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What is RETAC

Colorado has 11 Regional Emergency Medical and Trauma Services Advisory Councils (RETAC). RETACs are authorized by statute to provide a coordinated approach to emergency medical and trauma care. Each council consists of five or more participating counties. Each RETAC is responsible for creating an implementation plan for delivering emergency medical and trauma care in the region.

The San Luis Valley Regional Emergency Medical and Trauma Advisory Council is comprised of members representing ten EMS agencies, three hospitals and related partners in the San Luis Valley region of Colorado.

where we serve


Ground Ambulance License Updates The department welcomes Joel Kingsbury-Roth to the position of Ground Ambulance Licensing Specialist. Joel is a Colorado- and NREMT-certified EMT and brings over thirteen years of experience in the field to his position. Among his immediate priorities will be assisting ground ambulance services with the onboarding process and developing additional stakeholder guidance.

So far, more than sixty ground ambulance services have submitted the ground ambulance license onboarding application. The onboarding application is available through the department’s Online Application Tracking Hub (OATH). The deadline for submission is May 1, 2024.

Additional information and application guidance can be found on the ground ambulance licensing page of the department’s website. Please contact us or (303) 691-4932 if you have any questions or need additional resources.

2025 Funding Application Now Available — The EMTS funding program is currently accepting grant applications for the fiscal year 2025 funding cycle. Applications are accepted via the ZoomGrants portal. Applicants must update their EMTS organizational profile and submit a pre-application via ZoomGrants before Feb. 8, 2024. For more information, visit the EMTS Apply for Funding page.

EMTS Data Section Requests Prevention Efforts Information — The State Emergency Medical and Trauma Advisory Council Prevention Committee is seeking information and input about local and regional prevention efforts. Topics sought include but are not limited to firearms-related injuries, suicide, motor vehicle safety, child maltreatment, infant safe sleep, stroke, cardiac arrest, sexual violence, and opioid overdoses. Contact the EMTS Data Team to share efforts or for more information.

Legal Status Rule Update –- Prior to July 1, 2022, Colorado state law required state and local agencies to verify the lawful presence of certain applicants for public benefits, which are defined to include professional, occupational, and commercial licenses. Consequently, certain provisions in 6 CCR 1015-3 that require applicants for EMS registrations or certifications, Emergency Medical Responder registrations, and air ambulance change of ownerships to provide “proof of lawful presence in the United States in compliance with Section 24-76.5-103(4), C.R.S.”

Senate Bill 21-199 repealed and reenacted this “lawful presence” requirement. Effective July 1, 2022, the new law affirmatively states that lawful presence is no longer an eligibility requirement for state or local public benefits. Consequently, rule sets that require proof of lawful presence no longer conform to existing law and must be changed. These proposed rules are the result of the Department’s alignment of its rules with current law. 

This mandatory statutory change impacts all applicants for public benefits, as defined by law, not only health facilities and EMS applicants. Consequently, the Department will not be engaging in a stakeholder process but is, instead, distributing the proposed rules to stakeholders for your review. The Department will accept comments concerning the proposed rule changes via Google Form through February 19, 2024.   

Behavioral Health Secure Transportation — All licensed ambulance agencies that provide behavioral health secure transportation services are asked to update their organizational profile. 

The Department of Health Care Policy and Finance began enrollment in the behavioral health secure transportation benefit July 1. Licensed ground ambulance agencies are exempt from the requirement for an additional secure transportation licensing requirement and eligible to receive reimbursement if all the requirements of 6 CCR 1011-4 are met. This includes updating organizational profiles to notify the department that an agency is providing behavioral health secure transportation and submitting yearly data. 

If you have any questions regarding reimbursement, please click here. More information about updating organizational profiles click here.

Resources Available through PEAK: Child Abuse– In 2018, one-third of all emergency department visits were from children under 15 years old.  Knowing that child physical abuse is known to be under-detected and under-reported by medical clinicians, PEAK: Child Abuse was developed to provide resources for hospital and prehospital-based practitioners, in partnership with patients and families, to support children and youth with suspected physical abuse. More information click here. Questions contact Nicolena Mitchell.

Rural Emergency Medical Services Training Grant — The purpose of this program is to recruit and train EMS personnel in rural areas with a particular focus on addressing substance use disorders (SUD) and co-occurring disorders (COD) substance use and mental disorders. Recipients will be expected to train EMS personnel on SUD and COD, trauma-informed, recovery-based care for people with such disorders in emergency situations and, as appropriate, to maintain licenses and certifications relevant to serve in an EMS agency. More information click here.