⚠ Axene covers most requirements — see gaps below
Missouri EMS Recertification Requirements
Complete 2026 guide to CE requirements in Missouri for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the Bureau of Emergency Medical Services, Missouri Department of Health and Senior Services.
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Continuing Education Hours by Level
| Level | CE Hours | Cycle |
|---|---|---|
| EMR | 16 | 5 years |
| EMT | 100 | 5 years |
| AEMT | 144 | 5 years |
| Paramedic | 144 | 5 years |
Topic Distribution Requirements
Core topics in categories (airway 8-12hrs, cardiovascular 12-26hrs, medical 12-26hrs, operations 8-20hrs, trauma 8-12hrs) depending on level; CPR (EMT/AEMT), ACLS (Paramedic); no state-specific like human trafficking etc. for EMS
Accepted CE Providers
Bureau of EMS approves training entities; CAPCE courses accepted
Important Notes
State-approved topics; skills verification not specified; instruction accepted hour-for-hour; NREMT or equivalent CE; background checks if out-of-state residency; apply 30-120 days pre-expiration EMR hours not specified by state; NREMT/NCCP 16h/2yrs alternative. 5-year renewal cycle.
Special State Requirements
State-approved topics; skills verification not specified; instruction accepted hour-for-hour; NREMT or equivalent CE; background checks if out-of-state residency; apply 30-120 days pre-expiration
Axene Coverage Report
CE coverage analysis for Missouri
Renewal Hour Requirements & Axene Coverage
| Level | Required | Axene Hrs | Scope | Status |
|---|---|---|---|---|
| EMR | 16 hrs | 76.5 hrs | BLS | ✓ SURPLUS |
| EMT | 100 hrs | 76.5 hrs | BLS | ⚠ GAP |
| AEMT | 144 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
| Paramedic | 144 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
EMR
16 hrs required · BLS
76.5 hrs
✓ SURPLUSEMT
100 hrs required · BLS
76.5 hrs
⚠ GAPAEMT
144 hrs required · ALL
167.5 hrs
✓ SURPLUSParamedic
144 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
Requirements last verified: April 7, 2026
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Showing requirements for Missouri
State EMS Office
Bureau of Emergency Medical Services, Missouri Department of Health and Senior Services
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 Missouri
All our courses are CAPCE-accredited and meet Missouri's CE requirements. Get unlimited access with an annual subscription.