Fire and EMS agencies nationwide have sought my team’s help to tightrope the new CP/MIH care model’s regulatory lines (which are still drawn with a dotted line in most places). Although the archetypical CP/MIH models highlighted frequently across the country offer an inspiring set of models, they are also regionally specialized and therefore challenging to replicate. In the long-term, most locales cannot get paid for CP/MIH (and they won’t be able to for a while), so my “5 Rs of Community Paramedicine and Mobile Integrated Health,” aims to guide the efforts of agencies large and small that wish to engage this new, healthcare reform-focused care delivery model…even when their budgets to explore such a modern care model are razor-thin (if they exist at all).