transition application becomes available.  Once available, all transition applications must be completed​ by September 30, 2026.  Again, all paramedics with a sunsetting Critical Care Endorsement will be notified through KEMSIS via email in January, 2026, when the transition application becomes available.  (You will remain as a "Paramedic" if you choose not to submit the transition application.)  Keep your email address updated in KEMSIS!  See 202 KAR 7:401 Paramedics and 202 KAR 7:410 Advanced Practice Paramedics regulations for additional information.  Also, see the appropriate checklist​ for further details.​