⚠ Axene covers most requirements — see gaps below
Maryland EMS Recertification Requirements
Complete 2026 guide to CE requirements in Maryland for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the Maryland Institute for Emergency Medical Services Systems (MIEMSS).
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Continuing Education Hours by Level
| Level | CE Hours | Cycle |
|---|---|---|
| EMR | 16 | 2 years |
| EMT | 40 | 2 years |
| AEMT | 50 | 2 years |
| Paramedic | 60 | 2 years |
Topic Distribution Requirements
Annual EMS Protocol Updates (3 most recent years for EMR/EMT, 2 for ALS); ALS State Content (e.g., 7h in 2023-24: protocol updates 2.5h, CVC 0.5h, epinephrine 0.5h, etc.); categories designated by State EMS Medical Director
Accepted CE Providers
MIEMSS approval required for CAPCE CE; categories designated by State EMS Medical Director
Important Notes
EMS operational program affiliation (EMT+); MIEMSS-approved technical proficiency/skills verification; for non-NREMT paths specific CE categories EMR: 8h CE + protocol updates + skills or NREMT. AEMT: 60h NCCP + protocol updates + skills + affiliation or NREMT. Paramedic: 60h NCCP + protocol updates + ALS education + affiliation.
Special State Requirements
EMS operational program affiliation (EMT+); MIEMSS-approved technical proficiency/skills verification; for non-NREMT paths specific CE categories
Axene Coverage Report
CE coverage analysis for Maryland
Renewal Hour Requirements & Axene Coverage
| Level | Required | Axene Hrs | Scope | Status |
|---|---|---|---|---|
| EMR | 16 hrs | 76.5 hrs | BLS | ✓ SURPLUS |
| EMT | 40 hrs | 76.5 hrs | BLS | ✓ SURPLUS |
| AEMT | 50 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
| Paramedic | 60 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
EMR
16 hrs required · BLS
76.5 hrs
✓ SURPLUSEMT
40 hrs required · BLS
76.5 hrs
✓ SURPLUSAEMT
50 hrs required · ALL
167.5 hrs
✓ SURPLUSParamedic
60 hrs required · ALL
167.5 hrs
✓ SURPLUSBLS scope: 80 courses / 76.5 hrs. ALL scope: 173 courses / 167.5 hrs.
Axene Course Library
59
Medical
~58 hrs
39
Trauma
~39 hrs
37
Operations
~35 hrs
20
Cardiology
~19 hrs
18
Airway
~18 hrs
Universal Mandates (All States)
10% Pediatric Content (NCCP)
Varies by level
Diversity, Equity & Cultural Competency CE RequirementsNot Covered
Maryland mandates specific continuing education in cultural competency, health equity, and/or implicit bias for EMS providers. Axene CE does not currently offer courses that satisfy this requirement.
Implicit bias training (one-time)
Requirements last verified: April 7, 2026
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Showing requirements for Maryland
State EMS Office
Maryland Institute for Emergency Medical Services Systems (MIEMSS)
Website: Visit Official Site
FAQs
Frequently Asked Questions
Axene Continuing Education, LLC offers CEUs for EMS providers in most states. Continuing education requirements vary by state and may change. Users are responsible for verifying requirements with their agency and/or state EMS office, including whether specific courses are required for the local/state NREMT component. Where specific education is not mandated, required hours are considered flexible but must be directly related to EMS patient care. We do our best to keep information current — please check with your state EMS representative for the most up-to-date recertification information.
Axene CE is Accepted in Maryland
All our courses are CAPCE-accredited and meet Maryland's CE requirements. Get unlimited access with an annual subscription.