Maryland Institute for
Emergency Medical Services Systems

The reinstatement process exists as a mechanism of regaining pre-hospital Clinician 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)
   Paramedic
   Emergency Medical Dispatcher (EMD)

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

1. Complete and submit the reinstatement application at miemsslicense.com.
2. Upon receipt of completed applications, MIEMSS will email 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 Clinician'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 and submit the reinstatement application at miemsslicense.com.
2. Upon receipt of completed applications, MIEMSS will email the applicant a letter granting him/her permission to enroll in an approved MD Emergency Medical Responder Refresher course.
3. Enroll in and successfully complete an approved MD Emergency Medical 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 Clinician's expiration date.  An EMT who is seeking reinstatement within the first year after expiration must complete the following requirements:

1. Complete and submit the reinstatement application at miemsslicense.com.
2. Upon receipt of completed applications, MIEMSS will email 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 Clinician'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 and submit the reinstatement application at miemsslicense.com.
2. Upon receipt of completed applications, MIEMSS will email 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.
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
A Clinician may reinstate as a Maryland Cardiac Rescue Technician within two years of the clinician’s expiration date. A CRT who is seeking reinstatement within the first year after expiration must complete all requirements for renewal and be affiliated with an EMS Operational Program. A CRT who is seeking reinstatement more than one year after the expiration date of the individual's CRT license must also successfully complete the Advanced Life Support Protocol Orientation.

Paramedic Reinstatement
A Clinician may reinstate as a Maryland Paramedic 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. Complete and submit the reinstatement application at miemsslicense.com.
2. Applicants must be currently affiliated with an EMS Operational program prior to becoming certified as a Maryland Paramedic.
3. If expired for more than one year, successfully complete the Advanced Life Support Protocol Orientation.

Upon completion of the above requirements, you will be issued a Maryland Paramedic 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