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.
NREMTNREMT is one pathway; a state CE alternative exists
Cycle3 years
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.
Sources
- Maryland official renewal page: Updated EMT Renewal Requirements Maryland Institute for Emergency Medical Servic
- MIEMSS renewal
Compiled from these sources, retrieved September 2026. Renewal rules change; confirm with the issuing agency before you rely on any figure here.