Fulfill your Missouri Paramedic, EMT, or EMR state requirements in one place.

Distance CME, powered by Relias, offers continuing education and relicensure courses for Missouri Paramedics, EMTs, AEMTs, and EMRs that are CAPCE accredited and NREMT approved. Distance CME courses are accepted by the National Registry as an F-5 VILT course hour for hour. Take all your recertification hours 100% online and they count just like they would if you were sitting in a classroom in front of an instructor. Eliminate time traveling to classes and being away from work. Plus, Distance CME now accepts payments by PayPal Credit. Get approved today and pay for courses over time, interest-free for the first 6 months.

Although we strive to keep everything updated, please check with your state EMS Representative for the most current re-certification information.

Missouri Bureau of Emergency Medical Services Requirements

Missouri licensees must renew every 5 years. 19 CSR 30-40.342.  For recertification, an application shall submit one of the following:
            -Documentation of current registration by the National Registry OR
            -Completion of continuing education hours as listed below. 19 CSR 30-40.342.

Covid – 19 Updates

In this unprecedented time, states and the NREMT are trying to update policies to keep us safe while retaining the levels of education and certification. Please check with your state to ensure you have the most up-to-date requirements.

Requirements for Paramedics:

144 hours of continuing education to include 96 hours of core requirements and 48 hours of EMS related programs every 5 years. 19 CSR 30-40.342(4)(B)(2)(A). Distance CME recomends this program Refresher


Requirements for EMTs:

100 hours of continuing education to include 48 hours of core continuing education training and 52 hours of EMS related elective hours every 5 years.  19 CSR 30-40.342(2)(C)(2)(A). Distance CME recomends this program Refresher


For more information visit: The Bureau of Emergency Medical Services Missouri Department of Health and Senior Services

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