Reinstatement Process

The reinstatement process exists as a mechanism of regaining pre-hospital provider licensure or certification for those who have previously expired.  As eligibility requirements differ slightly for each level of pre-hospital licensure/certification, please select from the list below for further information regarding this process. 

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


Emergency Medical Responder Reinstatement 
A Maryland First Responder is eligible for reinstatement for up to three years following the provider's expiration date.  An Emergency Medical Responder who is seeking reinstatementwithin the first year after expiration must complete the following requirements:

  1. Complete an Application for Reinstatement As a Maryland Emergency Medical Responder, and submit it to the MIEMSS Office of  Licensure and Certification.
  2. Upon receipt of completed applications, MIEMSS will send the applicant a letter granting him/her permission to enroll in an approved MD Emergency Medical Responder Refresher course; and
  3. Enroll in and successfully complete an approved MD Emergency Medical Responder Refresher course.

Upon completion of the above requirements, a certification will be issued which will be valid for a period of three years from the provider's original expiration date. 

A Maryland Emergency Medical Responder who is seeking reinstatement beyond one year and less than three years from their date of expiration must complete the following requirements:

  1. Complete an Application for Reinstatement As a Maryland Emergency Medical Responder, and submit it to the MIEMSS Office of Education, Licensure and Certification.
  2. Upon receipt of completed applications, MIEMSS will send the applicant a letter granting him/her permission to enroll in an approved MD First Responder Refresher course.
  3. Enroll in and successfully complete an approved MD First Responder Refresher course.
  4. Pass a full Emergency Medical Responder practical examination, administered by an approved EMR Instructor; and
  5. Within six months of completion of renewal requirements, minimally achieve a 70% on the Maryland EMR written certification examination (Candidates must schedule an appointment at a MIEMSS Regional Office, or MIEMSS E&C to take the written examination).

Upon completion of the above requirements, a certification will be issued which will be valid for a period of up to three years. 


Emergency Medical Technician Reinstatement 
A Maryland EMT is eligible for reinstatement for up to three years following the provider's expiration date.  An EMT who is seeking reinstatement within the first year after expiration must complete the following requirements:

  1. Submit a completed Application for Reinstatement to the MIEMSS Office of  Licensure and Certification.
  2. Upon receipt of completed applications, MIEMSS will send the applicant a letter granting him/her permission to enroll in an approved MD EMT Refresher course.
  3. Successfully complete all continuing education requirements for Maryland EMT renewal; and
  4. Applicants must be currently affiliated with an EMS operational program prior to becoming certified as a Maryland EMT.

Upon completion of the above requirements, a certification will be issued which will be valid for a period of three years from the provider's original expiration date. 

A Maryland EMT who is seeking reinstatement beyond one year and less than three years from their date of expiration must complete the following requirements:

  1. Submit a completed Application for Reinstatement to the MIEMSS Office of  Licensure and Certification.
  2. Upon receipt of completed applications, MIEMSS will send the applicant a letter granting him/her permission to enroll in an approved MD EMT-B Refresher course.
  3. Successfully complete all continuing education requirements for Maryland EMT renewal.
  4. Upon verification of completion of renewal requirements, MIEMSS will send the applicant a letter granting him/her permission to schedule a written and practical examination.
  5. Within six months of completion of renewal requirements:
    • Pass the EMT practical certification examination as approved and administered by MIEMSS; and
    • Minimally achieve a 70% on the EMT written certification examination, as approved and administered by MIEMSS; and
  6. Applicants must be currently affiliated with an EMS operational program prior to becoming certified as a Maryland EMT.

Upon completion of the above requirements, a certification will be issued which will be valid for a period of up to three years.

Cardiac Rescue Technician Reinstatement 


Cardiac Rescue Technician - Intermediate Reinstatement


Paramedic Reinstatement
 
A provider may reinstate as a Maryland EMT-P at any time, provided that the applicant has current active status registration as an EMT-P with the National Registry of Emergency Medical Technicians.  To return to current status in Maryland, applicants for reinstatement must:

  1. Submit "Student Application 1" of the Maryland Emergency Services Student Application.
  2. Submit a Release and Affiliation form, complete with company officer, EMS Operational Program representative and Medical Director signatures.
  3. Submit a copy of a National Registry EMT-P card.
  4. If a Maryland Medical Protocol update has been issued, complete a protocol review class and submit "Student Application 2" of the Maryland Emergency Services Student Application, documenting the student outcome and properly signed by the instructor; and
  5. If expired for more than one year, take the Maryland Protocol licensing examination and obtain a minimum score of 75%.

Upon completion of the above requirements, you will be issued a Maryland EMT-P card that will be valid until April 30th of the year in which your National Registry of Emergency Medical Technicians card expires.

Emergency Medical Dispatcher Reinstatement