CAAS Standards Version 4.0

The CAAS Standards define the national benchmark for quality, safety, and accountability in mobile healthcare. Developed through a rigorous, consensus-based process and independently approved by the American National Standards Institute (ANSI), Version 4.0 provides a clear framework for organizational excellence—scalable for agencies of all sizes and service models.

What Are the CAAS Standards?

CAAS Standards Version 4.0 reflects the evolving realities of EMS—advancing expectations for clinical care, operations, leadership, technology, and safety while remaining accessible and practical for implementation.

What’s New in Version 4.0

A Reorganized Structure for Clarity

The standards are organized into four sections aligned with how agencies operate:

  • Administration
  • Clinical
  • Operations
  • Special and Other Services

This structure improves usability for agencies and supports consistent scoring for reviewers.

Recognition as a National Standard

ANSI Approved Standard

CAAS Standards Version 4.0 is approved by the American National Standards Institute (ANSI), confirming its status as a nationally recognized consensus-based standard.

Expanded Focus on Safety, Data Security, and Technology

New and enhanced standards address operational safety and technology continuity, including expectations for cybersecurity and secure management of electronic patient care records.

Strengthened Organizational Expectations

Version 4.0 places increased emphasis on leadership development, succession planning, culture of safety, organizational accountability, and governance.

Clarified and Expanded Clinical Standards

Updated clinical requirements strengthen Medical Director involvement, clinical protocol oversight, education, performance improvement, and quality assurance processes.

Simplified Requirements for Specialized Services

Standards for Specialty Care Transport (SCT), Mobile Integrated Health, and other specialty programs are consolidated into a dedicated section, reducing unnecessary burden.

Access the Standards