Frequently Asked Questions – EMS CE

Alabama EMS providers work under a two-year renewal cycle with firm deadlines and clear CE hour requirements by certification level. Whether you are a Paramedic, AEMT, EMT-Intermediate, EMT, or EMR, knowing what you need and when you need it by keeps your license in good standing. This page answers the questions Alabama providers ask most often.

General Requirements

Who sets the continuing education rules for Alabama EMS providers?

The Alabama Department of Public Health, Office of EMS and Trauma oversees EMS licensure and continuing education in the state. The governing regulation is Alabama Administrative Code 420-2-1-.23. For the most current requirements, contacting OEMS directly or visiting their website is always the right move before submitting a renewal.

How long is an Alabama EMS license valid?

Alabama EMS licenses run on a two-year renewal cycle. All licenses expire at midnight on March 31 in the stated year of expiration.

What is the practical deadline for submitting my renewal application?

While licenses technically expire March 31, renewal applications received after March 1 cannot be guaranteed to process before the expiration date. That makes March 1 the real working deadline for most providers. Plan to have your CE hours complete and your application submitted well before March 1 to avoid any risk of a lapse.

What if I was licensed before 1986 and never held an NREMT certification?

Alabama provides a specific amnesty provision for providers who were licensed prior to 1986 and were not required to obtain NREMT certification as part of their initial licensure. Those individuals are exempt from the NREMT maintenance requirement but must still complete the current OEMS continuing education hours for their certification level every two-year cycle, per Alabama Administrative Code 420-2-1-.23(5).

Is there a NREMT-based renewal pathway in Alabama?

Yes. Alabama providers who hold active NREMT certification may recertify by submitting proof of their current National Registry certification rather than completing the state CE hour requirements independently. If you maintain NREMT credentials, this pathway is worth considering.

Hours by Certification Level

How many CE hours does an Alabama Paramedic need?

Alabama Paramedics must complete 60 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is built around the 2025 NCCP model and satisfies this requirement entirely online.

What is the CE requirement for AEMTs in Alabama?

AEMTs must complete 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course covers this requirement.

What about EMT-Intermediates?

Alabama EMT-Intermediates also need 50 hours every two years and must follow the NCCR requirements for AEMTs. The same 50-Hour NREMT AEMT Refresher Course applies.

How many hours does an Alabama EMT need?

EMTs are required to complete 40 hours of continuing education per two-year cycle. DistanceCME’s 40-Hour NREMT EMT Refresher Course meets this requirement.

What is the requirement for Alabama EMRs?

EMRs must complete 16 hours of continuing education every two years. DistanceCME’s 16-Hour NREMR Refresher Course satisfies this requirement and can be completed fully online.

Online Courses and Accreditation

Are online CE courses accepted for Alabama EMS renewal?

Yes. Alabama accepts CAPCE-accredited continuing education. DistanceCME holds CAPCE accreditation and is accepted by the National Registry. Live virtual instructor-led courses through DistanceCME count as F-5 VILT hours, treated the same as in-person classroom instruction.

What does CAPCE accreditation mean?

CAPCE, the Commission on Accreditation for Pre-Hospital Continuing Education, is the nationally recognized accrediting body for EMS continuing education. When a course carries CAPCE accreditation, it has been independently reviewed and confirmed to meet established educational standards. Alabama requires CAPCE-accredited hours, so choosing an accredited provider protects you from completing hours that do not count.

Can I complete all of my required Alabama hours online?

Yes. DistanceCME’s programs allow you to complete your full CE requirement entirely online, through a combination of live virtual sessions and self-paced recorded modules. All hours are CAPCE accredited and count the same as classroom hours.

Planning Your Renewal

When should I start my CE hours?

Starting early in your two-year cycle is the right approach. Completing hours gradually across the full cycle is far less stressful than rushing to finish near the March 1 application deadline. Providers who begin CE work in the first six months of their cycle give themselves a comfortable buffer for any scheduling conflicts that arise.

What happens if my Alabama EMS license expires?

A lapsed license means you cannot legally function in your EMS capacity in Alabama until the license is reinstated. Reinstatement after a lapse involves additional steps beyond a standard renewal. Keeping your license current by completing CE hours and submitting before March 1 is always the simpler path.

Can my agency enroll multiple providers at once?

DistanceCME offers agency and corporate education solutions for EMS organizations managing continuing education across a team. Contact DistanceCME to learn about group enrollment options and pricing.

What payment options are available?

DistanceCME accepts standard payment methods and also offers PayPal Credit, which allows approved users to pay over time with no interest during the first six months. This can help providers enroll immediately without waiting.

Getting Started

How do I enroll in a DistanceCME course for Alabama?

Visit the Alabama EMS CE Requirements page at DistanceCME to find the recommended course for your certification level and enroll. You can begin coursework immediately after enrolling.

Where can I find official Alabama EMS information?

The Alabama Department of Public Health, Office of EMS and Trauma is the authoritative source for current requirements. Always verify your individual situation with that office before submitting your renewal application.

Alaska uses a unique certification structure for its EMS providers, with level names that differ from most other states. Whether you hold a MICP, AEMT, EMT-3, EMT-2, or EMT-1 credential, getting clear on your continuing education obligations before your deadline is always the right move. This page walks through the questions Alaska EMS providers ask most often.

General Requirements

Who oversees EMS continuing education in Alaska?

The Alaska Department of Health, Division of Public Health, EMS Unit sets the rules for EMS certification and renewal in the state. Mobile Intensive Care Paramedics, known as MICPs, are governed separately by the Alaska State Medical Board. If you hold an MICP credential, you will want to confirm your renewal path with the appropriate board.

How often do Alaska EMS certifications need to be renewed?

Alaska EMS certifications follow a two-year renewal cycle. The structure of that cycle changed with updated regulations in 2020, so if you have not reviewed the Alaska EMS Regulations Update FAQs from October 2020, that document is a useful reference for understanding how the current rules apply to your situation.

Is there a shortcut for Paramedics and AEMTs who hold NREMT certification?

Yes, and it is a genuine time-saver. Alaska allows Paramedics and AEMTs who hold a corresponding National Registry certification to align their state expiration date with their NREMT expiration date. When you take this path, renewing your state credential requires only proof of your current National Registry certification and a valid CPR card at the appropriate level. You do not need to submit a separate CE hour count.

Hours by Certification Level

How many CE hours does a MICP need in Alaska?

MICPs need 60 hours of continuing medical education aligned with the National Continued Competency Program guidelines per two-year cycle. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is structured to meet this requirement.

What about AEMTs and EMT-3s?

Both AEMTs and EMT-3s are required to complete 50 hours of CME per cycle, aligned with the NCCP guidelines. The 50-Hour NREMT AEMT Refresher Course at DistanceCME covers this requirement in full.

What does an EMT-2 need?

EMT-2 providers also need 50 hours of CME per two-year cycle following NCCP guidelines, the same standard as the AEMT and EMT-3 levels.

What is the CE requirement for EMT-1 providers?

EMT-1 providers must complete 40 hours of continuing medical education per two-year cycle. The 40-Hour NREMT EMT Refresher Course at DistanceCME satisfies this requirement and can be completed entirely online.

Online Courses and Accreditation

Does Alaska accept online CE courses?

Yes. Alaska accepts CAPCE-accredited continuing education, and DistanceCME’s courses meet that standard. Live online courses are accepted by the National Registry as F-5 VILT hours, counted the same as in-person classroom instruction.

Can I complete all of my required hours online?

You can complete your full CE hours online through DistanceCME. Both the live virtual instructor-led format and the self-paced recorded format are available. Hours completed through either format are treated as equivalent to classroom instruction for National Registry purposes.

Planning Your Renewal

When should I start working on my CE hours?

Starting early in your two-year cycle is always the practical approach. Alaska’s geography often means fewer local in-person training options, which makes online CE particularly valuable. Beginning well before your deadline keeps your options open and removes any last-minute pressure.

What happens if I let my Alaska EMS certification lapse?

A lapsed certification means you cannot practice at your EMS level until reinstated. The reinstatement process is more involved than a standard renewal. Maintaining continuous certification by completing your CE hours before your expiration date is always the simpler path.

Can my agency enroll multiple providers at once?

DistanceCME offers agency and corporate education solutions that make it easier for EMS organizations to manage continuing education across a team. Contact DistanceCME through the Alaska EMS CE Requirements page to learn about options for your agency.

Getting Started

How do I enroll?

Visit the Alaska EMS CE Requirements page at DistanceCME to view the recommended course for your certification level and enroll. You can begin coursework immediately after enrolling.

Where can I get the most current information from the state?

For official, up-to-date information from Alaska’s EMS authority, visit the Alaska Department of Health, Division of Public Health, EMS Unit website. Requirements can change, and verifying directly with the state is always the right step before submitting your renewal.

This page is for general informational purposes. Always verify your specific requirements with the Alaska Department of Health, Division of Public Health, EMS Unit before submitting your renewal application.

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Arizona EMS providers navigate a renewal system that includes specific hour requirements, a mandatory pediatric education component, and multiple acceptable pathways for recertification. This page answers the questions that come up most often so you can plan your renewal with confidence.

General Requirements

Who manages EMS certification requirements in Arizona?

The Arizona Department of Health Services, Bureau of EMS and Trauma System oversees certification and renewal for all EMS providers in the state. That office is the authoritative source for current requirements, and checking with them before submitting your renewal is always a good idea.

How long is an Arizona EMS certification valid?

Arizona Emergency Medical Professional certifications are valid for two years from the date of initial issuance, not from a calendar-year deadline. That means your renewal date is personal to when you first received your certification, rather than a shared statewide deadline.

What are the ways to recertify in Arizona?

Arizona accepts three distinct pathways. You may complete an applicable refresher course or refresher challenge examination, submit documentation of current NREMT certification, or complete the required number of continuing education hours as specified by the state. The right path depends on your certification level and whether you hold active NREMT credentials.

Hours by Certification Level

How many CE hours does an Arizona Paramedic need?

Paramedics must complete 48 hours of continuing education every two years, and at least five of those hours must focus on pediatric emergencies, per Arizona Administrative Code R9-25-404. DistanceCME’s 48-Hour Hybrid EMS Refresher is structured to meet Arizona’s requirements.

What about EMT-I (99) and AEMT providers?

Both EMT-I (99) and AEMT providers follow the same standard as Paramedics: 48 hours of continuing education every two years, with a minimum of five hours in pediatric emergency content.

How many hours does an Arizona EMT need?

EMTs are required to complete 24 hours of continuing education every two years, which also includes the minimum five-hour pediatric emergency requirement. DistanceCME’s BLS NCCP course is a recommended option for EMTs looking to satisfy this requirement.

Online Courses and Accreditation

Does Arizona accept online CE?

Yes. Arizona accepts CAPCE-accredited continuing education, and DistanceCME’s courses hold CAPCE accreditation. Live online courses count as classroom instruction under the National Registry’s F-5 VILT category.

Does the online pediatric content count toward Arizona’s five-hour requirement?

DistanceCME’s refresher courses include pediatric emergency content. Whether specific online modules satisfy Arizona’s pediatric-specific hour requirement is worth confirming with the Arizona Bureau of EMS and Trauma System, since that standard is embedded in state administrative code.

Planning Your Renewal

When should I start my CE hours?

Because Arizona certifications expire two years from your individual issuance date rather than a shared statewide deadline, the timing of your renewal is personal. Marking your expiration date on your calendar and starting CE work early in your cycle removes any last-minute pressure and keeps your certification uninterrupted.

Can my EMS agency purchase courses for multiple providers?

DistanceCME offers agency-level education solutions for organizations managing renewal for multiple providers. Visit the Arizona EMS CE Requirements page or contact DistanceCME directly to learn more.

Getting Started

How do I find and enroll in the right course?

Visit the Arizona EMS CE Requirements page at DistanceCME to find the recommended course for your certification level. Enrollment takes only a few minutes and you can begin working immediately.

Where do I go for official state information?

The Arizona Department of Health Services, Bureau of EMS and Trauma System maintains current requirements and FAQs, including the Arizona EMS FAQ document referenced in state administrative code. Always verify your specific situation with that office before submitting your renewal application.

This page is for general informational purposes. Always confirm your individual requirements with the Arizona Department of Health Services, Bureau of EMS and Trauma System.

Arkansas EMS providers work under a renewal system that now ties state licensure directly to NREMT certification for most providers. Understanding those rules before your March deadline is one of the best things you can do for your career.

General Requirements

Who sets the EMS CE rules in Arkansas?

The Arkansas Department of Health, Section of Emergency Medical Services, oversees EMS licensing and renewal requirements in the state. For complete and current requirements, the Arkansas Board of Health EMS Renewal Requirement document is the primary reference.

When do Arkansas EMS licenses expire?

Arkansas licenses must be renewed every two years by March 31 in the year of expiration. That is a firm deadline, so beginning your CE work well in advance is important.

Does Arkansas require NREMT certification for renewal?

Yes. Arkansas now requires documentation of NREMT renewal in order to process your state license renewal. This is a significant rule. If your NREMT certification lapses, your state renewal cannot be processed. Providers who were never certified through the NREMT and have been acknowledged as state-licensed only providers by the Section of EMS must upload documentation of all required continuing education hours to their Public Portal account instead.

Hours by Certification Level

How many hours does an Arkansas Paramedic need?

Paramedics must complete 60 hours of continuing education every two years. DistanceCME’s Arkansas Paramedic Refresher following the 2025 NCCP model is the recommended course. Note that this program does not include the required two-hour Arkansas Trauma System content, which can be found through the Arkansas Train website.

What is the AEMT requirement?

AEMTs need 50 hours of continuing education every two years. The Arkansas AEMT Refresher on the 2025 NCCP model satisfies this requirement, with the same note about the separate two-hour trauma system content.

How many hours does an Arkansas EMT need?

EMTs are required to complete 40 hours of continuing education per two-year cycle. The Arkansas EMT Refresher on the 2025 NCCP model covers this requirement, and the same reminder applies: the two-hour Arkansas Trauma System content is a separate obligation completed through the Arkansas Train website.

Online Courses and Accreditation

Are online CE hours accepted in Arkansas?

Yes. Arkansas accepts CAPCE-accredited continuing education, and DistanceCME holds CAPCE accreditation. Live virtual courses count as classroom instruction under the National Registry.

What is the Arkansas Trauma System requirement, and how do I complete it?

The two-hour Arkansas Trauma System requirement is separate from the CE hours completed through DistanceCME. It must be completed through the Arkansas Train website. DistanceCME’s courses cover your required CE hours but do not include this component, so plan to complete it as a separate step in your renewal process.

Planning Your Renewal

Given the NREMT requirement, how should I plan my renewal timeline?

The smartest approach is to track both your NREMT expiration and your Arkansas license expiration simultaneously. Since your state renewal cannot process without active NREMT credentials, your NREMT renewal should be completed before your state renewal deadline. Starting your CE hours early in your cycle gives you time to address both requirements without rushing.

What happens if my Arkansas license lapses?

A lapsed license means you cannot practice at your EMS level. Reinstatement after a lapse involves additional steps beyond a standard renewal. Maintaining your NREMT credentials and completing your CE hours on time is the cleaner path.

Getting Started

How do I enroll in DistanceCME’s Arkansas courses?

Visit the Arkansas EMS CE Requirements page at DistanceCME to find the recommended course for your certification level and enroll. Remember to plan separately for the two-hour Arkansas Trauma System content through the Arkansas Train website.

Where can I find official Arkansas EMS information?

The Arkansas Department of Health, Emergency Medical Services section is the official source for current requirements. Always verify your individual situation with that office before submitting your renewal.

This page is for general informational purposes. Always verify your specific requirements with the Arkansas Department of Health, Section of Emergency Medical Services before submitting your renewal.

California’s EMS renewal system has some important differences from most other states, including who issues certifications and a requirement that a portion of your education be completed live. Understanding these details upfront saves significant hassle at renewal time.

General Requirements

Who manages EMT certification in California?

California’s EMS structure is decentralized in a meaningful way. The California Emergency Medical Services Authority oversees EMS statewide, but the State of California does not certify, renew, or reinstate EMT certifications directly. That responsibility falls to local EMS agencies and other authorized certifying entities. If you are an EMT, you need to identify your local certifying entity and understand their specific process.

Paramedic licensure in California is handled at the state level under the California Health and Safety Code.

How long is a California EMS certification valid?

Certifications expire on the last day of the month, two years from the date of initial certification or licensure. That means your expiration date is tied to the month you first certified, not a universal calendar date. Know your specific expiration month and plan accordingly.

What is the live education requirement in California?

California is one of the states with an explicit live education mandate. At least 50 percent of all required continuing education hours must come from live instruction. DistanceCME’s F-5 live virtual instructor-led courses qualify as live instruction under this standard, which means you can satisfy California’s live requirement without leaving your home.

Hours by Certification Level

How many CE hours does a California Paramedic need?

Paramedics must complete 48 hours of continuing education every two years, with at least 24 of those hours in a live instructional format. DistanceCME’s 48-Hour Hybrid EMS Refresher is structured to meet California’s requirements.

What is the AEMT requirement in California?

California AEMTs need 36 hours of continuing education per two-year cycle, with at least 50 percent from live instruction. DistanceCME’s 48-Hour Hybrid EMS Refresher exceeds the minimum requirement and satisfies California’s standards.

How many hours does a California EMT need?

EMTs are required to complete 24 hours of continuing education every two years, with at least 12 hours from live instruction. EMTs may complete either a 24-hour refresher course from an approved EMT training program or obtain at least 24 hours of qualifying continuing education.

Online Courses and Accreditation

Do online courses count in California?

Online self-paced courses can count for the non-live portion of your requirement. Live virtual instructor-led sessions through DistanceCME qualify as the live portion. The key is making sure your live hours reach at least 50 percent of your total.

How do I enroll and confirm my live hours?

When you complete coursework through DistanceCME, your certificates distinguish between live and recorded content. The California EMS CE Requirements page walks through the course options and how they satisfy California’s live education mandate.

Planning Your Renewal

What is the biggest planning mistake California providers make?

Underestimating the live education requirement. Some providers complete all their hours online in self-paced formats only to discover they cannot submit their renewal because they lack sufficient live hours. Enrolling in DistanceCME’s live virtual courses early in your cycle prevents that problem.

Can my agency manage continuing education for multiple providers?

DistanceCME offers agency solutions for EMS organizations. Contact DistanceCME through the California page for more information about group enrollment options.

Getting Started

How do I enroll in a DistanceCME course for California?

Visit the California EMS CE Requirements page at DistanceCME to find the right course for your certification level. You can enroll and begin immediately.

Where can I get official California EMS information?

The California Emergency Medical Services Authority is the official statewide resource. For EMT certification, contact your local EMS agency, as they are the certifying entity. Always verify your requirements with the appropriate authority before renewing.

This page is for general informational purposes. California EMS certification is decentralized. Always verify your specific requirements with your local EMS agency and the California Emergency Medical Services Authority.

Colorado gives EMS providers multiple ways to satisfy their renewal requirements, which creates flexibility but also means it’s worth knowing your options before you start accumulating hours.

General Requirements

Who governs EMS certification in Colorado?

The Colorado Department of Public Health and Environment, Emergency Care Program, oversees EMS certification and renewal in the state. Colorado’s regulations are found in 6 CCR 1015-3, and the most current version of those rules is the authoritative source for your requirements.

How long does a Colorado EMS certificate last?

Colorado EMS certificates expire three years from the date of issuance, per 6 CCR 1015-3, 5.3.1(D). That three-year cycle is longer than many states, which gives providers more time to spread their continuing education across the cycle.

What are the ways to renew in Colorado?

Colorado allows you to renew by completing the required minimum number of education hours, by passing a challenge examination, or through other pathways defined in the regulations. Completing the continuing education hours is the most common path.

Hours by Certification Level

How many hours does a Colorado Paramedic need?

Colorado Paramedic renewal requires completing continuing education hours as specified under section 5.3.3 of the regulations. DistanceCME’s Colorado EMS CE courses are structured around these requirements and are CAPCE accredited and NREMT accepted.

What about AEMT and EMT providers?

Colorado AEMT and EMT providers follow the minimum hour requirements defined by level in 6 CCR 1015-3. Because Colorado uses a three-year cycle, the total hours are distributed across that longer window. The Colorado EMS CE Requirements page at DistanceCME shows the recommended course for each level.

Online Courses and Accreditation

Are online CE courses accepted in Colorado?

Yes. Colorado accepts CAPCE-accredited continuing education, and DistanceCME’s courses meet that standard. Live virtual instructor-led courses count as classroom instruction for National Registry purposes.

Can I complete my full requirement online?

DistanceCME’s courses can be completed entirely online. Both live virtual sessions and self-paced recorded courses are available. All hours are CAPCE accredited and accepted by NREMT.

Planning Your Renewal

How should I plan CE across Colorado’s three-year cycle?

A three-year cycle gives you more runway than the typical two-year structure, but spreading your hours across the full cycle rather than rushing to complete them near your deadline is the practical approach. Starting in the first year of your cycle keeps the workload manageable.

What happens if my certificate lapses?

A lapsed certificate means you cannot practice at your EMS level in Colorado. Reinstatement after a lapse involves steps beyond a standard renewal. Keeping your certificate current by completing your hours before expiration is always the simpler path.

Getting Started

How do I enroll in the right course for Colorado?

Visit the Colorado EMS CE Requirements page at DistanceCME to see the recommended course for your certification level and enroll. DistanceCME accepts PayPal Credit for those who prefer to spread course costs over time.

Where can I find official Colorado information?

The Colorado Department of Public Health and Environment, Emergency Care Program is the official source. Always verify your specific requirements with that office before submitting your renewal.

This page is for general informational purposes. Always confirm your individual requirements with the Colorado Department of Public Health and Environment before renewing.

Connecticut ties its EMS renewal closely to NREMT certification requirements, which makes the process relatively straightforward for most providers. Here is what you need to know.

General Requirements

Who oversees EMS certification in Connecticut?

The Connecticut Department of Public Health, Office of Emergency Medical Services manages EMS certification and renewal in the state. Requirements can evolve, and checking with that office for the most current rules is always recommended before renewing.

How long is a Connecticut EMS certification valid?

AEMT, EMT, and EMR certificates are renewed every two years from the date of initial certification. Renewal cycles are based on your individual certification date.

Does Connecticut follow NREMT requirements?

Connecticut aligns its CE requirements closely with what the National Registry requires by certification level. This means completing the NREMT-required hours typically satisfies Connecticut’s standards as well.

Hours by Certification Level

How many hours does a Connecticut Paramedic need?

Connecticut Paramedics must complete 60 hours of continuing education every two years, matching the NREMT standard. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What is the AEMT requirement in Connecticut?

AEMTs are required to complete 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course satisfies this requirement.

How many hours does a Connecticut EMT need?

EMTs must complete 40 hours of continuing education every two years, consistent with NREMT’s standard. DistanceCME’s 40-Hour NREMT EMT Refresher Course meets this requirement.

What about EMRs?

EMR certificates must also be renewed every two years from the date of initial certification. The 16-hour NREMT EMR refresher is the recommended program for Connecticut EMRs.

Online Courses and Accreditation

Are online CE courses accepted in Connecticut?

Yes. Connecticut accepts CAPCE-accredited continuing education. DistanceCME’s courses are CAPCE accredited and accepted by NREMT. Live virtual courses count as classroom instruction.

Can all required hours be completed online?

Yes. DistanceCME’s fully online refresher programs satisfy Connecticut’s CE requirements in their entirety for most providers.

Planning Your Renewal

What should I keep track of for Connecticut renewal?

Your individual certification expiration date is the key date. Because Connecticut certifications expire from the date of initial issuance rather than a shared statewide deadline, your renewal date is unique to you. Tracking it carefully and starting your CE work early in the cycle avoids any last-minute complications.

Getting Started

How do I enroll?

Visit the Connecticut EMS CE Requirements page at DistanceCME to find the course that fits your certification level and enroll. Coursework can begin immediately after enrollment.

Where can I find official Connecticut EMS information?

The Connecticut Department of Public Health, Office of Emergency Medical Services is the official source for current requirements. Always verify your specific situation with that office before submitting your renewal application.

This page is for general informational purposes. Always confirm your requirements with the Connecticut Department of Public Health, Office of Emergency Medical Services before renewing.

Delaware’s EMS renewal system involves different processes for different provider levels, with Paramedics, EMTs, and EMRs each following distinct pathways managed by different entities. Knowing which rules apply to you is the first step.

General Requirements

Who manages EMS certification in Delaware?

Delaware’s EMS system is divided by provider level. Paramedic licensure falls under the Delaware Board of Medical Licensure and Discipline. EMT certification is managed through the Delaware State Fire Prevention Commission. EMR certifications are handled entirely by the Delaware State Fire School.

How long does a Delaware Paramedic license last?

Paramedic licenses expire on May 31 of even-numbered years. That shared statewide expiration date applies to all Paramedics, making planning straightforward for that level.

How long does an EMT certificate last in Delaware?

EMT certificates must be renewed every two years by March 31, aligned with the provider’s NREMT card expiration.

What about EMR certificates?

EMR certificates must be renewed every two years from the date of initial certification. NREMT is optional for EMRs in Delaware, and the Delaware State Fire School manages all EMR certifications.

Hours by Certification Level

What does a Delaware Paramedic need to renew?

Paramedics renewing through NREMT need to meet the NREMT’s standard of 60 hours of continuing education per two-year period. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What does a Delaware EMT need to renew?

EMTs renewing through NREMT need 40 hours of continuing education every two years. DistanceCME’s 40-Hour NREMT EMT Refresher Course is recommended.

What about Delaware State Certification only EMTs?

Providers maintaining Delaware state certification only, without NREMT, require 12 hours of continuing education every two years. That state-only path is managed through the Delaware State Fire School.

What does a Delaware EMR need?

EMRs following the NREMT pathway need 16 hours every two years. State-only EMR certification is handled entirely by the Delaware State Fire School.

Online Courses and Accreditation

Does Delaware accept online CE?

Yes. Delaware accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. For Paramedics and EMTs using the NREMT renewal pathway, DistanceCME’s courses fulfill the continuing education requirement.

Planning Your Renewal

Given the different expiration dates, how should I plan?

Your planning approach depends on your provider level. Paramedics should work backward from May 31 of their expiration year. EMTs should work backward from March 31. EMRs track their own individual certification anniversary. Knowing your specific expiration date and starting CE work early in your cycle keeps renewal stress-free.

Getting Started

How do I enroll in a DistanceCME course for Delaware?

Visit the Delaware EMS CE Requirements page at DistanceCME to see course recommendations by provider level. Enrollment is quick and coursework can begin right away.

Where can I get official Delaware information?

Visit the Delaware Division of Public Health, Emergency Medical Services for official guidance. Because Delaware’s EMS system is split across multiple entities, verify with the appropriate board or commission for your provider level.

This page is for general informational purposes. Always verify your specific requirements with the appropriate Delaware authority before submitting your renewal.

The District of Columbia operates its EMS credentialing under DC Municipal Regulations, with requirements that differ somewhat between EMS providers and Emergency Medical Responders. If you are licensed in the District, understanding the specifics of your renewal before your deadline is essential.

General Requirements

Who oversees EMS certification in the District of Columbia?

The DC Department of Health, Emergency Medical Services Bureau manages EMS provider certification and renewal. For the most current requirements, that office is the authoritative source.

When do DC EMS provider certificates expire?

EMS provider certificates at the Paramedic, AEMT, and EMT levels must be renewed every two years, with certificates expiring on June 30. Each applicant must submit renewal materials no later than May 31 of the expiration year. Emergency Medical Responder certificates follow a different schedule, expiring every two years on December 31.

Does DC require NREMT certification?

Yes. EMS providers in the District of Columbia must maintain a valid NREMT certification card at the same or greater level as their DC certification per DCMR 515.16. This is a standing requirement, not just a renewal condition. Allowing your NREMT to lapse creates an immediate compliance issue with your DC certification.

Is there a NREMT pathway for DC Paramedics specifically?

Paramedic recertification in the District requires a valid NREMT Paramedic or greater certification card as part of the process, per DCMR 520.1(a). Maintaining your NREMT credential is integral to your DC Paramedic standing, not separate from it.

Hours by Certification Level

How many CE hours does a DC Paramedic need?

Paramedics must complete 60 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about AEMTs?

AEMTs need 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course satisfies this requirement.

How many hours does a DC EMT need?

EMTs must complete 40 hours of continuing education per two-year cycle. DistanceCME’s 40-Hour NREMT EMT Refresher is the recommended course.

What is the EMR requirement?

EMRs need 16 hours of continuing education every two years. The 16-Hour NREMR Refresher at DistanceCME meets this requirement.

Online Courses and Accreditation

Does DC accept online CE?

Yes. The District of Columbia accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Live virtual courses count as classroom instruction.

Planning Your Renewal

What is the most important deadline to remember in DC?

The May 31 submission deadline is critical. While EMS provider certificates technically expire June 30, you must have your renewal submitted by May 31. Do not wait until June.

What happens if my NREMT lapses while holding a DC certification?

Allowing your NREMT to lapse while holding a DC EMS certification creates an immediate credentialing problem under DC regulations. Tracking both expiration dates simultaneously and renewing NREMT before your DC renewal deadline is the correct approach.

Getting Started

How do I enroll in a DistanceCME course for DC?

Visit the District of Columbia EMS CE Requirements page at DistanceCME to see the course recommendation for your level and enroll.

Where can I get official DC EMS information?

The DC Department of Health, Emergency Medical Services Bureau is the official source for current requirements and renewal forms.

This page is for general informational purposes. Always confirm your requirements with the DC Department of Health, Emergency Medical Services Bureau before renewing.

Florida EMS providers follow a two-year renewal cycle with specific hour requirements and a mandatory pediatric education component. Here is what you need to know to plan your renewal.

General Requirements

Who manages EMS certification in Florida?

The Florida Department of Health, Bureau of Emergency Medical Services oversees EMS licensure and renewal in the state.

How long is a Florida EMS license valid?

Florida EMS licenses are renewed every two years.

Is there a pediatric education requirement in Florida?

Yes. Florida requires that two of your required CE hours specifically relate to pediatric emergencies. This applies to both Paramedic and EMT renewals.

Hours by Certification Level

How many hours does a Florida Paramedic need?

Paramedics must complete 30 hours of continuing education every two years, with at least two of those hours covering pediatric emergencies. If you also hold NREMT Paramedic certification, DistanceCME’s 60-Hour NREMT Paramedic Refresher meets both the state and national requirements simultaneously.

How many hours does a Florida EMT need?

EMTs must complete 30 hours of continuing education every two years, with two hours in pediatric emergencies. If you also maintain NREMT EMT certification, DistanceCME’s 40-Hour NREMT EMT Refresher satisfies both the Florida requirement and the NREMT standard in a single course.

Online Courses and Accreditation

Does Florida accept online CE?

Yes. Florida accepts DistanceCME’s live and self-paced courses as CAPCE-accredited training. DistanceCME is also a Florida-approved Continuing Education Provider (CE Broker 50-33628), which means course completions are reportable directly to CE Broker.

Does DistanceCME’s coursework include pediatric content?

Yes. DistanceCME’s refresher courses include pediatric emergency content that addresses Florida’s requirement. Always confirm with your employer or the Bureau of EMS that the specific content meets the Florida mandate for your situation.

Planning Your Renewal

Should I aim for 30 hours or 40 hours if I hold NREMT certification?

If you hold active NREMT certification and want to maintain it, completing 40 hours satisfies both Florida’s state requirement and the NREMT’s standard in one step. If you are maintaining only state licensure without NREMT, 30 hours is the minimum.

What is the CE Broker reporting process in Florida?

Florida uses CE Broker to track continuing education for licensed professionals. Because DistanceCME is an approved Florida provider, your completed courses can be reported to CE Broker. Check with DistanceCME after completing your course for guidance on the reporting process.

Getting Started

How do I enroll in a Florida course through DistanceCME?

Visit the Florida EMS CE Requirements page at DistanceCME to find the right course for your certification level and enroll. DistanceCME accepts PayPal Credit for those who prefer to pay over time.

Where can I get official Florida EMS information?

The Florida Department of Health, Bureau of Emergency Medical Services is the official source. Always verify your specific requirements with that office before renewing.

This page is for general informational purposes. Always confirm requirements with the Florida Department of Health, Bureau of Emergency Medical Services before renewing.

Georgia EMS providers operate under the Georgia Office of Emergency Medical Services, with renewal requirements set in state administrative code. Here is what providers at each level need to know.

General Requirements

Who oversees EMS certification in Georgia?

The Georgia Office of Emergency Medical Services and Trauma (OEMS) oversees EMS provider certification, licensing, and renewal in the state. Georgia administrative code Chapter 551-9-2 governs EMS certification requirements.

How long is a Georgia EMS certification valid?

Georgia EMS certifications are renewed on a two-year cycle. The specific expiration date depends on your individual certification.

Do all provider levels in Georgia need to maintain NREMT?

EMT-Responders (EMRs) in Georgia are required to maintain NREMT certification. For other provider levels, the standard renewal pathway is completing the required CE hours per the state’s administrative code.

Hours by Certification Level

How many hours does a Georgia Paramedic or AEMT need?

Paramedics and AEMTs in Georgia must complete 40 hours of continuing education every two years, per Georgia administrative code Chapter 551-9-2-.13. DistanceCME’s ALS NCCP + Anytime course is recommended to meet this requirement.

What is the CE requirement for Georgia EMTs?

EMTs also follow the state-specific requirements outlined in Georgia administrative code. The Georgia EMS CE Requirements page at DistanceCME shows the recommended course for the EMT level.

What does a Georgia EMR need?

EMRs must complete 16 hours of continuing education every two years as required by the NREMT, consistent with their obligation to maintain National Registry certification.

Online Courses and Accreditation

Does Georgia accept online CE?

Yes. Georgia accepts DistanceCME courses under OEMS approval number SOEMS-2013-0001. DistanceCME is specifically approved by the Georgia OEMS, which means the courses are accepted for Georgia renewal without needing additional state-level verification.

Can all CE hours be completed online?

Yes. DistanceCME’s online courses, both live virtual and self-paced, satisfy Georgia’s renewal requirements for the applicable provider levels.

Planning Your Renewal

When should I start my CE hours for Georgia renewal?

Starting early in your two-year cycle gives you the most flexibility. Georgia’s two-year window is not especially long, and spreading hours across the cycle is more manageable than compressing everything near the deadline.

Can my agency handle group enrollment?

DistanceCME offers agency solutions for EMS organizations. Visit the Georgia EMS CE Requirements page or contact DistanceCME directly to learn about group options.

Getting Started

How do I enroll?

Visit the Georgia EMS CE Requirements page at DistanceCME to find the course for your provider level and enroll.

Where can I find official Georgia EMS information?

The Georgia Office of Emergency Medical Services and Trauma is the official source. Always confirm your requirements with that office before submitting your renewal.

This page is for general informational purposes. Always confirm requirements with the Georgia Office of Emergency Medical Services and Trauma before renewing.

Hawaii has a higher CE hour requirement than most states, and a specific annual renewal deadline that applies to all EMS providers. Planning early matters more here than in many other places.

General Requirements

Who oversees EMS certification in Hawaii?

The Hawaii Department of Health, Emergency Medical Services and Injury Prevention System Branch manages EMS provider certification and renewal.

When do Hawaii EMS certifications expire?

Hawaii Paramedics and EMTs must recertify every two years by January 31. That January deadline is earlier in the year than most states, which means your renewal work needs to be completed well before most other January obligations pile up.

Can I renew using NREMT certification?

Yes. Hawaii Administrative Rule 16-85-55(a) allows certificate holders to meet recertification requirements by maintaining a current NREMT certification. This is a recognized renewal pathway for providers who keep their National Registry credentials current.

Hours by Certification Level

How many CE hours does a Hawaii Paramedic need?

Hawaii has one of the higher requirements nationally for Paramedics: 72 total hours per two-year cycle. That breaks down into 48 hours of paramedic refresher training and 24 hours of continuing education from subjects listed in HI AR 16-85-56(b). DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is recommended to meet this total.

What does a Hawaii EMT need?

Hawaii EMTs also have a 72-hour total requirement: 24 hours of state-approved EMT refresher training plus 48 hours of continuing education from subjects listed in HI AR 16-85-56(a). The same DistanceCME 48-Hour Hybrid EMS Refresher plus Anytime combination is recommended.

Online Courses and Accreditation

Does Hawaii accept online CE?

Yes. Hawaii accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted, and the courses satisfy Hawaii’s refresher and CE requirements.

Do I still need to meet subject-specific requirements for the supplemental CE hours?

Yes. The 24-hour supplemental CE block for Paramedics and the 48-hour supplemental block for EMTs must cover subjects listed in Hawaii’s administrative rules. DistanceCME’s Anytime self-paced package covers a broad range of EMS topics that align with those subject areas. Reviewing HI AR 16-85-56 alongside your course plan ensures you are covered.

Planning Your Renewal

Given Hawaii’s 72-hour requirement and January deadline, how should I plan?

Starting CE work in the first year of your two-year cycle is especially important in Hawaii given the high hour count and the January deadline. Spreading hours across both years of the cycle is far more manageable than attempting to complete 72 hours in the months leading up to renewal.

Is the NREMT renewal pathway simpler for Hawaii providers?

For Paramedics and AEMTs who maintain current NREMT certification, the NREMT pathway is typically the simpler option. You would submit proof of your NREMT certification rather than documenting 72 separate CE hours. Checking current NREMT recertification requirements is the right first step if you want to use this path.

Getting Started

How do I enroll in a DistanceCME course for Hawaii?

Visit the Hawaii EMS CE Requirements page at DistanceCME to find the recommended course bundle for your provider level and enroll.

Where can I get official Hawaii EMS information?

The Hawaii Department of Health, Emergency Medical Services and Injury Prevention System Branch is the official source. Always verify your specific requirements before renewing.

This page is for general informational purposes. Always confirm your requirements with the Hawaii Department of Health, Emergency Medical Services before renewing.

Idaho’s EMS renewal system uses different cycle lengths depending on your provider level, and the renewal deadline varies based on when you initially certified. Here is what Idaho EMS providers need to know.

General Requirements

Who governs EMS certification in Idaho?

The Idaho Department of Health and Welfare, Emergency Medical Services program oversees EMS certification and renewal. Idaho’s requirements are found in IDAPA 16.01.07.

How long is an Idaho EMS certification valid?

Idaho’s renewal cycle differs by provider level. EMR and EMT certifications are renewed every three years. AEMT and Paramedic certifications are renewed every two years. Knowing which category you fall into is important for planning your CE timeline.

When is the renewal deadline in Idaho?

Idaho renewal is due either March 31 or September 30, depending on when you initially received your certification. The specific deadline tied to your certification is documented in your individual records. Check IDAP 16.01.07.115 for the full renewal timeline details or contact the Idaho EMS program directly.

Hours by Certification Level

How many CE hours does an Idaho Paramedic or AEMT need?

Paramedics and AEMTs must complete 72 hours of continuing education per two-year cycle, per IDAPA 16.01.07.320. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is recommended to meet this requirement.

What about Idaho EMTs and EMRs?

EMTs and EMRs in Idaho follow a three-year renewal cycle. The specific hour requirements for those levels are defined in IDAPA 16.01.07. The Idaho EMS CE Requirements page at DistanceCME shows the recommended courses.

Online Courses and Accreditation

Does Idaho accept online CE?

Yes. Idaho accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. All course hours can be completed online.

Planning Your Renewal

How do the different cycle lengths affect my planning?

If you are an AEMT or Paramedic on a two-year cycle, standard planning applies: start your CE early, track your hours, and complete everything before your March 31 or September 30 deadline. EMTs and EMRs on a three-year cycle have more time, but spreading hours across all three years rather than rushing near the deadline is still the practical approach.

Getting Started

How do I enroll in a DistanceCME course for Idaho?

Visit the Idaho EMS CE Requirements page at DistanceCME to find the course for your provider level and enroll.

Where can I get official Idaho EMS information?

The Idaho Department of Health and Welfare, Emergency Medical Services program is the official source. Always confirm your specific requirements before renewing.

This page is for general informational purposes. Always confirm your requirements with the Idaho Department of Health and Welfare, Emergency Medical Services before renewing.

Illinois operates on a four-year EMS renewal cycle with one of the higher total CE hour requirements in the country. Understanding how that longer cycle works helps providers plan effectively.

General Requirements

Who governs EMS certification in Illinois?

The Illinois Department of Public Health, Division of EMS and Highway Safety oversees EMS certification and renewal in the state. Illinois statute 210 ILCS 50/3.50 sets the requirements.

How long is an Illinois EMS license valid?

Illinois EMS licenses are renewed every four years, per 210 ILCS 50/3.50(d)(5). This is a longer cycle than most states, which gives providers more time to accumulate hours but also means the total requirement is larger.

Hours by Certification Level

How many CE hours does an Illinois Paramedic need?

Illinois Paramedics must complete 100 hours of approved continuing education every four years. That works out to approximately 25 hours per year, which is manageable when spread across the full cycle. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is recommended to help meet this requirement.

What about AEMT and EMT providers?

Illinois AEMT and EMT providers also follow the four-year cycle. The Illinois EMS CE Requirements page at DistanceCME shows the recommended course packages for each level.

Online Courses and Accreditation

Does Illinois accept online CE?

Yes. Illinois accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced courses are available and accepted.

Can all 100 hours be completed online?

DistanceCME’s course packages can be combined to reach 100 hours entirely online. The Anytime package provides recorded self-paced content, and the Hybrid Refresher provides live virtual hours, together giving you a flexible path to meeting the full requirement.

Planning Your Renewal

How should I approach 100 hours over four years?

The most effective approach is to treat it as roughly 25 hours per year rather than 100 hours every four years. Providers who think of it as one large number often find themselves rushing in year three or four. Breaking the total into annual segments and completing courses throughout the cycle keeps the workload proportional.

What if I move to or from Illinois during my certification cycle?

If your certification situation changes mid-cycle, contact the Illinois Department of Public Health about how transferred or out-of-state CE hours may apply. Requirements for providers moving between states can vary.

Getting Started

How do I enroll in a DistanceCME course for Illinois?

Visit the Illinois EMS CE Requirements page at DistanceCME to find the right package for your certification level and enroll.

Where can I get official Illinois EMS information?

The Illinois Department of Public Health, Division of EMS and Highway Safety is the official source for current requirements.

This page is for general informational purposes. Always confirm your requirements with the Illinois Department of Public Health before renewing.

Indiana has one of the higher two-year CE hour requirements for Paramedics in the country. Knowing the specifics of what is required and how to meet them helps Indiana providers plan a manageable renewal schedule.

General Requirements

Who governs EMS certification in Indiana?

The Indiana Department of Emergency Medical Services oversees EMS provider certification and renewal in the state. Requirements are governed by 836 IAC 4-2-1 and related administrative rules.

How long is an Indiana EMS license valid?

Indiana EMS licenses are renewed every two years, per 836 IAC 4-2-1.

Hours by Certification Level

How many CE hours does an Indiana Paramedic need?

Indiana Paramedics must complete 72 hours of continuing education every two years, per 836 IAC 4-7.1-5§5(b). That is a higher requirement than the NREMT’s standard of 60 hours. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is the recommended combination to reach the 72-hour mark.

What about AEMTs, EMTs, and EMRs?

Indiana AEMTs, EMTs, and EMRs follow their own CE hour requirements under Indiana administrative code. The Indiana EMS CE Requirements page at DistanceCME shows the recommended courses for each level.

Online Courses and Accreditation

Does Indiana accept online CE?

Yes. Indiana accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced hours are available.

Why do Indiana Paramedics need more hours than the NREMT requires?

Indiana sets its own state standard independent of the NREMT’s national standard. Because Indiana requires 72 hours rather than 60, providers who want to satisfy both the state requirement and maintain NREMT certification should plan for 72 hours total. DistanceCME’s recommended package is designed with that in mind.

Planning Your Renewal

With 72 hours in two years, how should I pace myself?

Thinking of the requirement as 36 hours per year, or roughly three hours per month, makes the total feel much more manageable. Starting course work in the first months of your two-year cycle rather than the last removes the pressure that comes with a large hour count near the deadline.

Getting Started

How do I enroll in a DistanceCME course for Indiana?

Visit the Indiana EMS CE Requirements page at DistanceCME to find the right package and enroll. Coursework can begin immediately after enrollment.

Where can I find official Indiana EMS information?

The Indiana Department of Emergency Medical Services is the official source. Always verify your specific requirements with that office before submitting your renewal.

This page is for general informational purposes. Always confirm your requirements with the Indiana Department of Emergency Medical Services before renewing.

Iowa’s EMS renewal system offers flexibility through both a state pathway and NREMT-based renewal. Understanding which path fits your situation is the key starting point.

General Requirements

Who oversees EMS certification in Iowa?

Iowa Health and Human Services, Emergency Medical Services program manages EMS provider certification and renewal in the state. The Iowa EMS Certification Renewal Guide is the primary reference for renewal requirements.

How does Iowa’s renewal pathway work?

Iowa offers two routes. Providers with a valid NREMT certification may use it to renew their Iowa EMS certification, provided the NREMT certification’s expiration date extends beyond the Iowa certification’s expiration date. Providers pursuing state-only renewal must show proof of completing the required Core Topics for their certification level.

What are Iowa’s Core Topics?

Iowa requires state-only renewal applicants to complete Core Topics based on their certification level. The specific Core Topics for each level are outlined in the Iowa EMS Certification Renewal Guide available through Iowa HHS. These are content areas, not just an hour count, so confirming which topics apply to your level is important.

Hours by Certification Level

What CE do Iowa Paramedics, AEMTs, EMTs, and EMRs need?

Iowa’s CE structure is tied to the Core Topics and NREMT requirements rather than a flat hour count for state-only providers. For providers maintaining NREMT certification, the NREMT’s 60-hour (Paramedic), 50-hour (AEMT), 40-hour (EMT), and 16-hour (EMR) requirements apply. DistanceCME’s Iowa EMS CE courses are structured around these NREMT-aligned standards and are CAPCE accredited.

Online Courses and Accreditation

Does Iowa accept online CE?

Yes. Iowa accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced formats are available.

If I use the NREMT pathway, do I still need Iowa-specific Core Topics?

The NREMT pathway allows Iowa providers to substitute a current NREMT certification for the state’s Core Topic requirements, so long as your NREMT expiration exceeds your Iowa expiration. If you are not maintaining NREMT certification, the Iowa Core Topics requirement applies and you would need to verify which specific topics satisfy your level.

Planning Your Renewal

How should I decide between the NREMT pathway and the state-only pathway?

If you already maintain NREMT certification, the NREMT pathway is typically simpler. You submit your current NREMT card instead of documenting individual Core Topics. If you do not hold NREMT credentials, the state-only path with Core Topics is the way forward. Checking the Iowa EMS Certification Renewal Guide early in your cycle helps you plan the right approach.

Getting Started

How do I enroll in a DistanceCME course for Iowa?

Visit the Iowa EMS CE Requirements page at DistanceCME to find the right course and enroll.

Where can I find official Iowa EMS information?

The Iowa Health and Human Services, Emergency Medical Services program is the official source. The Iowa EMS Certification Renewal Guide is the most practical reference document.

This page is for general informational purposes. Always confirm your specific requirements with Iowa HHS Emergency Medical Services before renewing.

Kansas sets its own CE hour requirements by certification level, with hours that differ somewhat from the NREMT’s standard amounts. Here is what Kansas EMS providers need to know.

General Requirements

Who oversees EMS certification in Kansas?

The Kansas Board of Emergency Medical Services manages EMS provider certification and renewal in the state. Requirements are governed by K.S.A. 109-5.

When do Kansas EMS certifications expire?

Kansas EMS certifications must be renewed every two years by December 31.

Hours by Certification Level

How many CE hours does a Kansas Paramedic need?

Kansas Paramedics must complete 60 hours of CE every two years, per K.S.A. 109-5-1d. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course satisfies this requirement.

What is the AEMT requirement in Kansas?

Kansas AEMTs need 44 hours of CE every two years, per K.S.A. 109-5-1c. Note that this is slightly less than the NREMT’s standard 50-hour requirement. DistanceCME’s 50-Hour NREMT AEMT Refresher Course exceeds the Kansas minimum while also satisfying NREMT.

How many hours does a Kansas EMT need?

EMTs must complete 28 hours of CE every two years, per K.S.A. 109-5-1b. DistanceCME’s 40-Hour NREMT EMT Refresher Course exceeds the Kansas requirement while satisfying NREMT.

What about Kansas EMRs?

EMRs need 16 hours of CE every two years, per K.S.A. 109-5-1a. DistanceCME’s 16-Hour NREMR Refresher Course meets this requirement.

Online Courses and Accreditation

Does Kansas accept online CE?

Yes. Kansas accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Since Kansas requires fewer hours than NREMT for some levels, should I do the minimum or more?

If you also maintain NREMT certification, completing NREMT-standard hours (60 Paramedic, 50 AEMT, 40 EMT, 16 EMR) satisfies both Kansas and NREMT simultaneously. If you hold only Kansas state certification, completing the Kansas minimums is sufficient.

Planning Your Renewal

When should I start my CE in Kansas?

The December 31 deadline is at year-end, which can arrive quickly when the holiday season is in full swing. Starting your CE work in the first half of your two-year cycle removes the risk of a year-end rush coinciding with other obligations.

Getting Started

How do I enroll in a DistanceCME course for Kansas?

Visit the Kansas EMS CE Requirements page at DistanceCME to find the right course for your level and enroll.

Where can I find official Kansas EMS information?

The Kansas Board of Emergency Medical Services is the official source for current requirements.

This page is for general informational purposes. Always confirm your requirements with the Kansas Board of Emergency Medical Services before renewing.

Kentucky EMS renewal combines NCCP-based education hours with mandatory state-specific online training that providers must complete separately. Knowing about both components before you start your renewal cycle is important.

General Requirements

Who oversees EMS certification in Kentucky?

The Kentucky Board of Emergency Medical Services manages EMS provider certification and renewal. Requirements are found in KRS 311A and 202 KAR 7.

When do Kentucky EMS certifications expire?

Kentucky EMS certifications must be renewed by December 31, two years from the date of issuance, per KRS 311A.095.

Are there required Kentucky-specific online courses beyond the CE hours?

Yes, and this is an important detail. Kentucky requires all EMS providers to complete three specific state-mandated online courses as part of renewal, regardless of certification level: HIV/AIDS Training, Pediatric Abusive Head Trauma, and Awareness of Sexual Violence. These are required by KRS 311A.120 and must be completed through the Kentucky state system. DistanceCME’s refresher courses do not include these components.

Hours by Certification Level

How many hours does a Kentucky Paramedic need?

Kentucky Paramedics must complete the 30-hour National Component of the NCCP, pursuant to 202 KAR 7:601, plus the three required Kentucky online courses. DistanceCME’s Kentucky EMS CE courses cover the NCCP portion of this requirement.

What about AEMTs?

AEMTs must complete the 25-hour NCCP AEMT National Component, plus the three required state online courses.

What does a Kentucky EMT need?

EMTs must complete the 20-hour NCCP EMT National Component, plus the three required state online courses.

Online Courses and Accreditation

Does Kentucky accept online CE?

Yes. Kentucky accepts CAPCE-accredited continuing education, and DistanceCME is approved as a CE provider in Kentucky (CE Broker 50-33628). DistanceCME’s NCCP courses cover the required national component hours. The three state-mandated online courses must be completed separately through the Kentucky system.

Planning Your Renewal

How do I coordinate DistanceCME coursework with the required Kentucky online courses?

Plan to complete both components before your December 31 deadline. DistanceCME handles the NCCP national component hours. The three required Kentucky courses (HIV/AIDS, Pediatric Abusive Head Trauma, and Sexual Violence Awareness) are completed separately through the Kentucky state portal. Checking the Kentucky Board of EMS website for links to those state courses early in your cycle is the right first step.

Getting Started

How do I enroll in DistanceCME’s Kentucky courses?

Visit the Kentucky EMS CE Requirements page at DistanceCME to find the course for your level and enroll. Complete the Kentucky state-mandated online courses separately through the state system.

Where can I get official Kentucky EMS information?

The Kentucky Board of Emergency Medical Services is the official source. Their website includes links to the required state online courses.

This page is for general informational purposes. Always confirm your requirements with the Kentucky Board of Emergency Medical Services before renewing.

Louisiana EMS providers renew through a system that closely aligns with NREMT requirements for most certification levels, with some distinctions for EMRs. Here is what Louisiana providers need to know.

General Requirements

Who governs EMS certification in Louisiana?

The Louisiana Department of Health, Bureau of Emergency Medical Services oversees EMS certification and renewal in the state.

How long is a Louisiana EMS certification valid?

Louisiana EMS certifications are renewed every two years.

Hours by Certification Level

How many CE hours does a Louisiana Paramedic need?

Louisiana Paramedics follow the NREMT standard of 60 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What is the AEMT requirement in Louisiana?

Louisiana AEMTs follow the NREMT standard of 50 hours per two-year cycle. DistanceCME’s 50-Hour NREMT AEMT Refresher is recommended.

How many hours does a Louisiana EMT need?

Louisiana EMTs follow the NREMT standard of 40 hours per two-year cycle. DistanceCME’s 40-Hour NREMT EMT Refresher Course satisfies this requirement.

What about Louisiana EMRs?

Louisiana EMRs need 16 hours of continuing education every two years. NREMT certification is optional for EMRs in Louisiana. DistanceCME’s 16-Hour NREMR Refresher Course meets this requirement.

Online Courses and Accreditation

Does Louisiana accept online CE?

Yes. Louisiana accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced formats are available and count toward your CE hours.

Planning Your Renewal

Is there anything specific to watch for with Louisiana renewal timing?

Louisiana certifications renew on a two-year cycle. Your individual expiration date determines your deadline. Tracking that date and starting your CE work early in the cycle is the most reliable approach to keeping your certification current.

Can my organization enroll multiple providers?

DistanceCME offers agency education solutions for EMS organizations. Contact DistanceCME through the Louisiana EMS CE Requirements page for information about group enrollment.

Getting Started

How do I enroll in a DistanceCME course for Louisiana?

Visit the Louisiana EMS CE Requirements page at DistanceCME to find the course for your certification level and enroll. Coursework can begin immediately.

Where can I get official Louisiana EMS information?

The Louisiana Department of Health, Bureau of Emergency Medical Services is the official source for current requirements.

This page is for general informational purposes. Always confirm your requirements with the Louisiana Department of Health, Bureau of Emergency Medical Services before renewing.

Maine sets higher CE hour requirements than many other states and offers a NREMT-based alternative for providers who maintain national certification. Here is what Maine EMS providers need to know.

General Requirements

Who oversees EMS certification in Maine?

The Maine Emergency Medical Services Division, within the Department of Public Safety, manages EMS licensing and renewal in the state. Maine EMS Rules Chapter 5 governs CE requirements.

How long is a Maine EMS license valid?

Maine licenses are valid for two years from the month of issuance. Your individual month of issuance sets your renewal deadline.

Can I use NREMT certification to renew in Maine?

Yes. Maine allows providers to submit a current NREMT certification card in place of the continuing education hour requirements. If you choose this path, your renewed Maine license expiration will align with your NREMT certification expiration rather than the standard two-year period. This is a genuine option that simplifies renewal for providers maintaining active NREMT credentials.

Hours by Certification Level

How many CE hours does a Maine Paramedic need?

Maine Paramedics must complete 72 hours of continuing education every two years, per Chapter 5, Section 5(5)(C)(2)(F). That is higher than the NREMT standard of 60 hours. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is the recommended combination to reach this total.

What about AEMTs?

Maine AEMTs are required to complete 56 hours every two years. DistanceCME’s recommended course package for AEMTs is the 48-Hour Hybrid EMS Refresher plus Anytime combination.

What does a Maine EMT need?

Maine EMTs must complete 52 hours every two years. The 48-Hour Hybrid plus Anytime combination is also the recommended package for EMTs.

Online Courses and Accreditation

Does Maine accept online CE?

Yes. Maine accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Should I use the NREMT pathway or complete Maine’s CE hours directly?

If you hold current NREMT credentials and plan to maintain them, the NREMT pathway is often the simpler choice since it satisfies Maine requirements without documenting a separate set of hours. If you are not maintaining NREMT certification, completing Maine’s CE hour requirement through DistanceCME is the right approach.

Planning Your Renewal

Given Maine’s higher hour counts, how should I plan?

Maine’s 72-hour Paramedic requirement and 52-56-hour requirements for other levels are higher than typical. Spreading hours across both years of the cycle rather than compressing them near renewal is strongly recommended. Starting in the first months of your cycle keeps the pace manageable.

Getting Started

How do I enroll in a DistanceCME course for Maine?

Visit the Maine EMS CE Requirements page at DistanceCME to find the right package for your certification level and enroll.

Where can I get official Maine EMS information?

Maine Emergency Medical Services is the official source. Always verify your specific requirements with that office before renewing.

This page is for general informational purposes. Always confirm your requirements with Maine Emergency Medical Services before renewing.

Maryland’s EMS renewal is structured around NREMT requirements for most providers, with state-specific protocols managed by the Maryland Institute for Emergency Medical Systems for those pursuing state-only certification.

General Requirements

Who oversees EMS certification in Maryland?

The Maryland Institute for Emergency Medical Systems (MIEMSS) and the Maryland EMS Board oversee EMS provider certification and renewal in the state. MIEMSS protocols are the authoritative reference for Maryland-specific requirements.

How does Maryland’s renewal work?

Maryland providers who maintain NREMT certification renew using NREMT’s standard requirements at their certification level. Providers pursuing Maryland state certification only, without NREMT, must follow MIEMSS-specific renewal protocols. For that group, MIEMSS is the direct point of contact.

Hours by Certification Level

How many hours does a Maryland Paramedic need?

Maryland Paramedics following the NREMT pathway need to meet NREMT’s 60-hour standard every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about Maryland EMTs?

EMTs following the NREMT pathway must meet NREMT’s 40-hour standard every two years. DistanceCME’s 40-Hour NREMT EMT Refresher is the recommended course. For Maryland state certification only, providers should refer to MIEMSS protocol directly.

What does a Maryland EMR need?

EMRs following the NREMT pathway need 16 hours every two years. DistanceCME’s 16-Hour NREMR Refresher Course satisfies this requirement.

Online Courses and Accreditation

Does Maryland accept online CE?

Yes. Maryland accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Are DistanceCME courses accepted for Maryland state certification only providers?

For Maryland state-only certification without NREMT, providers should check with MIEMSS directly, as state-only renewal follows MIEMSS-specific protocols that may differ from the NREMT pathway.

Planning Your Renewal

What is the most important thing for Maryland providers to track?

For providers using the NREMT pathway, tracking your NREMT expiration date and completing 60, 40, or 16 hours (depending on your level) before that date is the primary task. For state-only providers, connecting with MIEMSS early to understand the specific protocol for your situation is the right starting point.

Getting Started

How do I enroll in a DistanceCME course for Maryland?

Visit the Maryland EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Maryland EMS information?

The Maryland Institute for Emergency Medical Systems (MIEMSS) is the authoritative source for Maryland EMS renewal information.

This page is for general informational purposes. Always confirm your requirements with MIEMSS before renewing.

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Massachusetts has a specific dual-submission renewal process that requires providers to use both the NREMT platform and a state eLicensing system. Understanding that process before your renewal cycle is critical.

General Requirements

Who oversees EMS certification in Massachusetts?

The Massachusetts Department of Public Health, Office of Emergency Medical Services (OEMS) manages EMS certification and renewal. Massachusetts Administrative Regulation AR 2-212 governs EMT continuing education standards.

How does Massachusetts renewal work?

All Massachusetts EMS personnel must renew their certification every two years. Critically, recertification must be completed using both NREMT.org and the state’s eLicensing system. You cannot submit renewal through only one of these platforms. Both must be completed.

What types of CE courses does Massachusetts accept?

Massachusetts accepts courses approved by OEMS Regional Offices or by OEMS directly, as well as courses approved by CAPCE. DistanceCME is CAPCE accredited (Massachusetts approval numbers BLS 150529 and ALS 150530), which means DistanceCME courses qualify for Massachusetts renewal. All Massachusetts continuing education may be completed using Distributive Education (self-paced online) formats, providing significant flexibility.

Hours by Certification Level

How many CE hours does a Massachusetts Paramedic need?

Massachusetts Paramedics must meet the NREMT standard of 60 hours of continuing education per two-year cycle. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about AEMTs?

Massachusetts AEMTs follow the NREMT standard of 50 hours per two-year cycle. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is recommended.

How many hours does a Massachusetts EMT need?

EMTs follow the NREMT standard of 40 hours per two-year cycle. DistanceCME’s 40-Hour NREMT EMT Refresher is the recommended course.

Online Courses and Accreditation

Does Massachusetts accept fully online self-paced CE?

Yes. Massachusetts explicitly allows all CE to be completed through Distributive Education (DE) formats, which are online, self-paced courses. DE courses carry either a T3 (OEMS) or F3 (CAPCE) approval number. DistanceCME’s self-paced courses carry the F3 CAPCE designation and qualify under Massachusetts rules.

Planning Your Renewal

What is the most common mistake Massachusetts EMS providers make at renewal?

Submitting renewal through only one platform. Both NREMT.org and the Massachusetts eLicensing system must be used. Completing your CE hours with DistanceCME is one part of the process. Logging into both platforms to submit your renewal application is the other. Checking the OEMS guidance for eLicensing early in your cycle ensures you know how to complete that step when the time comes.

Getting Started

How do I enroll in a DistanceCME course for Massachusetts?

Visit the Massachusetts EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Massachusetts EMS information?

The Massachusetts Department of Public Health, Office of Emergency Medical Services is the official source. Their eLicensing portal and OEMS guidance documents are the practical tools for completing renewal.

This page is for general informational purposes. Always confirm your requirements with the Massachusetts OEMS before renewing.

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Michigan operates on a three-year EMS certification cycle and offers multiple renewal pathways including NREMT certification and refresher courses. Michigan also has a specific pediatric skills requirement that providers need to plan for.

General Requirements

Who oversees EMS certification in Michigan?

The Michigan Department of Health and Human Services manages EMS provider certification and renewal. Michigan’s requirements are governed by R 325.22316 and related administrative rules.

How long is a Michigan EMS certification valid?

Michigan EMS personnel certifications expire every three years, per R 325.22316. This is a longer cycle than most states.

What are Michigan’s renewal pathways?

Michigan providers can renew by submitting documentation of current National Registry status (if nationally registered), by completing an applicable refresher course or examination, or by completing continuing education hours as listed in Michigan’s NCCP State/Local Criteria. There is also a required practical component for pediatric medication administration that cannot be completed online.

What is the pediatric medication administration practical requirement?

Michigan requires a hands-on pediatric medication administration practical assessment as part of renewal for applicable provider levels. This is a skills verification, not a classroom course, and must be completed in person with an appropriate evaluator. This component is separate from your CE hour count and must not be overlooked during renewal planning.

Hours by Certification Level

How many CE hours does a Michigan Paramedic need?

Michigan Paramedics must complete 45 hours of continuing education every three years. DistanceCME’s ALS NCCP plus Anytime package is recommended.

What about AEMTs?

Michigan AEMTs need 36 hours of continuing education every three years.

How many hours does a Michigan EMT need?

Michigan EMTs must complete 30 hours of continuing education every three years. DistanceCME’s BLS NCCP plus Anytime package is recommended.

What do Michigan First Responders (MFRs) or EMRs need?

Michigan MFRs/EMRs need 15 hours of continuing education every three years. DistanceCME’s 16-Hour NREMR Refresher slightly exceeds this minimum and is the recommended program.

Online Courses and Accreditation

Does Michigan accept online CE?

Yes. Michigan accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Remember that the pediatric medication administration practical must be completed separately in person.

Planning Your Renewal

How should I approach Michigan’s three-year cycle?

Spreading your hours across all three years is ideal. For a 45-hour Paramedic requirement, that is 15 hours per year, a very manageable pace. Planning for the pediatric medication administration practical early, since arranging an evaluator can take time, is also important.

Getting Started

How do I enroll in a DistanceCME course for Michigan?

Visit the Michigan EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Michigan EMS information?

The Michigan Department of Health and Human Services is the official source for current requirements.

This page is for general informational purposes. Always confirm your requirements with the Michigan Department of Health and Human Services before renewing.

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Minnesota has specific requirements about who can deliver EMS continuing education, which affects how providers choose their CE provider. Here is what Minnesota EMS providers need to know before starting their renewal process.

General Requirements

Who oversees EMS certification in Minnesota?

The Minnesota Emergency Medical Services Regulatory Board (EMSRB) oversees EMS provider certification and renewal in the state.

Who can provide CE in Minnesota?

Minnesota requires that EMS continuing education be taught by a Minnesota-approved education program. This is a meaningful restriction: not every nationally accredited provider is automatically accepted in Minnesota. DistanceCME is accepted in Minnesota for Paramedics and for the education component of AEMT renewal. EMTs in Minnesota need 48 hours of continuing education and must also complete a psychomotor skills examination offered in Minnesota. DistanceCME can provide the education hours for EMTs, but the psychomotor exam must be arranged separately in-state.

Do Minnesota EMTs have an in-person component?

Yes. Minnesota EMT renewal requires both the continuing education hours and a psychomotor examination that must be taken in person in Minnesota. DistanceCME handles the education portion, but the psychomotor exam is a separate step.

Hours by Certification Level

What does a Minnesota Paramedic need for renewal?

Minnesota Paramedics can use DistanceCME for their full CE requirement. The Minnesota EMS CE Requirements page at DistanceCME shows the recommended course for Paramedics.

What does a Minnesota AEMT need?

Minnesota AEMTs can also use DistanceCME for their CE hours. Course recommendations are on the Minnesota requirements page.

What does a Minnesota EMT need?

Minnesota EMTs need 48 hours of continuing education plus a psychomotor exam. DistanceCME provides the 48 CE hours. The psychomotor exam must be arranged through a Minnesota-approved testing site separately.

Online Courses and Accreditation

Does Minnesota accept online CE from DistanceCME?

Yes, with the clarifications above. Paramedics and AEMTs can complete their CE through DistanceCME. EMTs complete their CE hours through DistanceCME but must also complete the Minnesota psychomotor exam separately.

Planning Your Renewal

What is the most important planning step for Minnesota EMTs?

Scheduling the psychomotor exam early is critical. Exam slots can fill up, especially near renewal deadlines, and failing to schedule it in time could delay your renewal even if your CE hours are complete. Arranging the exam as early in your cycle as practical is the smart approach.

Getting Started

How do I enroll in a DistanceCME course for Minnesota?

Visit the Minnesota EMS CE Requirements page at DistanceCME to find the right course and enroll.

Where can I get official Minnesota EMS information?

The Minnesota Emergency Medical Services Regulatory Board is the official source for current requirements and approved education programs.

This page is for general informational purposes. Always confirm your requirements with the Minnesota EMSRB before renewing.

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Mississippi EMS providers renew on a two-year cycle set from the date of issuance, with standard NREMT-aligned CE hour requirements and a straightforward online renewal process.

General Requirements

Who oversees EMS certification in Mississippi?

The Mississippi State Department of Health, Division of Emergency Medical Services manages EMS provider certification and renewal. Requirements are governed by Miss. Code Ann. §41-59.

How long is a Mississippi EMS license valid?

Mississippi licenses must be renewed every two years from the date of issuance, per Miss. Code Ann. §41-59-35. Your individual issuance date determines your expiration, not a shared statewide deadline.

Hours by Certification Level

How many CE hours does a Mississippi Paramedic need?

Mississippi Paramedics must complete 60 hours of continuing education every two years, per Miss. Code Ann. §41-59-5. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course meets this requirement.

What about Critical Care Paramedics?

Mississippi Critical Care Paramedics also need 60 hours every two years. DistanceCME’s Critical Care Transport Review course is the recommended program for this level.

How many hours does a Mississippi EMT need?

Mississippi EMTs must complete 40 hours every two years. DistanceCME’s 40-Hour NREMT EMT Refresher Course satisfies this requirement.

What about Mississippi EMRs?

EMRs need 16 hours of continuing education every two years. DistanceCME’s 16-Hour NREMR Refresher Course meets this requirement.

Online Courses and Accreditation

Does Mississippi accept online CE?

Yes. Mississippi accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. All CE hours can be completed online through live virtual or self-paced formats.

Planning Your Renewal

Since Mississippi certifications expire from the date of issuance, how do I track my deadline?

Your expiration date is on your Mississippi EMS license. Noting that date and setting a reminder to begin CE work at least six months before it arrives is the most reliable approach.

Getting Started

How do I enroll in a DistanceCME course for Mississippi?

Visit the Mississippi EMS CE Requirements page at DistanceCME to find the course for your provider level and enroll.

Where can I get official Mississippi EMS information?

The Mississippi State Department of Health, Division of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the Mississippi State Department of Health before renewing.

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Missouri operates on a five-year renewal cycle with some of the highest total CE hour requirements in the country. The structure of those hours, divided between core requirements and EMS-related electives, is something every Missouri provider should understand well before starting their renewal cycle.

General Requirements

Who oversees EMS certification in Missouri?

Missouri Emergency Medical Services, within the Missouri Department of Health and Senior Services, manages EMS provider certification and renewal. Requirements are governed by 19 CSR 30-40.342.

How long is a Missouri EMS license valid?

Missouri EMS licenses are renewed every five years, per 19 CSR 30-40.342. This is the longest renewal cycle of any state, which gives providers more time but also means the total CE hours required are significantly higher.

What are the renewal pathways in Missouri?

Missouri allows renewal by submitting documentation of current National Registry registration, or by completing the continuing education hours as specified by level in 19 CSR 30-40.342. For providers who maintain NREMT certification, the National Registry pathway is typically the simpler option.

Hours by Certification Level

How many CE hours does a Missouri Paramedic need?

Missouri Paramedics must complete 144 hours of continuing education every five years. Of those, 96 hours must be core requirements and 48 hours must be EMS-related programs, per 19 CSR 30-40.342(4)(B)(2)(A). DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is recommended as part of meeting this total.

What about Missouri AEMTs?

Missouri AEMTs also need 144 hours, with 72 hours of core requirements and 72 hours of EMS-related programs over the five-year cycle.

How many hours does a Missouri EMT need?

Missouri EMTs must complete 100 hours over five years, with 48 hours of core CE training and 52 hours of EMS-related elective hours, per 19 CSR 30-40.342(2)(C)(2)(A).

Online Courses and Accreditation

Does Missouri accept online CE?

Yes. Missouri accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

What counts as a core requirement versus an EMS-related elective?

Missouri publishes a breakdown of core CE requirements and acceptable elective topics. That information is available through Missouri EMS. DistanceCME’s NCCP-based courses cover many of the subject areas found in Missouri’s core requirements, but reviewing the Missouri Core Requirements document against your course plan is a good step.

Planning Your Renewal

With 144 hours over five years, how should I pace myself?

Treating the requirement as roughly 29 hours per year (for Paramedics) or 20 hours per year (for EMTs) makes it manageable. Five years is enough time to complete the hours gradually, but providers who let early years pass without doing any CE often find themselves compressed in years four and five.

Getting Started

How do I enroll in a DistanceCME course for Missouri?

Visit the Missouri EMS CE Requirements page at DistanceCME to find the recommended course packages and enroll.

Where can I get official Missouri EMS information?

Missouri Emergency Medical Services is the official source. The core requirements document available through that office is an important planning tool for Missouri providers.

This page is for general informational purposes. Always confirm your requirements with Missouri EMS before renewing.

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Montana refers to its EMS providers as Emergency Care Providers (ECPs) and operates a two-year renewal cycle tied to NREMT standards. Here is what Montana ECPs need to know.

General Requirements

Who oversees EMS certification in Montana?

The Montana Board of Medical Examiners oversees EMS provider (Emergency Care Provider) certification and renewal. Requirements are found in Montana Administrative Rules at 24.101.413.

How long is a Montana EMS certification valid?

Montana ECPs must recertify every two years by March 31, per 24.101.413(5)(b)(s).

Does Montana follow NREMT requirements?

Yes. Montana ECPs must meet the NREMT continued competency training requirements, following the Montana Continued Competency Requirements. This alignment makes Montana’s renewal relatively straightforward for providers who maintain NREMT certification.

Hours by Certification Level

How many CE hours does a Montana Paramedic need?

Montana Paramedics must complete 60 hours of continuing education every two years, aligned with NREMT standards. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course satisfies this requirement.

What about AEMTs?

Montana AEMTs need 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is the recommended program.

How many hours does a Montana EMT need?

Montana EMTs must complete 40 hours of continuing education per two-year cycle. DistanceCME’s 40-Hour NREMT EMT Refresher Course is recommended.

Online Courses and Accreditation

Does Montana accept online CE?

Yes. Montana accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Given Montana’s March 31 deadline, when should I start my CE?

The March 31 deadline is a firm date. Starting CE work in the fall or early winter of the year before your renewal is due gives you ample time to complete all hours without rushing. For Montana ECPs in rural areas with limited local training options, online CE is particularly practical.

Getting Started

How do I enroll in a DistanceCME course for Montana?

Visit the Montana EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Montana EMS information?

The Montana Board of Medical Examiners is the official source for current certification requirements.

This page is for general informational purposes. Always confirm your requirements with the Montana Board of Medical Examiners before renewing.

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Nebraska’s CE hours are divided across two calendar years within each two-year cycle, creating specific annual checkpoints rather than a single end-of-cycle deadline. Understanding this structure is essential for Nebraska EMS providers.

General Requirements

Who oversees EMS certification in Nebraska?

The Nebraska Department of Health and Human Services, Division of Public Health manages EMS provider licensing and renewal. Requirements are found in Nebraska Title 172, Chapter 11.

When do Nebraska EMS licenses expire?

Nebraska EMS licenses expire every two years on March 31. The license cycle is structured so that CE hours are split between an odd-numbered year and an even-numbered year, or vice versa, depending on your expiration cycle.

How is Nebraska’s CE structured across the two-year cycle?

Rather than a single total due at renewal, Nebraska divides CE into two annual increments. The specific split depends on your license cycle. Nebraska Title 172, Chapter 11, Section 00.8 outlines the Continued Competency Requirements and the per-year breakdown. Reviewing that section early in your cycle is important because you cannot simply bank all hours in the final year.

Hours by Certification Level

How many CE hours does a Nebraska Paramedic need?

Nebraska Paramedics must complete 30 CE hours by March 31 on the applicable deadline year in their cycle. DistanceCME’s ALS NCCP Program is recommended.

What about AEMTs?

Nebraska AEMTs also need 30 CE hours by March 31 of the applicable year. DistanceCME’s ALS NCCP Program is recommended for this level as well.

How many hours does a Nebraska EMT need?

Nebraska EMTs need 25 CE hours by March 31 of the applicable year in their cycle. DistanceCME’s ALS NCCP Program covers the content needed.

What about Nebraska EMRs?

Nebraska EMRs need 20 CE hours by March 31 on even-numbered years (based on current cycle structure). The specific applicable year for your license should be confirmed through Nebraska DHHS.

Online Courses and Accreditation

Does Nebraska accept online CE?

Yes. Nebraska accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

What is the most important thing to understand about Nebraska’s CE structure?

The annual completion requirement. Nebraska does not allow you to complete all your hours in the final year of your cycle. Understanding which year your hours are due and planning to complete them before that year’s March 31 deadline is the key planning task.

Getting Started

How do I enroll in a DistanceCME course for Nebraska?

Visit the Nebraska EMS CE Requirements page at DistanceCME to find the right course and enroll.

Where can I get official Nebraska EMS information?

The Nebraska Department of Health and Human Services is the official source. Nebraska Title 172, Chapter 11 is the key regulatory document.

This page is for general informational purposes. Always confirm your specific requirements with Nebraska DHHS before renewing.

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Nevada offers providers the option to renew through NREMT certification or by completing state-specified CE hours. Here is what Nevada EMS providers need to know to plan their renewal.

General Requirements

Who oversees EMS certification in Nevada?

The Nevada Division of Public and Behavioral Health (DPBH), Emergency Medical Services office manages EMS provider certification and renewal. Requirements are governed by NAC 450B.

How long is a Nevada EMS license valid?

Nevada EMS licenses are renewed every two years.

What are Nevada’s renewal pathways?

Nevada allows providers to renew by submitting documentation of current National Registry registration, per NAC 450B.360(2), or by completing the required continuing education hours as listed under NAC 450B.380. For providers maintaining NREMT certification, the National Registry pathway is typically the simpler option.

Hours by Certification Level

How many CE hours does a Nevada Paramedic need?

Nevada Paramedics who are not using the NREMT pathway must complete 40 hours of continuing education every two years, per NAC 450B.380. DistanceCME’s ALS NCCP plus Anytime package is recommended.

What about Nevada AEMTs?

Nevada AEMTs need 30 hours of continuing education per two-year cycle under the state pathway.

How many hours does a Nevada EMT need?

Nevada EMTs need 24 hours of continuing education every two years under the state pathway. DistanceCME’s 24-Hour EMT Refresher is the recommended course.

What do Nevada EMRs need?

Nevada EMRs need 12 hours of continuing education per two-year cycle.

Online Courses and Accreditation

Does Nevada accept online CE?

Yes. Nevada accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Should I use the NREMT pathway or the state CE hours pathway?

If you maintain active NREMT certification, the NREMT pathway is typically simpler and satisfies Nevada’s requirement without completing a separate set of state-specific CE hours. If you hold only Nevada state certification, completing the CE hours specified under NAC 450B.380 is the required path.

Planning Your Renewal

How should I track my Nevada renewal?

Nevada licenses are tied to individual expiration dates based on your licensing history. Noting your expiration date and starting CE work early in your two-year cycle is the most reliable approach.

Getting Started

How do I enroll in a DistanceCME course for Nevada?

Visit the Nevada EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Nevada EMS information?

The Nevada Division of Public and Behavioral Health, EMS office is the official source for current requirements.

This page is for general informational purposes. Always confirm your requirements with the Nevada DPBH EMS office before renewing.

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New Hampshire EMS licensure is tied to NREMT certification for most providers, with specific expiration dates that differ between EMR and higher-level providers. Here is what New Hampshire EMS providers need to know.

General Requirements

Who oversees EMS certification in New Hampshire?

The New Hampshire Department of Safety, Bureau of Emergency Medical Services manages EMS provider licensure and renewal. Requirements are found in RSA 153-A and the New Hampshire Code of Administrative Rules Saf-C 5904.

How long is a New Hampshire EMS license valid?

For Nationally Registered EMTs, AEMTs, and Paramedics, New Hampshire licensure is valid for up to two years and expires on April 30. For Nationally Registered EMRs, licensure expires on October 31. These are fixed annual dates, not individual certification anniversaries.

Hours by Certification Level

How many CE hours does a New Hampshire Paramedic need?

New Hampshire Paramedics must complete 60 hours of continuing education every two years, per Saf-C 5913.04. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about AEMTs?

New Hampshire AEMTs need 50 hours of continuing education every two years, per Saf-C 5913.03. DistanceCME’s 50-Hour NREMT AEMT Refresher is recommended.

How many hours does a New Hampshire EMT need?

New Hampshire EMTs must complete 40 hours of continuing education every two years, per Saf-C 5913.02. DistanceCME’s 40-Hour NREMT EMT Refresher is recommended.

What about EMRs?

New Hampshire EMRs also follow NREMT requirements and must complete 16 hours per two-year cycle. Their licensure expires October 31 rather than April 30.

Online Courses and Accreditation

Does New Hampshire accept online CE?

Yes. New Hampshire accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Given the April 30 expiration date for EMTs, AEMTs, and Paramedics, when should I start CE?

Working backward from April 30, starting CE work in the fall or early winter of the expiration year gives you several months to complete your hours without rushing. For EMRs with an October 31 deadline, starting in the spring or early summer of the expiration year is comparable.

Getting Started

How do I enroll in a DistanceCME course for New Hampshire?

Visit the New Hampshire EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official New Hampshire EMS information?

The New Hampshire Department of Safety, Bureau of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the New Hampshire Bureau of Emergency Medical Services before renewing.

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New Jersey has separate renewal structures for Paramedics and EMTs, with different CE hour requirements and an EMT-specific mandatory in-person course. Here is what New Jersey EMS providers need to know.

General Requirements

Who oversees EMS certification in New Jersey?

The New Jersey Department of Health, Office of Emergency Medical Services manages EMS certification and renewal. Requirements are found in N.J.A.C. 8:40A and N.J.A.C. 8:41A.

How long is a New Jersey Paramedic certification valid?

New Jersey Paramedic certifications expire every two years, either on June 30 or December 31, depending on the date of initial certification, per N.J.A.C. 8:41A-4.1(f).

How long is a New Jersey EMT certification valid?

New Jersey EMT certifications expire three years from the date of issue, per N.J.A.C. 8:40-7.5(e). This is a three-year cycle rather than the two-year standard seen in most states.

Do New Jersey EMTs have a mandatory in-person component?

Yes. New Jersey EMTs must complete a 24-hour NJ ABC Refresher course, which is a required in-person program offered through approved New Jersey sites. The remaining 24 hours of CE can be completed with a provider like DistanceCME. The NJ ABC course cannot be taken online and must be scheduled separately through an authorized New Jersey site listed on the OEMS website.

Hours by Certification Level

How many CE hours does a New Jersey Paramedic need?

New Jersey Paramedics must complete 48 hours of continuing education every two years, per N.J.A.C. 8:41A-4.3. DistanceCME’s ALS NCCP plus Anytime package is the recommended course to meet this requirement.

How many hours does a New Jersey EMT need?

New Jersey EMTs must complete 48 hours of CE over their three-year cycle. Of those, 24 hours must be the mandatory NJ ABC Refresher course, and the remaining 24 hours can be completed through DistanceCME. When you submit your DistanceCME CE hours to the state, they are accepted for the non-ABC portion of the requirement (submitted with EMS form 28). These hours also satisfy your NREMT requirements.

Online Courses and Accreditation

Does New Jersey accept online CE?

Yes, for the non-ABC portion of the requirement. DistanceCME is CAPCE accredited and accepted in New Jersey for those hours. The NJ ABC course itself must be completed in person.

Planning Your Renewal

How do I manage both the NJ ABC requirement and my DistanceCME hours?

Schedule the NJ ABC Refresher first, since in-person slots can be limited, especially near renewal deadlines. Once you know when your ABC course is scheduled, you can plan your remaining 24 DistanceCME hours at whatever pace fits your schedule. Do not wait to schedule the in-person portion.

Getting Started

How do I enroll in a DistanceCME course for New Jersey?

Visit the New Jersey EMS CE Requirements page at DistanceCME to find the course for your level and enroll. Remember to arrange the NJ ABC Refresher separately.

Where can I get official New Jersey EMS information?

The New Jersey Department of Health, Office of Emergency Medical Services is the official source. Their website lists authorized NJ ABC Refresher sites.

This page is for general informational purposes. Always confirm your requirements with the New Jersey Office of Emergency Medical Services before renewing.

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New Mexico requires a significant portion of EMS CE hours to be completed as live instruction, which affects how providers choose their training approach. Here is what New Mexico EMS providers need to know.

General Requirements

Who oversees EMS certification in New Mexico?

The New Mexico Emergency Medical Services Bureau manages EMS provider licensing and renewal. Requirements are found at NMAC 7.27.211 and the New Mexico EMS Continuing Education and Renewal Guide.

How long is a New Mexico EMS license valid?

New Mexico EMS providers must renew every two years. Requirements for license renewals must be completed by December 31 of the renewal period.

What is New Mexico’s live education requirement?

New Mexico requires that at least 50 percent of all CE hours be completed as live education. DistanceCME’s F-5 live virtual instructor-led courses qualify as live instruction, allowing providers to satisfy New Mexico’s live requirement without traveling to an in-person classroom.

Hours by Certification Level

How many CE hours does a New Mexico Paramedic need?

New Mexico Paramedics must complete 60 hours of continuing education every two years, with at least 30 hours in a live format, per NMAC 7.27.211. DistanceCME’s ALS NCCP plus Anytime package is the recommended program.

What about EMT-Intermediates and AEMTs?

New Mexico EMT-Intermediate and AEMT providers also follow the live education requirement. The New Mexico EMS CE Requirements page at DistanceCME shows the course recommendations for these levels.

What do New Mexico EMTs and EMRs need?

EMT and EMR requirements are detailed on the New Mexico requirements page. The live education percentage requirement applies at all levels.

Online Courses and Accreditation

Does New Mexico accept online CE?

Yes. New Mexico accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Live virtual sessions count toward the live education requirement.

How do I ensure I meet New Mexico’s 50 percent live requirement?

When you enroll in DistanceCME’s ALS NCCP plus Anytime package, the live virtual courses in the program count as live hours under New Mexico’s rules. Tracking your live versus self-paced hours as you complete coursework ensures you hit the 50 percent live threshold before your December 31 deadline.

Planning Your Renewal

What is the December 31 deadline like for planning purposes?

Completing all CE hours before year-end, including the live component, is much easier when you start in the spring or summer of your renewal year rather than the fall. Holiday schedules and year-end obligations can compress your available time significantly.

Getting Started

How do I enroll in a DistanceCME course for New Mexico?

Visit the New Mexico EMS CE Requirements page at DistanceCME to find the right course and enroll.

Where can I get official New Mexico EMS information?

The New Mexico Emergency Medical Services Bureau is the official source. The New Mexico EMS Continuing Education and Renewal Guide is the practical reference document.

This page is for general informational purposes. Always confirm your requirements with the New Mexico EMS Bureau before renewing.

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New York has one of the more complex EMS CE systems in the country, with a four-year cycle, online content restrictions, and agency-level approval requirements that vary by individual circumstance. Understanding these rules thoroughly before starting CE work prevents problems at renewal.

General Requirements

Who oversees EMS certification in New York?

The New York Bureau of Emergency Medical Services (NYS Bureau of EMS) manages EMS provider certification and renewal. Requirements are found in 10 NYCRR Part 800.

How long is a New York EMS certification valid?

New York EMS certifications are renewed every four years, per 10 NYCRR Part 800.13(a)(1).

Is there a time restriction on submitting renewal paperwork?

Yes. Renewal paperwork must be submitted no later than 45 days before your certification expiration date. Applications received within 45 days of expiration may not be processed in time. Active military members may have an exception to this rule.

What is the restriction on online CE content in New York?

New York limits online (distributive learning) CE to a maximum of 50 percent of your total required hours, unless your EMS agency has been specifically approved by the NYS Bureau of EMS to use 100 percent online content. If your agency has that approval, your CE coordinator handles submission on your behalf, not you individually.

Hours by Certification Level

How many CE hours does a New York Paramedic need?

New York Paramedics (AEMT-Paramedics) must complete 60 hours every four years, per 10 NYCRR Part 800.9(2). All DistanceCME content is reviewed and approved by DistanceCME’s in-house New York State CIC. Note: DistanceCME’s in-house CIC can only sign off on DistanceCME content.

What about AEMT-Critical Care?

AEMT-Critical Care providers must complete 55 hours every four years.

How many hours does a New York AEMT need?

AEMTs must complete 50 hours every four years.

What does a New York EMT or EMR need?

EMTs need 45 hours every four years. EMRs need 16 hours as required by NREMT. Valid CPR cards are required at all levels.

Online Courses and Accreditation

Can I complete all my New York CE online through DistanceCME?

Only if your EMS agency is approved by the NYS Bureau of EMS for 100 percent online content and your CE coordinator submits the paperwork on your behalf. For providers whose agencies do not have that approval, a maximum of 50 percent of your hours can be from online content. The other 50 percent must be live instruction.

What if my NY certification is expired?

DistanceCME’s programs cannot be used for renewal if your NY certification has already expired. Expired NY certifications require a separate NY Refresher course. Act before your certification expires to use DistanceCME’s regular CE programs.

Do I need a Medical Director signature?

Yes. For provider levels above EMT, including AEMTs and Paramedics, a Medical Director signature is required as part of the renewal submission.

Planning Your Renewal

Given the 45-day submission deadline, when should I finish my hours?

Build your schedule to have all CE completed at least 60 days before your expiration date. This gives you buffer to gather paperwork, obtain Medical Director signatures, and submit through your agency coordinator before the 45-day hard cutoff.

Getting Started

How do I enroll in a DistanceCME course for New York?

Visit the New York EMS CE Requirements page at DistanceCME to find the course for your certification level. Review the online content restrictions specific to your agency’s approval status before enrolling.

Where can I get official New York EMS information?

The NYS Bureau of Emergency Medical Services is the official source. Their guidance on online content approval for agencies is essential reading before planning your CE.

This page is for general informational purposes. New York EMS renewal involves agency-level processes and specific restrictions. Always confirm your requirements with the NYS Bureau of EMS and your agency’s CME coordinator before renewing.

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North Carolina has a four-year certification cycle with higher total CE hour requirements than most states. Understanding the structure of those requirements before you start your cycle helps you plan a manageable pace.

General Requirements

Who oversees EMS certification in North Carolina?

The North Carolina Office of Emergency Medical Services (NC OEMS) manages EMS provider certification and renewal. Requirements are found in 10A NCAC 13P.

How long is a North Carolina EMS certification valid?

North Carolina EMR, EMT, AEMT, and Paramedic certifications are renewed every four years from the date of issuance, per 10A NCAC 13P.0503.

Are there North Carolina OEMS-specific CE guidelines?

Yes. NC OEMS publishes Continuing Education Guidelines that detail acceptable CE topics and hour distribution. Reviewing those guidelines alongside your course plan ensures your hours qualify for North Carolina renewal.

Hours by Certification Level

How many CE hours does a North Carolina Paramedic need?

North Carolina Paramedics must complete 120 hours of continuing education every four years, per 10A NCAC 13P.0504. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is a strong starting point toward this total.

What about North Carolina AEMTs?

North Carolina AEMTs need 100 hours every four years. The 48-Hour Hybrid plus Anytime combination from DistanceCME is recommended.

How many hours does a North Carolina EMT need?

North Carolina EMTs must complete 80 hours every four years.

What about North Carolina EMRs?

EMR requirements fall under the same four-year structure. The NC OEMS CE Guidelines show the specific hour counts for this level.

Online Courses and Accreditation

Does North Carolina accept online CE?

Yes. North Carolina accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

With 120 hours over four years for Paramedics, how should I pace myself?

Treating 120 hours over four years as 30 hours per year keeps the requirement very manageable. Providers who let early years in the cycle pass without completing any CE often find themselves rushed in years three and four with a large block of hours to accumulate.

Can I use CE from another state to satisfy North Carolina requirements?

North Carolina may recognize CE completed while licensed in another state, if that state’s standards have been determined by NC OEMS staff to be equivalent. Verify this directly with NC OEMS if you have completed CE under a different state’s system.

Getting Started

How do I enroll in a DistanceCME course for North Carolina?

Visit the North Carolina EMS CE Requirements page at DistanceCME to find the right course package and enroll.

Where can I find official North Carolina EMS information?

The North Carolina Office of Emergency Medical Services is the official source. Their CE Guidelines document is an important planning reference.

This page is for general informational purposes. Always confirm your requirements with the North Carolina Office of Emergency Medical Services before renewing.

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North Dakota aligns its EMS renewal closely with NREMT requirements and has a shared statewide expiration date of June 30. Here is what North Dakota EMS providers need to know.

General Requirements

Who oversees EMS certification in North Dakota?

The North Dakota Division of Emergency Medical Services and Trauma oversees EMS provider licensing and renewal. Requirements are governed by 33-36-01-03.

When do North Dakota EMS licenses expire?

All North Dakota EMS licenses expire on June 30, every two years, per 33-36-01-03(1)(g). This is a shared statewide deadline.

Do North Dakota providers follow NREMT requirements?

Yes. North Dakota licensed EMTs, AEMTs, and Paramedics are directed to follow NREMT recertification requirements for their CE.

Hours by Certification Level

How many CE hours does a North Dakota Paramedic need?

North Dakota Paramedics must complete 60 hours of continuing education every two years, utilizing the NREMT’s National Continued Competency Program. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course satisfies this requirement.

What about North Dakota AEMTs?

North Dakota AEMTs need 50 hours of CE every two years, following the NREMT NCCP. DistanceCME’s 50-Hour NREMT AEMT Refresher is recommended.

How many hours does a North Dakota EMT need?

North Dakota EMTs follow NREMT’s 40-hour standard. DistanceCME’s 40-Hour NREMT EMT Refresher Course is the recommended program.

Online Courses and Accreditation

Does North Dakota accept online CE?

Yes. North Dakota accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Given the June 30 statewide deadline, when should I start my CE?

Working backward from June 30, having all CE completed by early June gives you time to submit renewal paperwork before the end-of-month deadline. Starting CE work in the preceding fall or winter is a comfortable pace for the 60-hour Paramedic requirement.

Getting Started

How do I enroll in a DistanceCME course for North Dakota?

Visit the North Dakota EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official North Dakota EMS information?

The North Dakota Division of Emergency Medical Services and Trauma is the official source.

This page is for general informational purposes. Always confirm your requirements with the North Dakota Division of EMS and Trauma before renewing.

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Ohio’s EMS renewal system is notable for its mandatory subject-specific CE requirements, its unique expiration structure for First Responders and EMTs, and a state-specific trauma triage course requirement. Understanding these details before planning your CE is important.

General Requirements

Who oversees EMS certification in Ohio?

The Ohio Department of Public Safety, Division of Emergency Medical Services manages EMS certification and renewal. Ohio’s CE requirements include both general continuing education hours and mandatory topic-specific content.

When do Ohio EMS certifications expire?

Ohio’s expiration structure differs by provider level. For First Responders and EMTs, certification expires on the individual’s birthday in the third year from issuance, creating a three-year cycle tied to the provider’s birth date. Paramedic and AEMT renewal follows a different schedule. Additionally, if an EMT also holds a firefighter or fire safety inspector certificate, their EMT expiration may align with those certificates.

Are there mandatory subject areas for Ohio renewal?

Yes. Ohio has specific mandatory content that must be included in your CE hours: pediatrics, geriatrics, trauma (including the Ohio Trauma Triage Course), and a dementia awareness course. The dementia course must be completed on the Ohio Public Safety Training Campus system specifically.

Hours by Certification Level

How many CE hours does an Ohio Paramedic need?

Ohio Paramedics must complete 75 hours of continuing education per cycle. Of those hours, 12 must cover pediatrics, 4 must cover geriatrics, 6 must cover cardiac topics, and 8 must include trauma including the Ohio Trauma Triage Course. One additional hour of dementia awareness must be completed through the Ohio Public Safety Training Campus. DistanceCME’s ALS NCCP plus Anytime package is recommended to help meet the CE hours.

What about Ohio AEMTs?

Ohio AEMTs need 60 hours per cycle with similar mandatory subject requirements: 8 pediatrics hours, 4 geriatrics hours, 8 trauma hours including the Ohio Trauma Triage Course, and the dementia hour through the state system.

How does the CE calculation work for certificates that are active for less than the full cycle?

Ohio calculates CE hour requirements based on how many months the certificate was active during the certification cycle, not a flat number. Providers should review the Ohio EMS Certification Continuing Education Renewal Requirements for the pro-rated schedule that applies to their situation.

Online Courses and Accreditation

Does Ohio accept online CE?

Yes. Ohio accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. The Ohio Trauma Triage Course and dementia awareness course must be completed through state-approved systems separately.

Planning Your Renewal

What is the most important thing to arrange early for Ohio renewal?

The Ohio Trauma Triage Course is a required component that must be completed through an Ohio-approved program. Scheduling that separately from your DistanceCME CE hours ensures you do not reach your renewal deadline missing a mandatory component. The dementia awareness course through the Ohio Public Safety Training Campus is another separate step.

Getting Started

How do I enroll in a DistanceCME course for Ohio?

Visit the Ohio EMS CE Requirements page at DistanceCME to find the recommended course for your certification level.

Where can I get official Ohio EMS information?

The Ohio Department of Public Safety, Division of Emergency Medical Services is the official source. Their CE renewal requirements page includes the pro-rated hour chart.

This page is for general informational purposes. Ohio renewal involves mandatory state-specific courses that are separate from DistanceCME’s offerings. Always confirm your specific requirements with Ohio EMS before renewing.

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Oklahoma has different renewal structures for NREMT-certified providers and state-only providers, with different expiration dates and hour requirements depending on which path applies to you.

General Requirements

Who oversees EMS certification in Oklahoma?

The Oklahoma State Department of Health manages EMS provider licensing and renewal. Requirements are found in 310:641-5.

When do Oklahoma EMS licenses expire?

The expiration date depends on your certification pathway. NREMT-certified Oklahoma providers have licenses expiring March 31 every two years, per 310:641-5-13(a). Non-NREMT Oklahoma licenses expire June 30 every two years.

Is NREMT certification required in Oklahoma?

For Oklahoma EMS personnel licensed after April 1, 2010, NREMT certification is required. Providers licensed before that date may still hold state-only licenses without NREMT, though the specific rules for that group differ from the standard pathway.

Hours by Certification Level

How many CE hours does an Oklahoma Paramedic need?

Oklahoma Paramedics must complete 72 hours of continuing education every two years for state license renewal. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is recommended.

What about Oklahoma AEMTs?

AEMTs need 50 hours of continuing education. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is the recommended program.

What do Oklahoma EMTs need?

Oklahoma EMTs must complete 72 hours of continuing education per two-year cycle. The 48-Hour Hybrid EMS Refresher plus Anytime package from DistanceCME is recommended.

What about Oklahoma EMRs?

Oklahoma EMRs need 16 hours of continuing education per cycle. DistanceCME’s 16-Hour NREMR Refresher is the recommended course.

Is there a separate state-only CE pathway for Oklahoma providers without NREMT?

Yes. Oklahoma state-only (non-NREMT) providers follow a different set of CE hours outlined in the Oklahoma Continuing Education Hours by Level for Non-Nationally Certified EMS Personnel document. That document is available through the Oklahoma State Department of Health.

Online Courses and Accreditation

Does Oklahoma accept online CE?

Yes. Oklahoma accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Which deadline applies to me, March 31 or June 30?

If you hold NREMT certification, your Oklahoma license expires March 31. If you do not hold NREMT certification, your Oklahoma license expires June 30. Identifying which category applies to you is the first planning step.

Getting Started

How do I enroll in a DistanceCME course for Oklahoma?

Visit the Oklahoma EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Oklahoma EMS information?

The Oklahoma State Department of Health is the official source. Their website includes the CE hours document for state-only providers.

This page is for general informational purposes. Always confirm your specific requirements with the Oklahoma State Department of Health before renewing.

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Oregon’s EMS renewal system uses alternating expiration years between EMRs and higher-level providers, and offers the option to meet requirements through either state CE hours or National Registry recertification. Oregon also has a substitute course requirement for respiratory emergencies content.

General Requirements

Who oversees EMS certification in Oregon?

The Oregon Health Authority, EMS and Trauma Systems oversees EMS provider certification and renewal. Requirements are found in Oregon Administrative Rules 333-265.

When do Oregon EMS certifications expire?

Oregon uses an alternating expiration year structure. EMRs expire on June 30 of even-numbered years. EMTs, AEMT/EMT-Is, and Paramedics expire on June 30 of odd-numbered years.

Is there anything specific about respiratory emergencies CE content in Oregon?

Yes. Oregon has approved a substitute course for providers who need an alternative to the standard respiratory emergencies module. Oregon providers using DistanceCME’s course packages should take the LGBTQ+ Awareness course (2 hours) instead of the standard Respiratory Emergencies module. This is a state-specific substitution confirmed within DistanceCME’s Oregon course design.

Hours by Certification Level

How many CE hours does an Oregon Paramedic need?

Oregon Paramedics must complete 48 hours of continuing education per two-year cycle, or complete all requirements of the National Registry, per OAR 333-265-0100(8)(a-b). DistanceCME’s ALS NCCP plus Anytime package is the recommended course.

What about Oregon AEMTs and EMT-Is?

Oregon AEMTs and EMT-Is must complete 36 hours of continuing education or complete National Registry requirements, per OAR 333-265-0100(6)(a-b) and (7).

How many hours does an Oregon EMT need?

Oregon EMTs are required to complete 24 hours of continuing education or complete the National Registry requirements for EMT recertification.

What about Oregon EMRs?

EMRs need either 24 hours of CE or National Registry recertification, per OAR 333-265-0100. With 12 hours as an alternative in some circumstances. The Oregon EMS Appendix 1 has complete details.

Online Courses and Accreditation

Does Oregon accept online CE?

Yes. Oregon accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Given the alternating expiration years, how do I know which year applies to me?

EMRs check for even-numbered expiration years (2024, 2026, etc.). EMTs, AEMTs, and Paramedics check for odd-numbered expiration years (2025, 2027, etc.). Your certificate documents your specific expiration date. Confirming with Oregon EMS is the best way to be certain.

Getting Started

How do I enroll in a DistanceCME course for Oregon?

Visit the Oregon EMS CE Requirements page at DistanceCME to find the course for your level and enroll. The Oregon-specific course variant substitutes the LGBTQ+ Awareness course for the standard respiratory emergencies module as required by the state.

Where can I get official Oregon EMS information?

The Oregon Health Authority, EMS and Trauma Systems office is the official source. Oregon EMS Appendix 1 contains the complete CE requirements by level.

This page is for general informational purposes. Always confirm your requirements with the Oregon EMS and Trauma Systems office before renewing.

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Pennsylvania uses different renewal cycles for different provider levels and has specific approval requirements for CE providers. DistanceCME is a Pennsylvania Bureau of EMS approved provider, which simplifies the process for Pennsylvania providers.

General Requirements

Who oversees EMS certification in Pennsylvania?

The Pennsylvania Department of Health, Bureau of Emergency Medical Services (PA DOH BEMS) manages EMS provider certification and renewal. Requirements are found in 28 PA. CODE CHS.

How long is a Pennsylvania EMS certification valid?

Pennsylvania uses different cycles by level. AEMTs and Paramedics must renew every two years by December 31. EMRs and EMTs must renew every three years from their initial certification date.

Are there any additional requirements for Pennsylvania providers?

Yes. Since January 1, 2015, all persons applying for initial licensure in Pennsylvania must complete three hours of DPW-approved training in child abuse recognition and reporting requirements. This is an initial licensure condition, not a CE renewal requirement, but it is relevant for those newly entering the field.

Hours by Certification Level

How many CE hours does a Pennsylvania Paramedic need?

Pennsylvania Paramedics must complete 36 hours of continuing education every two years by December 31, per 28 PA. CODE CHS § 1023.31(e). DistanceCME’s ALS NCCP plus Anytime package is recommended and is accepted directly by the Pennsylvania Bureau of EMS under provider number 13-0928.

What about Pennsylvania AEMTs?

Pennsylvania AEMTs also need 36 hours of continuing education every two years by December 31, per 28 PA. CODE CHS § 1023.31(d).

How many hours does a Pennsylvania EMT need?

Pennsylvania EMTs must complete 24 hours of continuing education every three years, per 28 PA. CODE CHS § 1023.31(c). DistanceCME’s 24-Hour EMT Refresher is the recommended program.

Online Courses and Accreditation

Does Pennsylvania accept online CE from DistanceCME?

Yes. Pennsylvania accepts all DistanceCME programs under PA DOH BEMS number 13-0928. DistanceCME is also recognized for Pennsylvania Critical Care Paramedic CE as one of only a small number of approved providers for that specialty.

Do I need to report my CE to Pennsylvania separately?

Pennsylvania Bureau of EMS reporting is handled by Regional Endorsement for DistanceCME courses. Your certificates from DistanceCME include the information needed for submission. Confirm the reporting process with your regional EMS office.

Planning Your Renewal

What is the biggest planning consideration for Pennsylvania providers?

Tracking two different expiration structures. Paramedics and AEMTs have a December 31 deadline every two years. EMTs have a three-year renewal from their individual certification date. If you hold multiple certifications, your deadlines may differ.

Getting Started

How do I enroll in a DistanceCME course for Pennsylvania?

Visit the Pennsylvania EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Pennsylvania EMS information?

The Pennsylvania Emergency Health Services Council and the Pennsylvania Department of Health, Bureau of EMS are the official sources.

This page is for general informational purposes. Always confirm your requirements with the Pennsylvania Bureau of EMS before renewing.

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Rhode Island ties its EMS renewal closely to NREMT certification for most providers, with specific provisions for providers who were licensed before 2012. Here is what Rhode Island EMS providers need to know.

General Requirements

Who oversees EMS certification in Rhode Island?

The Rhode Island Board of Emergency Medical Services manages EMS provider certification and renewal. Requirements are found in 216-RICR-20-10-2.

How does Rhode Island’s renewal work?

Rhode Island’s renewal is structured around NREMT certification. Most providers renew by maintaining their NREMT credential. There is a specific provision for EMTs who were licensed in Rhode Island before January 1, 2012.

What is the rule for EMTs licensed before 2012?

An EMT licensed in Rhode Island prior to January 1, 2012, who does not hold NREMT certification, must complete the requirements of the Rhode Island Continued Competency Program (RI-CCP) rather than the standard NREMT pathway. This is a legacy provision for long-tenured Rhode Island EMTs.

What is the rule for Rhode Island EMRs?

Rhode Island EMRs must maintain NREMT certification as an Emergency Medical Responder, per 216-RICR-20-10-2-C-2.

What about AEMTs and Paramedics?

Rhode Island AEMTs must maintain NREMT AEMT certification, and Rhode Island Paramedics must maintain NREMT Paramedic certification. For these levels, the NREMT renewal pathway is the required standard.

Hours by Certification Level

What CE hours are required for Rhode Island providers using the NREMT pathway?

Rhode Island providers following the NREMT pathway complete the NREMT’s standard hours: 60 for Paramedics, 50 for AEMTs, 40 for EMTs, and 16 for EMRs every two years. DistanceCME’s NREMT Refresher Courses are the recommended programs for these levels.

What do EMTs on the RI-CCP pathway need?

EMTs who qualified under the pre-2012 exemption and are following the Rhode Island Continued Competency Program must complete the requirements outlined in the RI-CCP. Contact the Rhode Island Board of EMS for the specific requirements applicable to your situation.

Online Courses and Accreditation

Does Rhode Island accept online CE?

Yes. Rhode Island accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced CE formats are available.

Planning Your Renewal

What is the most important thing for Rhode Island providers to track?

Maintaining continuous NREMT certification at the appropriate level for your Rhode Island license. Allowing your NREMT to lapse creates a compliance gap under Rhode Island requirements. Tracking both your NREMT expiration and your Rhode Island license expiration simultaneously is the right approach.

Getting Started

How do I enroll in a DistanceCME course for Rhode Island?

Visit the Rhode Island EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Rhode Island EMS information?

The Rhode Island Board of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the Rhode Island Board of EMS before renewing.

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South Carolina requires NREMT certification for most providers and has a four-year renewal cycle for current certifications, with specific provisions for long-tenured providers who certified before 2006.

General Requirements

Who oversees EMS certification in South Carolina?

The South Carolina Department of EMS and Trauma manages EMS provider certification and renewal. Requirements are found in SC R.61-7.

How long is a South Carolina EMS certification valid?

South Carolina EMTs, AEMTs, and Paramedics must recertify every four years from the date of issuance, per SC Code § 44-61-80(E). Current NREMT certification must be maintained throughout this four-year period.

Does South Carolina require NREMT certification?

For most providers, yes. An individual who gained an NREMT credential on or after October 1, 2006, must maintain their NREMT credential to hold and renew South Carolina certification, per SC R.61-7 Section 903(A)(5). An individual who was certified in South Carolina before October 1, 2006, and has maintained continuous South Carolina certification without a lapse, may continue to renew without a NREMT credential under Section 903(A)(4).

Hours by Certification Level

How many CE hours does a South Carolina Paramedic need?

South Carolina Paramedics must complete 60 hours of CE every two years while maintaining a valid NREMT Paramedic or greater certification card, per SC R.61-7 Section 903(A)(2). DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about South Carolina AEMTs?

South Carolina AEMTs need 50 hours every two years, with a valid NREMT-AEMT or greater certification card. DistanceCME’s 50-Hour NREMT AEMT Refresher is recommended.

How many hours does a South Carolina EMT need?

South Carolina EMTs must complete 40 hours every two years with a valid NREMT-EMT or greater certification card. DistanceCME’s 40-Hour NREMT EMT Refresher Course is recommended.

Online Courses and Accreditation

Does South Carolina accept online CE?

Yes. South Carolina accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

With a four-year license but two-year CE cycles, how does this work?

South Carolina’s four-year license duration has CE requirements structured on a two-year basis, meaning you complete CE hours twice within each four-year license period. Thinking of it as a two-year CE obligation within a four-year license is the clearest way to plan.

Getting Started

How do I enroll in a DistanceCME course for South Carolina?

Visit the South Carolina EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official South Carolina EMS information?

The South Carolina Department of EMS and Trauma is the official source.

This page is for general informational purposes. Always confirm your requirements with the South Carolina Department of EMS and Trauma before renewing.

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South Dakota requires National Registry certification for entry into its EMS system and offers both national and state recertification pathways for renewal. Here is what South Dakota EMS providers need to know.

General Requirements

Who oversees EMS certification in South Dakota?

The South Dakota Office of Emergency Medical Services and Trauma manages EMS provider certification and renewal. Requirements are found in Chapter 36-4B-27 and 44:05:03:05.07.

How long is a South Dakota EMS license valid?

South Dakota EMS licenses are renewed every two years.

Does South Dakota require NREMT certification?

Yes. South Dakota requires National Registry certification for entry into the state EMS system. For license renewal, providers may use either the national or state recertification pathway.

Hours by Certification Level

How many CE hours does a South Dakota Paramedic need?

South Dakota Paramedics must complete 60 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course satisfies this requirement.

What about South Dakota AEMTs?

South Dakota AEMTs also follow a 60-hour standard every two years for state recertification purposes. DistanceCME’s NREMT Paramedic Refresher Course is the recommended option, which exceeds this requirement.

How many hours does a South Dakota EMT need?

South Dakota EMTs must complete 40 hours of continuing education every two years. DistanceCME’s 48-Hour Hybrid EMS Refresher meets and exceeds this requirement.

Online Courses and Accreditation

Does South Dakota accept online CE?

Yes. South Dakota accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

Should I use the national or state recertification pathway?

If you maintain NREMT certification, the national pathway typically means your NREMT renewal documentation satisfies your South Dakota renewal requirement. If you prefer to use state recertification, completing the CE hours directly through DistanceCME is the path. Either way, maintaining continuous NREMT credentials is required for South Dakota EMS providers.

Getting Started

How do I enroll in a DistanceCME course for South Dakota?

Visit the South Dakota EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official South Dakota EMS information?

The South Dakota Office of Emergency Medical Services and Trauma is the official source.

This page is for general informational purposes. Always confirm your requirements with the South Dakota Office of EMS and Trauma before renewing.

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Tennessee has a distinctive renewal system with expiration dates tied to each provider’s birth month and birth year, mandatory pediatric content, a live education requirement, and a CPR card requirement at all levels.

General Requirements

Who oversees EMS certification in Tennessee?

The Tennessee Board of Emergency Medical Services manages EMS provider certification and renewal.

When does a Tennessee EMS license expire?

Tennessee renewal is every two years, based on the individual provider’s birth month and year. Licenses expire on the last day of the provider’s birth month. If you were born in an even-numbered year, your license expires in an even-numbered year. If you were born in an odd-numbered year, your license expires in an odd-numbered year. This is a unique system that makes each provider’s deadline personal.

Is a CPR card required for Tennessee renewal?

Yes. Tennessee requires a current CPR Healthcare Provider card for all EMS providers at every certification level as part of renewal. Planning to maintain a current CPR card alongside your CE hours is important.

What is Tennessee’s live education requirement?

At least 50 percent of required CE hours must be obtained in a classroom setting. CAPCE F-5 virtual instructor-led courses are approved as a classroom setting in Tennessee, allowing providers to satisfy the live requirement through DistanceCME’s live online courses.

Hours by Certification Level

What does a Tennessee Paramedic need for renewal?

Tennessee Paramedics must complete their CE requirements every two years, including specific pediatric emergency hours, a portion of critical care content, and the 50 percent live education minimum. A current CPR Healthcare Provider card is also required. DistanceCME’s Tennessee EMS CE courses are structured to meet these requirements.

What does a Tennessee EMT or AEMT need?

Tennessee AEMTs and EMTs follow similar requirements with 50 percent live education and a current CPR card requirement. The Tennessee EMS CE Requirements page at DistanceCME shows the recommended courses by level.

Online Courses and Accreditation

Does Tennessee accept online CE?

Yes. Tennessee accepts CAPCE-accredited continuing education. DistanceCME is a Tennessee-approved provider (CE Broker 50-33628). Live virtual courses count as classroom hours under Tennessee’s rules, allowing the 50 percent live requirement to be met without in-person attendance.

Planning Your Renewal

With an expiration date tied to my birth month, how do I determine my deadline?

Your birth month and year determine your expiration. If you were born in March in an odd-numbered year, your license expires at the end of March in the next odd-numbered year. Confirming your specific expiration date through the Tennessee Board of EMS is the right first step.

How do I track my CPR card alongside my CE hours?

A CPR card for Healthcare Providers typically has its own two-year validity period. Planning to renew your CPR card on a schedule that ensures it is current when your EMS license comes up for renewal is the practical approach. Some providers time their CPR renewal to coincide with their EMS renewal year.

Getting Started

How do I enroll in a DistanceCME course for Tennessee?

Visit the Tennessee EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Tennessee EMS information?

The Tennessee Board of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the Tennessee Board of EMS before renewing.

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Texas operates on a four-year EMS certification cycle with some of the highest total CE hour requirements in the country. Texas also has state-specific refresher programs designed to meet its unique requirements. Here is what Texas EMS providers need to know.

General Requirements

Who oversees EMS certification in Texas?

The Texas Department of State Health Services, Bureau of Emergency Management EMS manages EMS provider certification and renewal. Requirements are found in 25 TAC §157.

How long is a Texas EMS certification valid?

Texas Emergency Medical Care Personnel certifications expire every four years from the date of issuance, per 25 TAC §157.34(a)(4)(A).

What are the renewal pathways in Texas?

Texas allows renewal by passing the National Registry Assessment Exam, by completing the required continuing education hours, or through other pathways specified in state rules.

Hours by Certification Level

How many CE hours does a Texas Paramedic need?

Texas Paramedics must complete 144 hours of continuing education every four years, per 25 TAC §157.38(c). That is significantly higher than the NREMT’s 60-hour standard. DistanceCME offers a Texas Paramedic Refresher 144 Hours specifically designed for Texas’s four-year requirement. If you also want to satisfy NREMT’s 60-hour standard, DistanceCME’s standard 60-Hour NREMT Paramedic Refresher addresses that separately.

What about Texas AEMTs?

Texas AEMTs must complete 108 hours every four years. DistanceCME’s Texas AEMT Refresher 108 Hours is the recommended state-specific program. For NREMT maintenance, the 50-Hour NREMT AEMT Refresher addresses the national requirement.

How many hours does a Texas EMT need?

Texas EMTs must complete 72 hours every four years. DistanceCME’s Texas EMT Refresher 72 Hours is the recommended state course.

What about Texas EMRs?

Texas EMRs need 36 hours every four years. DistanceCME’s BLS NCCP plus Anytime package is recommended for the state requirement. For NREMT maintenance, the 16-Hour NREMR Refresher addresses the national standard.

Online Courses and Accreditation

Does Texas accept online CE?

Yes. Texas accepts DistanceCME’s CAPCE-accredited courses. DistanceCME holds Texas EMS provider number 600688. Both live virtual and self-paced courses are accepted.

Why does Texas have both state-specific and NREMT courses?

Texas requires significantly more hours than NREMT for state renewal. If your goal is only to maintain your Texas state certification, you need the Texas-specific hour totals. If you also want to maintain NREMT certification alongside your Texas license, completing the Texas state requirement and completing NREMT hours within that total requires coordination. DistanceCME’s Texas-specific programs address the state requirement in full.

Planning Your Renewal

With 144 hours over four years for Paramedics, what is the right pace?

Treating it as 36 hours per year keeps the pace very manageable. Four years is enough time to complete 144 hours gradually, but providers who let early years pass without starting often find themselves with a large hour deficit in years three and four.

Getting Started

How do I enroll in a DistanceCME course for Texas?

Visit the Texas EMS CE Requirements page at DistanceCME to find the Texas-specific course for your certification level and enroll.

Where can I get official Texas EMS information?

The Texas Department of State Health Services, Bureau of Emergency Management EMS is the official source.

This page is for general informational purposes. Always confirm your requirements with the Texas Department of State Health Services before renewing.

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Utah requires all EMS providers at every level to maintain their NREMT certification, making it one of the states where the national and state renewal requirements are most closely aligned.

General Requirements

Who oversees EMS certification in Utah?

The Utah Department of Health, Bureau of Emergency Medical Services oversees EMS provider certification and renewal. Requirements are found in Utah Administrative Code R426-5.

How long is a Utah EMS certification valid?

Utah providers renew every two years from the date of issuance, per Utah Administrative Code R426-5-300(1).

Does Utah require NREMT certification?

Yes. All provider levels in Utah, including EMR, EMT, EMT-IA, AEMT, and Paramedic, must maintain their NREMT certification. This is a standing requirement, not just an entry requirement. Allowing your NREMT to lapse creates a direct compliance issue with your Utah certification.

Hours by Certification Level

How many CE hours does a Utah Paramedic need?

Utah Paramedics must complete 60 hours of CME every two years, per R426-5-600(3). DistanceCME’s 60-Hour NREMT Paramedic Refresher Course satisfies this requirement.

What about Utah AEMTs?

Utah AEMTs need 50 hours of CME every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is recommended.

How many hours does a Utah EMT need?

Utah EMTs must complete 40 hours of CME every two years. DistanceCME’s 40-Hour NREMT EMT Refresher is recommended.

What do Utah EMRs need?

Utah EMRs need 16 hours of CME every two years. DistanceCME’s 16-Hour NREMR Refresher Course satisfies this requirement.

Online Courses and Accreditation

Does Utah accept online CE?

Yes. Utah accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. All CE hours can be completed online.

Planning Your Renewal

Since Utah requires NREMT maintenance at all levels, how do I coordinate both renewals?

Utah’s CE hour requirements align closely with NREMT’s standard amounts, which means completing your NREMT refresher through DistanceCME satisfies both the NREMT and Utah requirements simultaneously. Tracking your NREMT expiration and ensuring it does not lapse is the most important planning task.

Getting Started

How do I enroll in a DistanceCME course for Utah?

Visit the Utah EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Utah EMS information?

The Bureau of Emergency Medical Services, Utah Department of Health is the official source.

This page is for general informational purposes. Always confirm your requirements with the Utah Bureau of EMS before renewing.

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Vermont aligns its EMS renewal with NREMT requirements and follows the National Continued Competency Program structure. Here is what Vermont EMS providers need to know.

General Requirements

Who oversees EMS certification in Vermont?

The Vermont Department of Health, Division of Emergency Medical Services manages EMS provider certification and renewal. Requirements are governed by 18 V.S.A. §906.

How long is a Vermont EMS certification valid?

Vermont EMS certifications are renewed every two years.

Does Vermont follow NREMT requirements?

Yes. Vermont EMTs and Paramedics recertifying must complete hours that meet the NREMT requirements as well as State and Local hour requirements, per 18 V.S.A. §906(10)(F). The NCCP structure is used to maintain both NREMT certification and Vermont state licenses together.

Hours by Certification Level

How many CE hours does a Vermont Paramedic need?

Vermont Paramedics must complete 60 hours of continuing education every two years, per 18 V.S.A. §906(10)(C). DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about Vermont AEMTs?

Vermont AEMTs need 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is recommended.

How many hours does a Vermont EMT need?

Vermont EMTs must complete 40 hours of continuing education every two years. DistanceCME’s 40-Hour NREMT EMT Refresher is the recommended course.

Online Courses and Accreditation

Does Vermont accept online CE?

Yes. Vermont accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced formats are available.

Planning Your Renewal

Since Vermont follows NREMT requirements, does one set of CE satisfy both?

Yes. Completing the NREMT-standard hours through DistanceCME satisfies both your Vermont state requirement and your NREMT recertification in a single course package. This is one of the more straightforward renewal situations among all states.

Getting Started

How do I enroll in a DistanceCME course for Vermont?

Visit the Vermont EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Vermont EMS information?

The Vermont Department of Health, Division of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the Vermont Division of EMS before renewing.

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Virginia has a straightforward two-year renewal structure with CE requirements that vary by certification level. Virginia also accepts DistanceCME’s courses under a specific state certification number.

General Requirements

Who oversees EMS certification in Virginia?

The Virginia Office of EMS, Division of Educational Development manages EMS provider certification and renewal. Virginia EMS providers requesting recertification must complete the VAOEMS continuing education requirements.

How long is a Virginia EMS certification valid?

Virginia EMS certifications are renewed every two years.

Hours by Certification Level

How many CE hours does a Virginia Paramedic need?

Virginia Paramedics must complete 60 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program. DistanceCME is accepted by the Virginia Office of EMS under certification number 202207101.

What about Virginia Intermediates?

Virginia Intermediate providers need 55 hours of continuing education every two years. DistanceCME’s 60-Hour NREMT Paramedic Refresher exceeds this requirement and is accepted.

What about Virginia AEMTs?

Virginia AEMTs need 50 hours of continuing education every two years. DistanceCME’s 50-Hour NREMT AEMT Refresher Course is recommended.

How many hours does a Virginia EMT need?

Virginia EMTs must complete 40 hours every two years. DistanceCME’s 40-Hour NREMT EMT Refresher Course is the recommended program.

What do Virginia EMRs need?

Virginia EMRs need 16 hours every two years. DistanceCME’s 16-Hour NREMR Refresher Course satisfies this requirement.

Online Courses and Accreditation

Does Virginia accept online CE from DistanceCME?

Yes. The Virginia Office of EMS has certified DistanceCME’s programs under VA certification number 202207101. Both live virtual and self-paced DistanceCME courses are accepted for Virginia renewal.

Planning Your Renewal

Is there anything distinctive about Virginia renewal planning?

Virginia’s two-year cycle and NREMT-aligned hour requirements make planning relatively straightforward. Starting your CE early in the cycle and tracking your hours through DistanceCME’s platform keeps renewal on track without last-minute pressure.

Getting Started

How do I enroll in a DistanceCME course for Virginia?

Visit the Virginia EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Virginia EMS information?

The Virginia Office of EMS, Division of Educational Development is the official source.

This page is for general informational purposes. Always confirm your requirements with the Virginia Office of EMS before renewing.

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Washington State has a three-year EMS renewal cycle and some of the highest CE hour requirements in the country, particularly for Paramedics. Here is what Washington EMS providers need to know.

General Requirements

Who oversees EMS certification in Washington?

The Washington Department of Health, Emergency Medical Services and Trauma Care System manages EMS provider certification and renewal. Requirements are found in WAC 246-976.

How long is a Washington EMS certification valid?

Washington EMS providers renew every three years, coinciding with their supervisory EMS agency’s licensure month, per WAC 246-976-144. Your renewal month is tied to your agency’s licensure cycle, not just a universal calendar date.

Hours by Certification Level

How many CE hours does a Washington Paramedic need?

Washington Paramedics must complete 150 hours of CME every three years, per WAC 246-976-161. That is the highest Paramedic CE requirement of any state. DistanceCME’s 48-Hour Hybrid EMS Refresher plus Anytime package is the recommended starting point, and completing multiple course packages across the three-year cycle is the path to reaching 150 hours.

What about Washington AEMTs?

Washington AEMTs need 60 hours of CME every three years. DistanceCME’s ALS NCCP plus Anytime package is recommended.

How many hours does a Washington EMT need?

Washington EMTs must complete 30 hours of CME every three years. DistanceCME’s BLS NCCP plus Anytime package is recommended.

What about Washington EMRs?

Washington EMRs need 15 hours of CME every three years.

Online Courses and Accreditation

Does Washington accept online CE?

Yes. Washington accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced formats are available.

Planning Your Renewal

With 150 hours over three years for Washington Paramedics, how should I pace myself?

Treating 150 hours as 50 hours per year makes the requirement more approachable. That is roughly four to five hours per month, which is very manageable with a regular schedule. Providers who approach Washington’s requirement as a single large target to complete in year three often find it overwhelming. Starting early and maintaining a steady monthly pace is the right strategy.

How do I find out my specific renewal month?

Your renewal month is tied to your supervisory EMS agency’s licensure month rather than a personal anniversary or universal deadline. Your agency’s administration or the Washington DOH can confirm the specific month that applies to your license.

Getting Started

How do I enroll in a DistanceCME course for Washington?

Visit the Washington EMS CE Requirements page at DistanceCME to find the course packages for your level and enroll.

Where can I get official Washington EMS information?

The Washington Department of Health, Emergency Medical Services and Trauma Care System is the official source.

This page is for general informational purposes. Always confirm your requirements with the Washington Department of Health, EMS and Trauma Care System before renewing.

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West Virginia has a four-year renewal cycle with a mandatory NREMT requirement at all provider levels and specific mandatory training components that cannot be overlooked in renewal planning.

General Requirements

Who oversees EMS certification in West Virginia?

The West Virginia Office of Emergency Medical Services (WVOEMS) manages EMS provider certification and renewal. Requirements are found in 64CSR48.

How long is a West Virginia EMS certification valid?

West Virginia EMS certifications are renewed every four years.

Does West Virginia require NREMT certification?

Yes. All provider levels, including EMR, EMT, AEMT, and Paramedic, must maintain a National Registry account and be continually certified by NREMT during the duration of their WVOEMS certification. Failure to maintain uninterrupted National Registry certification results in the immediate suspension of your WVOEMS certification and your right to practice in West Virginia. This is one of the strictest NREMT requirements in the country.

What about State Licensed Only (SLO) providers?

SLO providers must also maintain a National Registry account and complete all NREMT requirements. The only difference is that SLOs do not hold an actual National Registry certification card, but they are not exempt from completing the National Registry requirements. All EMS education must be entered into your transcript in your National Registry account.

Are there mandatory training components beyond CE hours?

Yes. West Virginia requires annual Haz Mat Awareness training meeting OSHA 1910.120 or higher standards (3 hours per year). Biennial MCI or Disaster Management training is also required (minimum 2 hours every two years, counting as 4 hours per WVOEMS recertification). AEMTs and Paramedics have additional requirements including an annual WVOEMS protocol review (2 hours per year). These components must be completed in addition to the standard CE hours.

Hours by Certification Level

How many CE hours does a West Virginia Paramedic need?

West Virginia Paramedics must complete 60 hours of continuing education per recertification period, plus the mandatory Haz Mat, protocol review, and MCI components. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course covers the standard CE component.

What about West Virginia AEMTs?

West Virginia AEMTs need 50 hours of CE plus the mandatory annual components. DistanceCME’s 50-Hour NREMT AEMT Refresher is recommended.

How many hours does a West Virginia EMT need?

West Virginia EMTs must complete 40 hours of CE. DistanceCME’s 40-Hour NREMT EMT Refresher Course is recommended.

Online Courses and Accreditation

Does West Virginia accept online CE?

Yes. West Virginia accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted.

Planning Your Renewal

With mandatory annual components and a four-year cycle, how do I stay compliant?

Tracking the annual mandatory components (Haz Mat, protocol review) separately from your CE hours is essential. Create a checklist of everything required for West Virginia renewal, including the NREMT requirements, the annual mandatory training hours, and the biennial MCI requirement. Working through that list each year keeps your compliance current rather than compressed into year four.

Getting Started

How do I enroll in a DistanceCME course for West Virginia?

Visit the West Virginia EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official West Virginia EMS information?

The West Virginia Office of Emergency Medical Services is the official source. Their renewal documentation includes the complete list of mandatory training components.

This page is for general informational purposes. West Virginia EMS renewal involves mandatory annual training components separate from CE hours. Always confirm your requirements with WVOEMS before renewing.

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Wisconsin operates on a three-year renewal cycle with a June 30 shared expiration date and multiple renewal pathways. Wisconsin also has specific requirements for Critical Care Paramedics that go beyond the standard Paramedic hours.

General Requirements

Who oversees EMS certification in Wisconsin?

The Wisconsin Department of Health Services, Emergency Medical Services program manages EMS provider licensing and renewal. Requirements are found in Wisconsin Administrative Code Chapter DHS 110.

When do Wisconsin EMS licenses expire?

All Wisconsin EMS licenses expire every three years on June 30, per Wis. Admin. Code ch. DHS 110.07. This is a shared statewide expiration date for all providers.

What are Wisconsin’s renewal pathways?

Wisconsin allows renewal by completing an applicable refresher course, by documenting current registration in a national certification organization (such as NREMT), or by passing the NREMT assessment exam for the appropriate level.

Hours by Certification Level

How many CE hours does a Wisconsin Paramedic need?

Wisconsin Paramedics must complete 60 hours of continuing education per three-year cycle, per DHS 110.07(1)(c)5. DistanceCME’s 60-Hour NREMT Paramedic Refresher Course is the recommended program.

What about Wisconsin Critical Care Paramedics?

Wisconsin Critical Care Paramedics have a higher requirement: 84 hours per cycle, combining 60 hours of standard paramedic CE and 24 hours of critical care content. DistanceCME’s Critical Care Transport Review combined with the standard paramedic package is the recommended approach.

What about Wisconsin AEMTs?

Wisconsin AEMTs must complete 60 hours per three-year cycle, per DHS 110.07(1)(c)3. DistanceCME’s 60-Hour NREMT Paramedic Refresher is recommended for AEMTs as well.

How many hours does a Wisconsin EMT need?

Wisconsin EMTs must complete 40 hours of continuing education per three-year cycle, per DHS 110.07(1)(C)2. DistanceCME’s 40-Hour NREMT EMT Refresher Course is recommended.

What about Wisconsin EMRs?

Wisconsin EMRs need 16 hours per three-year cycle, per DHS 110.07(1)(c)1. DistanceCME’s 16-Hour NREMR Refresher Course satisfies this requirement.

Online Courses and Accreditation

Does Wisconsin accept online CE?

Yes. Wisconsin accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Both live virtual and self-paced formats are available.

Planning Your Renewal

With a June 30 shared deadline and a three-year cycle, when should I start CE?

For a 60-hour Paramedic requirement over three years, completing approximately 20 hours per year keeps the pace comfortable. Planning to have all CE finished by early June gives you time to submit renewal paperwork before the June 30 deadline. Starting at least 18 months before the June 30 of your expiration year is a practical target.

Getting Started

How do I enroll in a DistanceCME course for Wisconsin?

Visit the Wisconsin EMS CE Requirements page at DistanceCME to find the course for your provider level and enroll.

Where can I get official Wisconsin EMS information?

The Wisconsin Department of Health Services, Emergency Medical Services program is the official source.

This page is for general informational purposes. Always confirm your requirements with the Wisconsin Department of Health Services, EMS program before renewing.

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Wyoming requires a significant portion of EMS CE hours to be completed as live instruction and gives providers the option to maintain NREMT certification in lieu of completing state CE hours. Here is what Wyoming EMS providers need to know.

General Requirements

Who oversees EMS certification in Wyoming?

The Wyoming Department of Health, Office of Emergency Medical Services manages EMS provider licensing and renewal. Requirements are found in W.S. 33-36-101 and the Wyoming EMS Administrative Rules.

How long is a Wyoming EMS license valid?

Wyoming EMS providers renew every two years from the date of issuance, per W.S. 33-36-101, Chapter 16.

What are the renewal options in Wyoming?

Wyoming allows providers to renew by completing the required hours of CME course work specific to their licensure level, or by demonstrating current NREMT certification at the licensee’s level of licensure. For providers maintaining active NREMT credentials, submitting proof of that certification may satisfy the renewal requirement.

Does Wyoming have a live education requirement?

Yes. Wyoming requires that 50 percent of all continuing medical education hours be live education, per W.S. 33-36-101, Chapter 18. DistanceCME’s live virtual instructor-led (F-5 VILT) courses qualify as live education under this standard, allowing providers to satisfy the live requirement online.

Hours by Certification Level

How many CE hours does a Wyoming Paramedic need?

Wyoming Paramedics must complete 60 hours of CME every two years, with at least 30 of those hours in a live format. DistanceCME’s ALS NCCP plus Anytime package is the recommended program.

What about Wyoming AEMTs and EMTs?

Wyoming AEMTs and EMTs follow CE requirements specific to their licensure level. The Wyoming EMS CE Requirements page at DistanceCME shows the recommended courses for each level.

Online Courses and Accreditation

Does Wyoming accept online CE?

Yes. Wyoming accepts CAPCE-accredited continuing education. DistanceCME is CAPCE accredited and NREMT accepted. Live virtual courses count as live instruction, satisfying Wyoming’s 50 percent live requirement.

Can I use DistanceCME’s self-paced courses for Wyoming?

Self-paced courses satisfy the non-live portion of Wyoming’s requirement. At least 50 percent of your total hours must come from live instruction. Combining DistanceCME’s live virtual sessions with self-paced recorded content allows you to meet both components entirely online.

Planning Your Renewal

How do I make sure I hit Wyoming’s 50 percent live requirement?

When you enroll in DistanceCME’s ALS NCCP plus Anytime package, the live virtual sessions within the program count toward the live component. Tracking your live versus self-paced hours as you complete coursework ensures you cross the 50 percent live threshold before your renewal deadline.

Getting Started

How do I enroll in a DistanceCME course for Wyoming?

Visit the Wyoming EMS CE Requirements page at DistanceCME to find the course for your level and enroll.

Where can I get official Wyoming EMS information?

The Wyoming Department of Health, Office of Emergency Medical Services is the official source.

This page is for general informational purposes. Always confirm your requirements with the Wyoming Office of EMS before renewing.