Fees

Comprehensive & Annual Fees

Paramedic
(current)
Paramedic
(effective July 1, 2025)
CoAEMSP Letter of Review (LoR) $4050 $4050
LoR Application Evaluation  1950  1450
LSSR Evaluation    750  1250
Preliminary Site Visit1
(1 site visitor/1 day)
 1350  1350
CAAHEP Initial and Continuing Accreditation
Domestic $3450 $4500
I/CSSR Evaluation    750  1250
Site Visit2
(2 site visitors/2 days)
 2700  32503
International $1150+ $6250+
I/CSSR Evaluation    900  1250
Site Visit actual costs  5000 + actual costs
Technology Fee    250       0
Annual Fee4
Domestic $1700 $2200*
International $4200 $4500*

*3% increase annually for the next 5 years5
(the scaling fee is at the bottom of this page)

Additional Fees

Satellite Location
(per location per year invoiced with Annual Fee)
$500
Alternate Location
(per location per year invoiced with Annual Fee)
$500
LoR Application Re-evaluation $750
Self-Study Report Re-evaluation
(LSSR, ISSR, CSSR)
$750
Site Visit Reschedule
(Preliminary, Regular)
$500
Focused Site Visit $900 + actual costs
Late Submission of Annual Report $500
Additional Processing Fee
for past due payments
$500
Transfer of Sponsorship $950 → $1500
(eff. July 1, 2025)
Paramedic
(current)
Paramedic
(effective July 1, 2025)
Additional Site Visitor $1350 $1625
Additional Site Visit Day $250 $0

Future Annual Fees (3% scaling)

Paramedic
Domestic
Paramedic
International
Due by July 1, 2025 $2200 $4500
Due by July 1, 2026 $2275 $4650
Due by July 1, 2027 $2350 $4800
Due by July 1, 2028 $2400 $5000
Due by July 1, 2029 $2500 $5150

Invoice Request Forms
should be emailed to accounting@coaemsp.org

LoR Application Invoice Request Form
Mar-2024 Download

Resources

Fee Announcement
Mar-2024 Download
Fee Announcement FAQ
Mar-2024 Download

Footnotes

1, 2 On a case-by-case basis, CoAEMSP determines if there are special circumstances that require more than a preliminary or regular site visit.

3 Programs pay a flat site visit fee of $3250, which covers the costs of a 2-person/2-day site visit. If the actual costs exceed $3250, then the program is invoiced for the amount in excess of $3250.

4 When a program is issued the Letter of Review (LoR) they are assessed the following based on the CoAEMSP’s current fiscal year (July 1 through June 30):

  • LoR issued from July through December, the program is assessed 100% of the current fiscal year annual fee.
  • LoR issued from January through June, the program is assessed 50% of the current fiscal year annual fee.

Following the initial invoice for the annual fee, programs are invoiced in May for the next fiscal year, with payment due in July.

5 Annual Fee 3% Scaling Timeline

Additional Notes

  • CoAEMSP asks programs to pay via Automated Clearing House (ACH). If the program pays via check, then the payment should be traceable and sent using a tracking number.
  • Programs on Inactive status are responsible for paying all CoAEMSP fees.
  • For more information on the policies regarding fees, see the CoAEMSP Policy & Procedures Manual Section X – Accreditation Fees.
  • Accounting services for the CoAEMSP are performed by Ray Tax Group.