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 most significant distinction to make is that there are two separate changes occurring that affect Massachusetts EMS providers' certifications and that these two changes are occurring independently of each other.  

1.  Adopting the National EMS Education Standards = Adopting the National Registry of Emergency Medical Technicians (NREMT) certification as the basis for MA initial certification and recertification.  

  • MA certified EMTs prior to July 1, 2013 are not required to become NREMT certified EMTs.  
  • MA certified EMTs who also hold current NREMT certification are required to maintain NREMT certification. 
  • EMTs that have never registered with NREMT will be able to maintain their MA Licensure, without NREMT certification, provided they meet or exceed NREMT recertification training requirements and fulfill continuing education credits.


2.  Transitioning to the National EMS Scope of Practice Model = Completing a transitional training course that will count towards continuing education requirements and once completed will change an EMT- B to an EMT; EMT-I to Advanced and EMT-P to Paramedic.


As of July 1, 2013 all EMTs and Paramedics must create an on-line profile, affiliate with an agency, submit their continuing education credits online and submit their recertification application electronically.  For step by step instructions please see and follow the point and click instructions to renew your EMT certification.

​Once all three steps are completed monitor your progress.  To verify that your certification has been renewed, log into your e-licensing profile at Your expiration date will be updated to 4/1/2018 one business day after completing all three recertification steps.  If your application is pending with your Training Officer for more than 10 day, contact your Training Officer.

If you have any questions or need assistance please feel free to contact the office at 978-792-5477 or

EMTs re-certifying in 2016 may use continuing education credits awarded between March 31, 2014 and March 31, 2016 towards their recertification. (PLEASE NOTE: if the individual needs an EMT card to work then it is advised they complete their recertification requirements by February 15, 2016 in order to receive their new EMT certification card by April 1, 2016). EMTs re-certifying in 2016 may not use continuing education credits toward their next recertification period (2018) until after March 31, 2016.

110 Haverhill Rd., Suite 222

Amesbury, MA 01913

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

CMED:  978-946-8130

Using Distributive Education (sometimes referred to as "online learning") continuing education credit towards your recertification 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. 

All EMTs with certification expiring April 1, 2016, may use one-third (⅓) of the TOTAL continuing education course hours for recertification through Distributive Education.  The maximum DE credits accepted by certification level is:  EMT - 13 hours; Advanced - 16.5 hours; Paramedic - 20 hours.

​​​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 achieved 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.  DE credits accepted for certification level is: ​EMT - 7 hours NCCR & 10 hours ICCR; Advanced - 8 hours NCCR & 12.5 ICCR; Paramedic - 10 hours NCCR & 15 hours ICCR.

Continuing Education Credit Hours Requirements for Recertification

Any person who is certified as a Massachusetts EMT (at any level) who does not hold National Registry status, and is not currently associated with an ambulance service, EFR service or first responder agency is considered unaffiliated. Also, please note that many agencies, such as Ski Patrol, Police, or Search & Rescue will qualify for their own agency status. These organizations should consider setting up an agency. Discuss this option with the appropriate supervisor or training officer if you are associated with such an agency. Before selecting unaffiliated, please ensure there is no other agency more appropriate to affiliate with. 

All levels of EMTs recertifying in 2016 and beyond are required to complete National (NCCR), Local (LCCR) and Individual (ICCR) Core Competency Requirement hours.  National credits are comprised of topic areas defined by the National Registry. Currently there are no specific topic areas required for local or individual hours. Appropriately approved OEMS and/or CECBEMS continuing education hours can be applied to the Local or Individual category until further notice.

All affiliate agencies must have a training officer who is responsible registering their service and all of their providers on the national registry website; processing pending affiliation requests; maintaining training records; adding and editing courses for providers; and reviewing/approving recertification packets for affiliated providers. For detailed information on training officer requirements and step-by-step procedures see EMS Training Officer resources.

Provider LevelNCCRLCCRICCRTotal Hours
Advanced EMT2512.512.550

If you hold an EMT certification from Massachusetts only 

  • Be sure to create your training profile at  

If you have a Massachusetts EMT certification and a National Registry certification

  • Logon to to access or create your training profile on the National Registry website. 

Your EMT card will be mailed to you at the address that is listed in your training profile.

  • Make sure it is up to date and accurate.

You will pay two fees at two different times.

  • The first fee is due when you create your training profile.

               MA-only:  $20 BLS / $25 ALS

               MA & NREMT:  $15 BLS / $20 ALS

  • The second fee is due when you complete the e-licensing process.

​               BLS / ALS:  $125

Having paid both fees does not guarantee that the process is over and your card is on its way.

  • Your continuing education has to be verified by your Training Officer (or ​if unaffiliated your Regional Council) AND you have to pay all fees before your wallet card is mailed to you.  Although, you do not have to wait for your Training Officer to approve your profile before you complete the state application (e-licensing) and pay the $125 recertificaiton fee.

There are two separate websites involved in the recertification process.

  • You have to create your training profile at one ( website AND you have to complete the online portion through the e-licensing website (  
  • These two different websites are accessed with two separate login credentials. You will be instructed to create a username and password exclusively for the e-licensing site.  You can choose to use the same login information for both sites but you must create login credentials at both sites.

If you are working and/or volunteering as an EMT then you are affiliated with a service and you have a Training Officer. 

  • Your Training Officer is your primary resource if you need help with your recertification.  
  • When filling out your training profile you will be asked to choose a service to affiliate with. Choose the service you work or volunteer with. If you work or volunteer with multiple agencies choose the one that you work with the most often.

If you do not work or volunteer as an EMT and you have a MA and National Registry certification

  • You will have to register as inactive with the National Registry
  • ​Inactive status with the National Registry does not affect your MA EMT recertification.  You will still receive a MA EMT card if you complete all the necessary recertification requirements, have had your continuing education verified and paid the two fees mentioned above.

If you do not work or volunteer as an EMT and you are certified in MA only then you are Unaffiliated.

  • You must affiliate with one of the five EMS Regional Councils in order to recertify.  
  • You select which Regional Council to affiliate with depending on where you live. If you affiliate with a Regional Council and your training profile says you live outside its geographic boundary your affiliation request will be denied.
  • When filling out your training profile you will be asked to affiliate with a service and will be given a drop-down menu to choose from.  Scroll all the way to the bottom and select Unaffiliated Region III (of course if you don't live in Region III you would pick the appropriate Region).
  • If you live in one of these towns then you affiliate with Region III.
  • After you affiliate with Region III please call 978-792-5477 or email to provide your contact information and to receive additional instruction.