​In July 2013 Massachusetts adopted both the U. S. Department of Transportation's National Highway Traffic Safety Administration's (NHTSA) National EMS Scope of Practice Model (National Scope), and NHTSA's National EMS Education Standards, which sets training standards based on the National Scope.  Together, these standards have changed the scope of practice and training requirements for all Massachusetts EMS providers.  The following information highlights changes related to continuing education requirements for recertification.

Be sure to obtain a Course Completion Certificate or a copy of the course roster.  

The certificate and the roster must contain the name of the course, your name, date and location of the course, the instructor's name AND the OEMS Approval Number.  Your Training Officer will need this information to validate all continuing eduction you may have taken outside the agency you are affiliated with.

There are three components of the National Registry Continued Competency Program (NCCP)

​1.  NATIONAL Continued Competency Requirements (NCCR)

2.  LOCAL Continued Competency Requirements (LCCR)

3.  INDIVIDUAL Continued Competency Requirements (ICCR)

NATIONAL Continued Competency Requirements (NCCR) are determined by the NREMT Board of Directors and comprises 50% of the overall requirements necessary to recertify.

​LOCAL Continued Competency Requirements (LCCR) are developed and delivered at the local EMS level.  In Massachusetts, at this time, the LOCAL requirements have yet to be defined.  Examples of classes that meet this requirement include MOLST, Blood Bourne Pathogens, Statewide Treatment Protocol Updates, and Point of Entry.  

INDIVIDUAL Continued Competency Requirements (ICCR) are determined by the individual.  Currently EMTS may choose any EMS related education to satisfy this requirement.  In the future the ICCR may be based on outcomes of a self-assessment guide, which is offered at no additional fee as part of the recertification process.  The results of the assessment are provided to the individual EMS provider and de-identified, aggregate data to Training Officers to help assess areas of remediation.  If no deficiencies are indicated the provider may select any EMS related education for the ICCR component.

​​As of July 22, 2014 refresher training courses at all levels have been eliminated. 

OEMS has transitioned to requiring EMTs to fulfill their continuing education training requirements for recertification by meeting the National Registry of EMTs’ (NREMT) Continued Competency Program (NCCP). See Advisory: 14-7-04 Elimination of Refresher Training Courses for more information.

T​he OEMS online database used to lookup EMT Continuing Education Credit Hours has been phased out.

It is very important for each provider to track his/her own continuing education. These forms, created by EMS Region II, help you keep track of your continuing education credits during your two year recertificaiton period.

Following initial certification it is each EMTs responsibility to maintain and update their EMS education by taking continuing education courses.  EMS Continuing Education may be offered through ambulance services, fire/police departments, hospitals, educators and Accredited Training Institutions.  Continuing Education is also a requirement to be eligible for recertification at the end of the two year certification period. 

EMS Continuing Education programs that meet recertification criteria must be approved by the Office of Emergency Medical Services (OEMS) and carry an OEMS Approval Number or Continuing Education Coordinating Board of EMS (CECBEMS) approval numbers.

Training programs for EMTs may be awarded continuing education credits by OEMS only for subject matter that is related to delivery of patient care within the EMS scope of practice or within the defined roles and responsibilities of the EMT.

​For more information regarding Massachusetts EMS Continuing Education standards please see AR-2-212.

​                  Total Hours       DE Hours

EMT                 40                    13

Advanced         50                    16.5

Paramedic        60                    20


​​             Total Hours       DE Hours

NCCR       25                        8
LCCR       10                         0
ICCR        10                    12.5

Continuing Education


               Total Hours     DE Hours

NCCR          30                  10

LCCR           15                   0

ICCR            15                 15


​​              Total Hours       DE Hours

NCCR         20                       7

LCCR         10                        0

ICCR          10                      10

Distributive Education (sometimes referred to as "online learning") continuing education credit is limited.

Distributive Education (DE) is defined by OEMS as an instructional model that allows instructor, participants, and content to be located in different locations so that instruction and learning may occur independent of time and place; the learner, the instructor and the educational materials are not all present in the same place at the same time, and students and instructors are not able to interact in real time. These courses are self-paced or do not have an instructor leading the course during instruction.

For EMTs with certification expiring April 1, 2016, only one-third (⅓) of the TOTAL continuing education course hours for recertification may be done through Distributive Education.

​For EMTs with certification expiring April 1, 2017 and thereafter, only one-third (⅓) of the continuing education course hours to meet the National category may be done though Distributive Education, and ALL the hours to meet the Individual category may be done through Distributive Education. NONE of the continuing education course hours to meet the Local requirements may be completed through Distributive Education.

110 Haverhill Rd., Suite 222

Amesbury, MA 01913

Office: 978-792-5477   Fax: 978-792-5632

CMED:  978-946-8130


Courses or conferences that do not have an OEMS approval number can be submitted for special credit.

Mail or fax the following to OEMS, 99 Chauncy St., 11th floor, Boston, MA 02111 Attn: Aaron Gettinger.  Fax 617-752-7320

  • A brief cover letter with EMS personnel’s name, MA Certification Number, and a list of what courses the EMS personnel would like reviewed.
  • Proof of attendance (Transcript, Certificate of completion, etc) for each course submitted.
  • Course outline or description for each course that documents EMS related content as outlined in A/R2-212


Special credit courses can be used towards 2016 recertification in the categories of Local and Individual. The National category must be filled by a course that meets the National Continued Competency Requirements (NCCR).  It is the individual EMS personnel’s responsibility to take classes that have been pre-approved or understand that there is a chance any special credit submission may not be awarded credit.