Mobile integrated health (MIH)-community paramedicine (CP) encompasses a diverse array of emergency medical services (EMS) programs that share the goal of increasing health care access for patients. Community paramedics often have additional training in the triage, assessment, or management of patients with one or more chronic diseases, mental health conditions, or limited access to care. Telemedicine and teleconsultation services can be integrated into any aspect of an MIH system. The most common type of telecommunication is voice-only communication over telephone or radio. An important area of consideration for EMS medical directors providing oversight to new or existing MIH-CP programs is the appropriate level and format of education for EMS practitioners participating in the program. Medical oversight of MIH-CP programs requires an in-depth understanding of EMS systems and an effective interaction within an array of nontraditional stakeholders.