Reciprocity Process

Reciprocity 
A process by which individuals who possess pre-hospital provider certifications/licenses from other states may transfer their certification/license to Maryland.  For the specific processes involved with each level of Maryland certification/licensure, please select a provider level from the list below: 

    Emergency Medical Responder (EMR) 
    Emergency Medical Technician (EMT) 
    Cardiac Rescue Technician Intermediate (CRT-I) 
    Paramedic 
    Emergency Medical Dispatcher (EMD) 

EMR Reciprocity 
To initiate the Emergency Medical Responder reciprocity process, an applicant must:

  1. Be at least sixteen (16) years of age.
  2. Have an equivalent state EMS license or certificate, based upon the National Standard Scope of Practice.
  3. Complete and submit the reciprocity application at miemsslicense.com. This application should be accompanied by:
  • If not affiliated with an EMS operational program, a non-refundable money order or company check, in the amount of $35, made payable to MIEMSS and mailed to the Office of Licensure and Certification (NO PERSONAL CHECKS ARE ACCEPTED). You may call the office at 410-706-3666 to pay the fee over the phone.
  • A copy of all current EMS certificates, licenses, or registrations. These documents should be uploaded at the time you complete your reciprocity application.

4.   Must be familiar with the Maryland Medical Protocols.

Upon submission of the above information: 
You will be notified by MIEMSS, in writing, that your application has been received and that you may enroll in and successfully complete a minimum of a six-hour Maryland Emergency Medical Responder Skills Refresher Course, as approved by MIEMSS. 

Upon completion of all of the above requirements, and verification of out-of-state credentials, a reciprocity applicant may be eligible for initial certification as a MD Emergency Medical Responder for a period not to exceed 42 months. 

EMT Reciprocity 
To initiate the EMT reciprocity process, an applicant must:

  1. Be at least sixteen (16) years of age
  2. Have an current equivalent state EMS license or certificate or National Registry Card, based upon the National Standard Scope of Practice.
  3. Complete and submit the BLS reciprocity application at miemsslicense.com.  This application should be accompanied by:
  • If not affiliated with an EMS operations program, a non-refundable money order or company check, in the amount of $35, made payable to MIEMSS and mailed to the Office of Licensure and Certification (NO PERSONAL CHECKS ARE ACCEPTED). You may call the office at 410-706 3666 to pay the fee over the phone.
  • A copy of all current EMS certificates, licenses, or registrations. These documents should be uploaded at the time you complete your reciprocity application.

4.   Must be familiar with the Maryland Medical Protocols.

Upon submission of the above information: 
You will be notified by MIEMSS, in writing, that your application has been received and that you may enroll in and successfully complete a minimum of a twelve-hour Maryland EMT Skills Refresher Course, as approved by MIEMSS. 

PLEASE NOTE: In order to be certified as an EMT in Maryland, the candidate must be affiliated with an approved pre-hospital EMS operational or commercial program.  The candidate may however, complete the above steps without being required to affiliate.  All non-affiliated reciprocity candidates will receive a letter of completion until such time when they become affiliated. 

Prior to certification as an EMT in Maryland, the candidate must: 
Have an approved affiliation with a Maryland EMS operational program, or commercial service on file at MIEMSS. 

Upon completion of all of the above requirements, and verification of out-of-state credentials, a reciprocity applicant may be eligible for initial certification as a MD EMT for a period not to exceed 42 months. 

Cardiac Rescue Technician - Intermediate Reciprocity 
To initiate the CRT-Intermediate reciprocity process, an applicant must:

  1. Be 18 years old.
  2. Have current registration or licensure as an EMT-I/99 in a state that follows the national standards, and previous registration as an EMT-I/99 with the National Registry of Emergency Medical Technicians (NREMT). If not previously registered with NREMT, submit evidence of successful completion of NREMTs I/99 cognitive and psychomotor examinations.
  3. Complete and submit the ALS reciprocity application at miemsslicense.com.
    Complete an ALS protocol review course conducted by an approved ALS instructor or medical director.

Once all of the above are complete, submit to the MIEMSS Office of Education, Licensure, and Certification with the following:

    • If not affiliated with an EMS operation program, a non-refundable money order or company check, in the amount of $35, made payable to MIEMSS and mailed to the office of Licensure and Certification (NO PERSONAL CHECKS ARE ACCEPTED). You may call the office at 410-706 3666 to pay the fee over the phone.
    • A copy of all current EMS certificates, licenses, or registrations. These documents should be uploaded at the time you complete your reciprocity application.
    • A current healthcare provider level CPR validation.

Upon submission of the all of the above information: 
You will be notified by MIEMSS, in writing, that your application has been received and that you are eligible for the ALS Protocol Examination. The Protocol Examination may be taken at a local MIEMSS regional office. 

Paramedic Reciprocity 
To initiate the Paramedic reciprocity process, an applicant must:

  1. Shall be 18 years old or older.
  2. Have a valid National Registry Paramedic card.
  3. Complete and submit the ALS reciprocity application at miemsslicense.com.
    Complete an ALS protocol review course conducted by an approved ALS instructor or medical director.

Once all of the above are complete, submit to the MIEMSS Office Licensure, and Certification with the following:

    • If not affiliated with an EMS operation program, a non-refundable money order or company check, in the amount of $35, made payable to MIEMSS and mailed to the office of Licensure and Certification (NO PERSONAL CHECKS ARE ACCEPTED). You may call the office at 410-706 3666 to pay the fee over the phone.
    • A copy of all current EMS certificates, licenses, or registrations. These documents should be uploaded at the time you complete your reciprocity application.
    • A current healthcare provider level CPR validation.

Upon submission of the all of the above information: 
You will be notified by MIEMSS, in writing, that your application has been received and that you are eligible for the ALS Protocol Examination.  The Protocol Examination may be taken at the local MIEMSS regional office. 

Upon completion of all of the above requirements, a reciprocity applicant may be eligible for licensure as a MD Paramedic for a period up to the NRP expiration date, plus one month.