How do you renew an EMS certification in Maryland?

Maryland recertifies every three years through MIEMSS. Pathway A is current NREMT. Pathway B is 24 hours of state CE, 15 in designated categories and up to 9 flexible or skills hours. Both pathways also require the three most recent annual Medical Protocol Updates and affiliation with an EMS Operational Program. EMTs also reference a 12-hour skills refresher.

AgencyMaryland Institute for EMS Systems (MIEMSS)

NREMTNREMT is one pathway; a state CE alternative exists

Cycle3 years

Renewal pageUpdated EMT Renewal Requirements Maryland Institute for Emergency Medical Services Systems

Open the official Maryland renewal page

What each level needs

Level	Requirement
All levels, Pathway B	24 hours: 15 designated categories, up to 9 flexible/skills

What else Maryland requires

Three most recent annual MD Medical Protocol Updates required.
Affiliation with an EMS Operational Program required.
COMAR Title 30, with amendments for certifications expiring after July 31, 2025.

How this relates to NREMT

In Maryland the National Registry is one way to renew; the state CE route above is the other. See the NREMT requirements by level. Logging one CE certificate against both is what the CE tracker is for.

Sources

Compiled from these sources, retrieved September 2026. Renewal rules change; confirm with the issuing agency before you rely on any figure here.

Written and maintained by Max Ballesteros
Paramedic, flight medicine and search and rescue. Founder, CurrentCert.
Last reviewed 2026-09-12 against the sources listed above. How these pages are checked. Report a correction.