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Massachusetts EMS Recertification Requirements

Complete 2026 guide to CE requirements in Massachusetts for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the Office of Emergency Medical Services (OEMS), Department of Public Health.

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CE Requirements

Continuing Education Hours by Level

LevelCE HoursCycle
EMR162 years
EMT402 years
AEMT502 years
Paramedic602 years

Topic Distribution Requirements

NCCP national component topics (specifics on NREMT.org); local: none required by state (agency may require); BLS CPR current cert required all levels; ACLS for Paramedic

Accepted CE Providers

OEMS approval numbers (T3) issued by OEMS or Regional EMS Councils

Important Notes

Training Officer approval on NREMT.org; state app + $125 fee on eLicensing; retain docs 5 years for audits; all DE (online) allowed; must hold NREMT cert NCCP split: 50% National, 25% Local, 25% Individual for all levels.

Special State Requirements

Training Officer approval on NREMT.org; state app + $125 fee on eLicensing; retain docs 5 years for audits; all DE (online) allowed; must hold NREMT cert

Axene Coverage Report

CE coverage analysis for Massachusetts

Renewal Hour Requirements & Axene Coverage

EMR

16 hrs required · BLS

76.5 hrs

✓ SURPLUS

EMT

40 hrs required · BLS

76.5 hrs

✓ SURPLUS

AEMT

50 hrs required · ALL

167.5 hrs

✓ SURPLUS

Paramedic

60 hrs required · ALL

167.5 hrs

✓ SURPLUS

BLS 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)

Diversity, Equity & Cultural Competency CE RequirementsNot Covered

Massachusetts 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.

Domestic violence and sexual violence training

1 per cyclehoursEvery license cycleM.G.L. c. 112, §264 (Ch. 260)

Requirements last verified: April 7, 2026

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Showing requirements for Massachusetts

State EMS Office

Office of Emergency Medical Services (OEMS), Department of Public Health

FAQs

Frequently Asked Questions

Massachusetts EMS providers renew every 2 years. Required CE hours: EMR: Not applicable in Massachusetts EMT: 40 hours AEMT: 50 hours Paramedic: 60 hours
Yes. Massachusetts accepts CAPCE-accredited courses. Axene CE courses are CAPCE-accredited and count toward your renewal.
Varies by certification level. Check with your state EMS office.
NCCP National Component topics (airway, medical, trauma, operations, pediatrics); Local: none specified

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 Massachusetts

All our courses are CAPCE-accredited and meet Massachusetts's CE requirements. Get unlimited access with an annual subscription.